Skip to main content
Orthopedics, 2014;37(11):759–762
Published Online:https://doi.org/10.3928/01477447-20141023-06Cited by:5

Abstract

Anterior cruciate ligament (ACL) tears are commonly seen injuries. Initially, these injuries are routinely evaluated with radiographs, followed by magnetic resonance imaging (MRI). The altered kinematics at the time of injury or for the duration of a chronic tear can create indirect findings on radiographs and MRI. These signs may help establish a diagnosis of an ACL tear or the chronicity of the injury. This article discusses these signs. [Orthopedics. 2014; 37(11):759–762.]

  • 1.Griffin L, Albohm MJ, Arendt EA, et al.Understanding and preventing non-contact anterior cruciate ligament injuries. Am J Sports Med. 2006; 34(9):1512–1532.10.1177/0363546506286866

    > Crossref MedlineGoogle Scholar
  • 2.DeFrate L, Papannagari R, Gill T, Moses J, Pathare N, Li G. The 6 degrees of freedom kinematics of knee after anterior cruciate ligament deficiency: an in vivo imaging analysis. Am J Sports Med. 2006; 34(8):1240–1246.10.1177/0363546506287299

    > Crossref MedlineGoogle Scholar
  • 3.Claes S, Luyckx T, Vereecke E, Bellemans J. The Segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy. 2014. Epub ahead of print.10.1016/j.arthro.2014.05.039

    > CrossrefGoogle Scholar
  • 4.Juhng S, Lee J, Choi S, Yoon K, Roh B, Won J. MR evaluation of the “arcuate” sign of posterolateral knee instability. AJR Am J Roentgenol. 2002; 178(3):583–588.10.2214/ajr.178.3.1780583

    > Crossref MedlineGoogle Scholar
  • 5.Hess T, Rupp S, Hopf T, Gleitz M, Lieber J. Lateral tibial avulsion fractures and disruptions to the anterior cruciate ligament: a clinical study of their incidence and correlation. Clin Orthop Relat Res. 1994; (303):193–197.

    > MedlineGoogle Scholar
  • 6.Garth WP, Greco J, House M. The lateral notch sign associated with acute anterior cruciate ligament disruption. Am J Sports Med. 2000; 28(1):68–73.

    > Crossref MedlineGoogle Scholar
  • 7.Herbst E, Hoser C, Tecklenburg K, et al.The lateral femoral notch sign following ACL injury: frequency, morphology, and relation to meniscal injury and sports activity. Knee Surg Sports Traumatol Arthrosc. 2014. Epub ahead of print.10.1007/s00167-014-3022-5

    > CrossrefGoogle Scholar
  • 8.Miller L, Yu J. Radiographic indicators of acute ligament injuries of the knee: a mechanistic approach. Emerg Radiol. 2010; 17:435–444.10.1007/s10140-010-0876-9

    > Crossref MedlineGoogle Scholar
  • 9.Sharma G, Naik V, Pankaj A. Displaced osteochondral fracture of the lateral femoral condyle associated with an acute anterior cruciate ligament avulsion fracture: a corollary of “the lateral femoral notch sign.”Knee Surg Sports Traumatol Arthrosc. 2012; 20(8):1599–1602.10.1007/s00167-011-1795-3

    > Crossref MedlineGoogle Scholar
  • 10.Tauber M, Fox M, Koller H, Klampfer H, Resch H. Arthroscopic treatment of a large lateral femoral notch in acute anterior cruciate ligament tear. Arch Orthop Trauma Surg. 2008; 128(11):1313–1316.10.1007/s00402-007-0535-0

    > Crossref MedlineGoogle Scholar
  • 11.Mullis B, Karas S, Kelley S. Radiographic finding in chronic anterior cruciate ligament deficiency: the posteromedial osteophyte. Am J Orthop. 2007; 36(9):494–497.

    > MedlineGoogle Scholar
  • 12.Austin A, Zoga A. Internal derangements: ligaments and tendons. In: , Scott WN, ed. Insall & Scott Surgery of the Knee. Philadelphia, PA: Elsevier; 2012.10.1016/B978-1-4377-1503-3.00007-X

    > CrossrefGoogle Scholar
  • 13.Al-Saeed O, Brown M, Athyal R, Sheikh M. Association of femoral intercondylar notch morphology, width index and the risk of anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2013; 21:678–682.10.1007/s00167-012-2038-y

    > Crossref MedlineGoogle Scholar
  • 14.Whitney D, Sturnick D, Vacek P, et al.Relationship between the risk of suffering a first-time noncontact ACL injury and geometry of the femoral notch and ACL: a prospective cohort study with a nested case-control analysis. Am J Sports Med. 2014; 42:1796–1805.10.1177/0363546514534182

    > Crossref MedlineGoogle Scholar
  • 15.Brandser E, Riley M, Berbaum K, Elkhoury G, Bennett DL. MR imaging of anterior cruciate ligament injury: independent value of primary and secondary signs. AJR Am J Roentgenol. 1996; 167(1):121–126.10.2214/ajr.167.1.8659355

    > Crossref MedlineGoogle Scholar
  • 16.Patel S, Hageman J, Quatman C, Wordeman S, Hewett T. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. Sports Med. 2014; 44:281–294.10.1007/s40279-013-0116-z

    > Crossref MedlineGoogle Scholar

We use cookies on this site to enhance your user experience. For a complete overview of all the cookies used, please see our privacy policy.

×