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Intercondylar Notch

Vascularization of the cruciate ligaments is mainly from the middle genicular artery and partially by the medial and lateral inferior genicular arteries.The middle genicular artery pierces the posterior capsule and gives off branches in the intercondylar notch. [Pg.594]

The ACL femoral attachment was divided into a central area of dense fibers, with direct insertion into the femur, and anterior and posterior fanlike extension areas. The central area resisted 82-90% of the anterior drawer force with the anterior and posterior fanlike areas at 2-3 % and 11-15 %, respectively. Among the 4 central areas, most load was carried close to the roof of the intercondylar notch. [Pg.4]

The midsubstance fibers of the ACL (the central attachment areas E, F, G, and H in Fig. 1.4) transmitted 82-90% of the resistance to tibial displacement and that the large contribution of the central attachment fibers was biased strongly toward the roof of the femoral intercondylar notch. The fibers attached to areas G and H in Fig. 1.4, which corresponded to part of the AM bundle, provided from 66 to 84 % of the total resistance to anterior drawer across 0-90 of flexion (Fig. 1.5). The contribution of fiber attachment areas E and F in Fig. 1.4,... [Pg.9]

Fig. 1.4 Femoral ACL attachment partition on lateral wall of intercondylar notch. The outer lines are tangent to the ACL attachment and oriented parallel to Blumensaat s line or a line between the centers of the 2 fiber bundles of the ACL (anteromedial and posterolateral). Areas A, B, C, and D comprise the posterior fanlike extension areas E, F, G, and H comprise the central direct attachment area and areas /, J, K, and L comprise the anterior fanlike extension (From [26] with permission)... Fig. 1.4 Femoral ACL attachment partition on lateral wall of intercondylar notch. The outer lines are tangent to the ACL attachment and oriented parallel to Blumensaat s line or a line between the centers of the 2 fiber bundles of the ACL (anteromedial and posterolateral). Areas A, B, C, and D comprise the posterior fanlike extension areas E, F, G, and H comprise the central direct attachment area and areas /, J, K, and L comprise the anterior fanlike extension (From [26] with permission)...
Hutchinsrar MR, Ash SA (2003) Resident s ridge assessing the cortical thickness of the lateral wall and roof of the intercondylar notch. Arthroscopy 19(9) 931-935... [Pg.16]

Farrow LD, Chen MR, Coopmnan DR, Victoroff BN, Goodfellow DB (2007) Morphology of the femoral intercondylar notch. J Brme Joint Surg Am 89(10) 2150... [Pg.17]

Muneta T, Takakuda K, Yamamoto H (1997) Intercondylar notch width and its relation to the configuration and cross-sectional area of the anterior cmciate ligament. A cadaveric knee study. Am J Sports Med 25 69-72... [Pg.36]

Fig. 8.2 Arthroscopic classification of remnants by Nakase. The normal ACL attachment on femur arrow head) (from [14] with permission), (a) Type 1 Bridging between the roof of the intercondylar notch and tibia, (b) Type 2 Bridging between the posterior cruciate ligament and tibia, (c) Type 3 Bridging between the anatomical attachments of the ACL on the lateral wall of the femoral condyle and the tibia, (d) Type 4 No bridging ACL remnants... Fig. 8.2 Arthroscopic classification of remnants by Nakase. The normal ACL attachment on femur arrow head) (from [14] with permission), (a) Type 1 Bridging between the roof of the intercondylar notch and tibia, (b) Type 2 Bridging between the posterior cruciate ligament and tibia, (c) Type 3 Bridging between the anatomical attachments of the ACL on the lateral wall of the femoral condyle and the tibia, (d) Type 4 No bridging ACL remnants...
The ACL appears taut and parallel to the roof of the intercondylar notch ... [Pg.140]

Staeubli HU, Adam O, Becker W, Burgkart R (1999) Anterior cmciate ligament and intercondylar notch in the coronal oblique plane anatomy complemented by magnetic resonance imaging in cruciate ligament-intact knees. Arthroscopy 15(4) 349-359... [Pg.146]

Type II, bridging between roof of the intercondylar notch and tibia... [Pg.151]

With visualization from the anterolateral (AL) portal, insert a 23-gauge spinal needle from just medial to the medial border of the patellar tendon and about 1 cm above the joint line. Insert the 23-gauge spinal needle into the knee joint toward the intercondylar notch while visualizing the direction of the needle using a... [Pg.177]

Udagawa K, Niki Y, Enomoto H, Toyama Y, Suda Y (2014) Eactms influencing graft impingcanent on the wall of the intercondylar notch aftra- anatomic double-bundle anterira cruciate ligamcait reconstruction. Am J Sports Med 42(9) 2219-2225. doi 10.1177/ 0363546514536872... [Pg.195]

Iriuchishima T, Ryu K, Aizawa S, Fu FH (2015) Blumensaat s line is not always straight morphological variations of the lateral wall of the femoral intercondylar notch. Knee Surg Sports Traumatol Arthrosc. doi 10.1007/s00167-015-3579-7... [Pg.196]

As mentioned, in traditional single-bundle reconstmction using the transtibial technique, the femoral tunnel was made at the isometric point on the lateral wall of the intercondylar notch. This traditional femoral tunnel position was higher and more anterior to the anatomic ACL footprint therefore, various types of ACL graft impingement have been reported in this technique. [Pg.268]

Fig. 22.1 A case with residual instability after nonanatomic single-bundle ACL reconstruction, without graft tear by obvious reinjury. (a, b) Femoral tunnel position (a, white arrow) and tibial tunnel position (b, black arrow) in three-dimensional computed tomography, (c) Magnetic resonance imaging (sagittal view). The femoral tunnel was made at the high noon position on the lateral wall of the intercondylar notch. Tibial tunnel was placed posteriorly to avoid graft impingement. However, normal restoration of the knee kinematics and stability would be impaired with such a vertical graft placement ... Fig. 22.1 A case with residual instability after nonanatomic single-bundle ACL reconstruction, without graft tear by obvious reinjury. (a, b) Femoral tunnel position (a, white arrow) and tibial tunnel position (b, black arrow) in three-dimensional computed tomography, (c) Magnetic resonance imaging (sagittal view). The femoral tunnel was made at the high noon position on the lateral wall of the intercondylar notch. Tibial tunnel was placed posteriorly to avoid graft impingement. However, normal restoration of the knee kinematics and stability would be impaired with such a vertical graft placement ...
The conclusions of this study are that, in anatomic double-bundle ACL reconstruction, anterior stability was improved and there were no harmful effects on patellofemoral joint findings by 2-mm notchplasty however, notchplasty likely caused over-constrained knees, leading to a need for additional synovectomy in some cases. On the other hand, anatomic double-bundle ACL reconstmction without notchplasty did not increase the incidence of loss of extension and graft failure. Therefore, except in cases with spur formation on the intercondylar notch or narrow notch, routine notchplasty is not recommended in anatomic double-bundle ACL reconstmction. [Pg.274]

Al-Saeed O, Brown M, Athyal R, Sheikh M (2013) Association of femoral intercondylar notch morphology, width index and the risk of anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc 21(3) 678-682... [Pg.276]

Swami VG, Mahee M, Hui C, Jaremko JL (2013) Three-dimensional intercondylar notch volumes in a skeletally immature pediatric population a magnetic resonance imaging-based anatomic comparison of knees with tom and intact anterior craciate ligaments. Arthroscopy 29 (12) 1954-1962... [Pg.276]

Bents RT, Jones RC, May DA, Snearly WS (1998) Intercondylar notch encroachment following anterior cruciate ligament recmrstructimt a prospective study. Am J Knee Surg 11 (2) 81-88... [Pg.276]

See other pages where Intercondylar Notch is mentioned: [Pg.594]    [Pg.595]    [Pg.598]    [Pg.605]    [Pg.5]    [Pg.8]    [Pg.11]    [Pg.95]    [Pg.140]    [Pg.142]    [Pg.142]    [Pg.143]    [Pg.178]    [Pg.179]    [Pg.185]    [Pg.185]    [Pg.187]    [Pg.189]    [Pg.203]    [Pg.212]    [Pg.267]    [Pg.268]    [Pg.270]    [Pg.275]    [Pg.276]    [Pg.306]   
See also in sourсe #XX -- [ Pg.638 , Pg.713 , Pg.718 ]



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