The deep medial femoral sulcus sign: does it exist?
Skeletal Radiol
; 50(3): 571-578, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-32918565
ABSTRACT
OBJECTIVE:
To determine the normal depth of the medial femoral sulcus on lateral radiographs of the knee and determine if abnormal deepening of the medial femoral sulcus exists as a radiographic indicator of intra-articular knee abnormalities. MATERIALS ANDMETHODS:
A retrospective search was performed over a period of 10 years to identify all individuals with a bone contusion of the anterior medial femoral condyle at MR imaging. Study patients had documented acute knee injuries and radiographs 6 weeks or less prior to their MR. A control group had normal MR exams and radiographs 6 weeks or less prior to their MR. Two fellowship-trained musculoskeletal radiologists independently measured the depth of the medial femoral sulcus on lateral radiographs blinded to control or study individuals.RESULTS:
The study group consisted of 76 patients (57 men, 19 women; age range, 18-50 years; mean age, 27 years) and 92 control patients (33 men, 59 women; age range, 18-46 years; mean age 26 years). Sulcus depth was (0-2.3 mm reader 1 and 0-1.7 mm reader 2 for controls; 0-2.2 mm reader1 and 0-1.8 mm reader 2 for study patients). No significant difference in sulcus depth was identified between the control and study groups. Inter-reader agreement was very strong. The most common cause of injury in the study group was motor vehicle accidents followed by hyperextension and twisting injuries of the knee.CONCLUSION:
The normal medial femoral sulcus ranges in depth from 0 to 2.3 mm. Although impaction of the sulcus does occur following knee injuries, the sulcus does not deepen.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fêmur
/
Traumatismos do Joelho
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Skeletal Radiol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos