Intercondylar Notch Width in Dogs With and Without Cranial Cruciate Ligament Injuries

S. W. Aiken; P. H. Kass; J. P. Toombs

doi:10.1055/s-0038-1632443

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 1995; 08(03): 128-132
DOI: 10.1055/s-0038-1632443

Original Research

Schattauer GmbH

Intercondylar Notch Width in Dogs With and Without Cranial Cruciate Ligament Injuries

Autor*innen

S. W. Aiken

¹From the Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN, USA

²Sacramento Veterinary Surgical Services, Inc., Sacramento, CA, USA
P. H. Kass

³Department of Population Health and Reproduction, University of California, Davis, CA, USA
J. P. Toombs

¹From the Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN, USA

Abstract

Summary

This prospective study evaluated the intercondylar notch width in dogs with naturally occurring cranial cruciate ligament (CCL) injuries. The intercondylar notch width was measured in 45 stifles with CCL injuries and 98 normal stifle joints to determine if stifles with CCL injuries have outlet stenosis of the intercondylar notch. A notch width index was calculated in order to compensate for the variety of dog sizes. Stifles with CCL injuries had significantly smaller notch width indices as compared to normal stifles. We concluded that intercondylar notchplasty should be performed if an intra-articular repair of the CCL deficient stifle is planned in order to minimize impingement of the stenotic intercondylar notch on the intra-articular graft.

An intercondylar notch width index was determined in 45 stifles with cranial cruciate ligament (CCL) injuries and 98 normal stifle joints. Stifles with CCL injuries were found to have significantly smaller intercondylar notch width indices as compared to normal stifles.

Keywords

Intercondylar notch - cranial cruciate ligament - intercondylar notchplasty - canine

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Referenzen

REFERENCES
1 Vasseur PB, Pool RR, Arnoczky SP. et al Correlative biomechanical and histological study of the cranial cruciate ligament in dogs. Am J Vet Res 1985; 46: 1842-54.
2 Vasseur PB. The stifle joint. In: Textbook of Small Animal Surgery. 2nd ed. Slatter DH. (ed) Philadelphia: Saunders; 1993: 1817-66.
3 Amiel D, Ishizue KK, Harwood FL. et al Injury of the anterior cruciate ligament: The role of collagenase in ligament degeneration. J Orthop Res 1989; 7 (04) 486-93.
4 Niebauer GW, Wolf B, Bashley RI. et al Antibodies to canine collagen types I and II in dogs with spontaneous cruciate ligament ruptures and osteoarthritis. Arthritis Rheum 1987; 30 (03) 319-27.
5 Arnoczky SP, Marshal JL. Pathomechanics of cruciate and meniscal injuries. In: Pathophysiology in Small Animal Surgery. Bojrab MJ. (ed) Philadelphia: Lea and Febiger; 1981: 590-603.
6 Dahlstedt L, Dalen N, Dahlborn M. et al Value of intercondylar notchplasty. Acta Orthop Scand 1990; 61 (06) 558-61.
7 Norwood LA, Cross MJ. The intercondylar shelf and the anterior cruciate ligament. Am J Sports Med 1977; 5 (04) 171-6.
8 Anderson AF, Lipscomb AB, Liudahl KJ. et al Analysis of the intercondylar notch by computed tomography. Am J Sports Med 1987; 15 (06) 547-52.
9 Kieffer DA, Curnow RJ, Southwell RB. et al Anterior cruciate ligament arthroplasty. Am J Sports Med 1984; 12 (04) 301-12.
10 Good L, Odensten M, Gillquist J. Intercondylar notch measurements with special reference to anterior cruciate ligament surgery. Clin Orthop 1991; 263: 185-9.
11 Soural TO, Moore HA, Evans JP. Bilaterality in anterior cruciate ligament injuries: Associated intercondylar notch stenosis. Am J Sports Med 1988; 16 (05) 449-54.
12 Soural TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med 1993; 21 (04) 535-9.
13 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. J Am Vet Med Assoc 1993; 203 (07) 1016-9.
14 Bennett D, Tennant B, Lewis DG. et al A reappraisal of anterior cruciate ligament disease in the dog. J Small Anim Pract 1988; 29: 275-97.
15 Piermattei DL. An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 3rd ed. Philadelphia: Saunders; 1993: 276-7.
16 Daniel WW. Applied nonparametric statistics. 2nd ed. Boston: PWS-Kent Publishing; 1990
17 Schickendantz MS, Weiker GG. The predictive value of radiographs in the evaluation of unilateral and bilateral anterior cruciate ligament injuries. Am J Sport Med 1993; 21 (01) 110-3.
18 Tanzer M, Lenczner E. The relationship of intercondylar notch size and content notchplasty requirement in anterior cruciate ligament surgery. Arthroscopy 1990; 6 (02) 89-93.
19 Kapandji I A. The knee. In: The Physiology of the Joints. 5th ed. London: Churchill Livingston; 1987: 64-147.
20 Scavelli TD, Schrader SC, Matthiesen DT. et al Partial rupture of the cranial cruciate ligament of the stifle in dogs: 25 cases (1982–1988). J Am Vet Med Assoc 1990; 196 (07) 1135-8.
21 Noyes FR, Mooar LA, Moorman CT. et al Partal tears of the anterior cruciate ligament. Progression to complete ligament deficiency. J Bone Joint Surg 1989; 71 B 825-33.
22 Ferkel RD, Fox JM, Wood D. et al Arthroscopic “second look” at the Gore Tex ligament. Am J Sports Med 1989; 17 (02) 147-53.
23 Howell SM, Berns GS, Farley TE. Unimpinged and impinged anterior cruciate ligament grafts: MR signal intensity measurements. Radiology 1991; 179: 639-43.
24 Yaru NC, Daniel DM, Penner D. The effect of tibial attachment site on graft impingement in an anterior cruciate ligament reconstruction. Am J Sports Med 1992; 20 (02) 217-20.
25 Howell SM, Taylor MA. Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof. J Bone Joint Surg 1993; 75 A (07) 1044-55.
26 Fitch RB, Montgomery RD, Milton JL. et al The effect of intercondylar notchplasty on the normal canine stifle. Abstract ACVS Annual Meeting, Vet Surg 1994; 23 (05) 401
27 Vasseur PD, Berry CR. Progression of stifle osteoarthrosis following reconstruction of the cranial crucite ligament in 21 dogs. J Am Anim Hosp Assoc 1992; 28: 129-35.