Citation, DOI, disclosures and article data
Citation:
Glick Y, Balasubramanian S, Le L, et al. Empty notch sign (anterior cruciate ligament tear). Reference article, Radiopaedia.org (Accessed on 09 Mar 2025) https://doi.org/10.53347/rID-62212
Empty notch sign is a direct sign of anterior cruciate ligament (ACL) tear/avulsion at its femoral attachment. It denotes a fluid signal at the expected ACL attachment site at the intercondylar notch (fossa) on axial and coronal fluid-sensitive MR images.
The proximal ACL is the second most common site of injury after the midsubstance. Hence, close scrutiny of the attachments of the ACL is warranted.
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Tung GA, Davis LM, Wiggins ME, Fadale PD. Tears of the anterior cruciate ligament: primary and secondary signs at MR imaging. Radiology 1993; 188:3. DOI:10.1148/radiology.188.3.8351329
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