The Influence of Tibial and Femoral Bone Morphology on Knee Kinematics in the Anterior Cruciate Ligament Injured Knee

Clin Sports Med. 2018 Jan;37(1):127-136. doi: 10.1016/j.csm.2017.07.012. Epub 2017 Sep 6.

Abstract

Bone morphology is one feature that contributes to knee kinematics. The geometry of the tibia and femur vary across individuals, and these differences can influence the risk of anterior cruciate ligament (ACL) injury and of failure after isolated ACL reconstruction. There has been renewed interest in lateral extra-articular stabilization procedures to supplement an ACL reconstruction, although which patients benefit most from these procedures remains unclear. This article reviews the impact of bone morphology on knee kinematics, including tibial slope, depth of the medial tibial plateau, intercondylar notch shape, tibial eminence volume, and sphericity of the femoral condyles.

Keywords: Anterior cruciate ligament injuries; Bone morphology; Intercondylar notch shape; Knee kinematics; Tibial slope.

Publication types

  • Review

MeSH terms

  • Anterior Cruciate Ligament Injuries / diagnostic imaging
  • Anterior Cruciate Ligament Injuries / physiopathology*
  • Anterior Cruciate Ligament Injuries / surgery
  • Biomechanical Phenomena
  • Femur / anatomy & histology*
  • Femur / diagnostic imaging
  • Humans
  • Imaging, Three-Dimensional
  • Knee Joint / diagnostic imaging
  • Knee Joint / physiopathology*
  • Knee Joint / surgery
  • Magnetic Resonance Imaging
  • Risk Factors
  • Tibia / anatomy & histology*
  • Tibia / diagnostic imaging