Analysis of Radiological Features of Lateral Femoral Impaction Fracture / Lateral Femoral Notch Sign

NCT ID: NCT05682820

Last Updated: 2023-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-06-03

Study Completion Date

2024-12-31

Brief Summary

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Analysis of Radiological Features of Lateral Femoral Impaction Fracture (LFC-IF) / Lateral Femoral Notch Sign will be performed on MRIs of consecutive patients after anterior cruciate ligament (ACL) injuries and without ACL injuries.

Detailed Description

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Two independent measurers will twicely measure the radiological features of Lateral Femoral Impaction Fracture / Lateral Femoral Notch Sign on MRIs of consecutive patients after anterior cruciate ligament (ACL) injuries and without ACL injuries. In cases without ACL injuries, radiological features of terminal sulcus (TS), a native sulcus located on the lateral femoral condyle, will be measured. Intra- and inter-rater agreements will be calculated.

The following radiological features will be assessed/ measured:

1. Presence of LFC-IF/ TS
2. LFC-IF/ TS depth
3. LFC-IF/ TS length
4. Distance from Blumensaat line to the front border of LFC-IF / TS
5. Distance from Blumensaat line to the deepest part of LFC-IF / TS
6. Distance from Blumensaat line to the rear border of LFC-IF / TS

Conditions

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Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Rupture Anterior Cruciate Ligament Tear

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients with ACL tear

Patients with ACL tear- MRIs will be assessed

Measurements on knee MRI performed during routine clinical practice

Intervention Type DIAGNOSTIC_TEST

Patients after knee injury are often advised to undergo knee MRI for diagnosis. Measurements on knee MRI performed during routine clinical practice will be made.

Patients without ACL tear

Patients without ACL tear - MRIs will be assessed

Measurements on knee MRI performed during routine clinical practice

Intervention Type DIAGNOSTIC_TEST

Patients after knee injury are often advised to undergo knee MRI for diagnosis. Measurements on knee MRI performed during routine clinical practice will be made.

Interventions

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Measurements on knee MRI performed during routine clinical practice

Patients after knee injury are often advised to undergo knee MRI for diagnosis. Measurements on knee MRI performed during routine clinical practice will be made.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Performed knee MRI with or without ACL tear

Exclusion Criteria

* Osteophytes hindering assessment of LFC-IF/ TS morphology
* Morphological disturbances hindering assessment of LFC-IF/ TS morphology
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Artromedical Konrad Malinowski Clinic

OTHER

Sponsor Role lead

Responsible Party

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Konrad Malinowski MD

Head of the Clinic

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Konrad Malinowski, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Artromedical Orthopaedic Clinic, Bełchatów, Poland

Locations

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Artromedical Orthopaedic Clinic

Bełchatów, Łódź Voivodeship, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Konrad Malinowski, MD PhD

Role: CONTACT

+48 509812212

Facility Contacts

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Konrad Malinowski, MD PhD

Role: primary

+48 509 812 212

References

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Lodewijks PCAM, Delawi D, Bollen TL, Dijkhuis GR, Wolterbeek N, Zijl JAC. The lateral femoral notch sign: a reliable diagnostic measurement in acute anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2019 Feb;27(2):659-664. doi: 10.1007/s00167-018-5214-x. Epub 2018 Oct 13.

Reference Type RESULT
PMID: 30317524 (View on PubMed)

Wierer G, Simetinger T, Hudelmaier M, Moroder P, Hoffelner T. Fate of the lateral femoral notch following early anterior cruciate ligament reconstruction. Knee. 2020 Mar;27(2):414-419. doi: 10.1016/j.knee.2020.01.009. Epub 2020 Feb 7.

Reference Type RESULT
PMID: 32037234 (View on PubMed)

Dimitriou D, Reimond M, Foesel A, Baumgaertner B, Zou D, Tsai TY, Helmy N. The deep lateral femoral notch sign: a reliable diagnostic tool in identifying a concomitant anterior cruciate and anterolateral ligament injury. Knee Surg Sports Traumatol Arthrosc. 2021 Jun;29(6):1968-1976. doi: 10.1007/s00167-020-06278-w. Epub 2020 Sep 24.

Reference Type RESULT
PMID: 32974801 (View on PubMed)

Bernholt DL, DePhillipo NN, Grantham WJ, Crawford MD, Aman ZS, Kennedy MI, LaPrade RF. Morphologic Variants of Posterolateral Tibial Plateau Impaction Fractures in the Setting of Primary Anterior Cruciate Ligament Tear. Am J Sports Med. 2020 Feb;48(2):318-325. doi: 10.1177/0363546519893709. Epub 2020 Jan 3.

Reference Type RESULT
PMID: 31899869 (View on PubMed)

Bernholt DL, DePhillipo NN, Crawford MD, Aman ZS, Grantham WJ, LaPrade RF. Incidence of Displaced Posterolateral Tibial Plateau and Lateral Femoral Condyle Impaction Fractures in the Setting of Primary Anterior Cruciate Ligament Tear. Am J Sports Med. 2020 Mar;48(3):545-553. doi: 10.1177/0363546519895239. Epub 2020 Jan 9.

Reference Type RESULT
PMID: 31917606 (View on PubMed)

Other Identifiers

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1-rad-ar-2023

Identifier Type: -

Identifier Source: org_study_id

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