Part I: An anatomic-based tunnel in the fibular head for posterolateral corner reconstruction using magnetic resonance imaging
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3085-3 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3085-3 | ||
| 245 | 0 | 0 | |a Part I: An anatomic-based tunnel in the fibular head for posterolateral corner reconstruction using magnetic resonance imaging |h [Elektronische Daten] |c [Kyle Bohm, Robby Sikka, Joel Boyd, Bret Yonke, Marc Tompkins] |
| 520 | 3 | |a Purpose: Currently, there are no studies that clearly define a method for the placement of the fibular tunnel between the fibular collateral ligament (FCL) and popliteofibular ligament (PFL) insertions when performing an anatomic-based posterolateral corner reconstruction. The purpose of this study was to use magnetic resonance-based anatomic landmarks to describe the orientation of a fibular tunnel between the FCL and PFL insertions. Methods: Magnetic resonance imaging (MRI) of 105 patients with normal posterolateral corner knee anatomy was identified by a musculoskeletal radiologist, and the FCL and popliteofibular insertions were labelled. Three experienced providers independently evaluated the images. In the axial plane, the Cobb angle of a fibular tunnel from the FCL to the popliteofibular insertion was measured using the tibial tubercle as a reference. In the sagittal plane, the same tunnel was measured in reference to the lateral tibial plateau. Results: In the axial plane, the average Cobb angle for an anatomic-based fibular tunnel was 48.1°±10.7° (ICC(2,1)=0.76, p<0.01) externally rotated to the tibial tubercle. In the sagittal plane, the average Cobb angle for an anatomic-based fibular tunnel was 59.8°±11.9° (ICC(2,1)=0.81, p<0.01) cranial, referenced from the lateral tibial plateau. The average length of the fibular tunnel was 2.0±0.4cm (ICC(2,1)=0.78, p<0.01), at the point of the fibular insertion. The distance from the midpoint of the fibular tunnel to the posterolateral wall of the fibular head was 0.8±0.2cm (ICC(2,1)=0.63, p<0.01). Conclusions: The results of this study suggest that MRI can be used to identify the orientation between the FCL and PFL insertions to create an anatomic-based fibular tunnel, which is 50° externally rotated from the tibial tubercle in the axial plane and placed in a cranial direction of 60° relative to the lateral joint line. The clinical relevance of this study is that this information may aid surgeons in placing a fibular tunnel connecting the FCL and PFL insertions. Level of evidence: IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Posterolateral corner reconstruction |2 nationallicence | |
| 690 | 7 | |a MRI |2 nationallicence | |
| 690 | 7 | |a Fibular tunnel |2 nationallicence | |
| 690 | 7 | |a Fibular collateral |2 nationallicence | |
| 690 | 7 | |a Popliteofibular |2 nationallicence | |
| 690 | 7 | |a Ligament |2 nationallicence | |
| 700 | 1 | |a Bohm |D Kyle |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | |
| 700 | 1 | |a Sikka |D Robby |u TRIA Orthopaedic Center, 8100 Northland Drive, 55431, Minneapolis, MN, USA |4 aut | |
| 700 | 1 | |a Boyd |D Joel |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | |
| 700 | 1 | |a Yonke |D Bret |u TRIA Orthopaedic Center, 8100 Northland Drive, 55431, Minneapolis, MN, USA |4 aut | |
| 700 | 1 | |a Tompkins |D Marc |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/7(2015-07-01), 1889-1894 |x 0942-2056 |q 23:7<1889 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3085-3 |q text/html |z Onlinezugriff via DOI |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3085-3 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Bohm |D Kyle |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sikka |D Robby |u TRIA Orthopaedic Center, 8100 Northland Drive, 55431, Minneapolis, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Boyd |D Joel |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yonke |D Bret |u TRIA Orthopaedic Center, 8100 Northland Drive, 55431, Minneapolis, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tompkins |D Marc |u Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Ave, Suite R200, 55454, Minneapolis, MN, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/7(2015-07-01), 1889-1894 |x 0942-2056 |q 23:7<1889 |1 2015 |2 23 |o 167 | ||