Araştırma Makalesi

Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study

Cilt: 36 Sayı: 2026 22 Eylül 2026
PDF İndir
EN TR

Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study

Öz

Aim: The current study aims to determine whether patellar tendon angles and related morphometric parameters are independently associated with complete ACL tear on MRI.
Materials and Methods: In this retrospective case-control study, knee MRIs of 170 patients with arthroscopically confirmed complete ACL tear and 170 age- and sex-matched controls were evaluated. Key measurements included the quadriceps patellar tendon angle (QPTA), patella patellar tendon angle (PPTA), and the distance from the inferior margin of the patellar articular surface to the tibial tuberosity (IPTT), along with several other anatomical parameters.
Results: QPTA and PPTA were significantly higher, and IPTT values were significantly lower in the complete ACL tear group (p < 0.05). Multivariate logistic regression analysis demonstrated that increased QPTA (OR: 1.036;95% CI: 1.011-1.061; p=0.004), PPTA (OR: 1.058; 95% CI: 1.004–1.114; p = 0.034), and decreased IPTT (OR: 1.067; 95% CI: 1.022–1.116; p = 0.004) were independently associated with complete ACL tear.
Conclusions: Higher QPTA and PPTA values and lower IPTT measurements on MRI were identified as significant anatomical predictors of complete ACL tear, indicating that these patellar tendon-related parameters may help in identifying individuals with imaging findings associated with ACL injury. However, their individual discriminatory performance was modest, and these measurements should be interpreted as contributory parameters rather than standalone markers.

Anahtar Kelimeler

Anterior Cruciate Ligament Injuries, Knee Joint, Magnetic Resonance Imaging, Patella, Risk Factors, Tibia

Kaynakça

  1. 1. Chia L, De Oliveira Silva D, Whalan M, McKay MJ, Sullivan J, Fuller CW, Pappas E: Non-contact Anterior Cruciate Ligament Injury Epidemiology in Team-Ball Sports: A Systematic Review with Meta-analysis by Sex, Age, Sport, Participation Level, and Exposure Type. Sports Med 2022, 52(10):2447-2467.
  2. 2. Rodriguez-Merchan EC, Encinas-Ullan CA: Knee Osteoarthritis Following Anterior Cruciate Ligament Reconstruction: Frequency, Contributory Elements, and Recent Interventions to Modify the Route of Degeneration. Arch Bone Jt Surg 2022, 10(11):951-958.
  3. 3. Kızılgöz V, Sivrioğlu AK, Ulusoy GR, Yıldız K, Aydın H, Çetin T: Posterior tibial slope measurement on lateral knee radiographs as a risk factor of anterior cruciate ligament injury: A cross-sectional study. Radiography (Lond) 2019, 25(1):33-38.
  4. 4. Hohmann E, Tetsworth K, Glatt V, Ngcelwane M, Keough N: Medial and Lateral Posterior Tibial Slope Are Independent Risk Factors for Noncontact ACL Injury in Both Men and Women. Orthop J Sports Med 2021, 9(8):23259671211015940.
  5. 5. Simon RA, Everhart JS, Nagaraja HN, Chaudhari AM: A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech 2010, 43(9):1702-1707.
  6. 6. Shen L, Jin ZG, Dong QR, Li LB: Anatomical Risk Factors of Anterior Cruciate Ligament Injury. Chin Med J (Engl) 2018, 131(24):2960-2967.
  7. 7. Shen X, Xiao J, Yang Y, Liu T, Chen S, Gao Z, Zuo J: Multivariable analysis of anatomic risk factors for anterior cruciate ligament injury in active individuals. Arch Orthop Trauma Surg 2019, 139(9):1277-1285.
  8. 8. Kızılgöz V, Sivrioğlu AK, Ulusoy GR, Aydın H, Karayol SS, Menderes U: Analysis of the risk factors for anterior cruciate ligament injury: an investigation of structural tendencies. Clin Imaging 2018, 50:20-30.
  9. 9. Zeng C, Gao SG, Wei J, Yang TB, Cheng L, Luo W, Tu M, Xie Q, Hu Z, Liu PF et al: The influence of the intercondylar notch dimensions on injury of the anterior cruciate ligament: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 2013, 21(4):804-815.
  10. 10. Li Z, Li C, Li L, Wang P: Correlation between notch width index assessed via magnetic resonance imaging and risk of anterior cruciate ligament injury: an updated meta-analysis. Surg Radiol Anat 2020, 42(10):1209-1217.

Kaynak Göster

APA
Cingöz, E., Tor, O., Mavcioglu, I., Uslu, M., Cingöz, M., & Dursun, M. (2026). Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study. Genel Tıp Dergisi, 36(2026), 1-7. https://doi.org/10.54005/geneltip.1836310
AMA
1.Cingöz E, Tor O, Mavcioglu I, Uslu M, Cingöz M, Dursun M. Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study. Genel Tıp Derg. 2026;36(2026):1-7. doi:10.54005/geneltip.1836310
Chicago
Cingöz, Eda, Onur Tor, Ipek Mavcioglu, Muhammed Uslu, Mehmet Cingöz, ve Menduh Dursun. 2026. “Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study”. Genel Tıp Dergisi 36 (2026): 1-7. https://doi.org/10.54005/geneltip.1836310.
EndNote
Cingöz E, Tor O, Mavcioglu I, Uslu M, Cingöz M, Dursun M (01 Eylül 2026) Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study. Genel Tıp Dergisi 36 2026 1–7.
IEEE
[1]E. Cingöz, O. Tor, I. Mavcioglu, M. Uslu, M. Cingöz, ve M. Dursun, “Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study”, Genel Tıp Derg, c. 36, sy 2026, ss. 1–7, Eyl. 2026, doi: 10.54005/geneltip.1836310.
ISNAD
Cingöz, Eda - Tor, Onur - Mavcioglu, Ipek - Uslu, Muhammed - Cingöz, Mehmet - Dursun, Menduh. “Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study”. Genel Tıp Dergisi 36/2026 (01 Eylül 2026): 1-7. https://doi.org/10.54005/geneltip.1836310.
JAMA
1.Cingöz E, Tor O, Mavcioglu I, Uslu M, Cingöz M, Dursun M. Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study. Genel Tıp Derg. 2026;36:1–7.
MLA
Cingöz, Eda, vd. “Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study”. Genel Tıp Dergisi, c. 36, sy 2026, Eylül 2026, ss. 1-7, doi:10.54005/geneltip.1836310.
Vancouver
1.Eda Cingöz, Onur Tor, Ipek Mavcioglu, Muhammed Uslu, Mehmet Cingöz, Menduh Dursun. Patellar Tendon Morphometry in Complete ACL Tear: An MRI-Based Case-Control Study. Genel Tıp Derg. 01 Eylül 2026;36(2026):1-7. doi:10.54005/geneltip.1836310