Anatomy of the anterior cruciate ligament insertion sites: comparison of plain radiography and three-dimensional computed tomographic imaging to anatomic dissection

Verfasser / Beitragende:
[Joon Lee, Sahnghoon Lee, Sang Seong, Myung Lee]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2297-2305
Format:
Artikel (online)
ID: 605459282
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024 7 0 |a 10.1007/s00167-014-3041-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3041-2 
245 0 0 |a Anatomy of the anterior cruciate ligament insertion sites: comparison of plain radiography and three-dimensional computed tomographic imaging to anatomic dissection  |h [Elektronische Daten]  |c [Joon Lee, Sahnghoon Lee, Sang Seong, Myung Lee] 
520 3 |a Purpose: The aim of this study was to provide quantitative data on insertion sites of anterior cruciate ligament (ACL) and to assess the correlation among measurements of anatomic dissection, plain radiographs, and 3D CT images to determine whether radiologic data can accurately reflect real anatomic measurements. Methods: Fifteen cadaveric knees were assessed using the three measurement modalities. Lengths of the long and short axis, area, and centre position of each bundle insertion sites by quadrant method were examined on both the femur and tibia. Distances from the insertion centre to distal cortical and posterior cortical margins of condyle on femur, and distance between insertion centres on tibia were also inspected. Results: The average ACL insertion position in the three measurement modalities was at 33.9% in deep-shallow position and at 26.5% in high-low position for anteromedial (AM) bundle and at 39.2 and 54.8%, respectively, for posterolateral (PL) bundle in femur. For tibia, it was at 36.9% in anterior-posterior position and 47.1% in medial-lateral position for AM bundle and at 43.1 and 53.5%, respectively, for PL bundle. The slight differences in various measurements among the three modalities were not statistically significant. Conclusions: The femoral insertion positions were considerably shallow and low, whereas tibial insertion positions were near the average compared to those in previous studies. Plain radiographic and 3D CT measurements showed a reliable correlation with anatomic dissection measurements. The clinical relevance is that plain radiographs rather than 3D CT can be used as a post-operative evaluation tool after ACL reconstruction. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anatomic ACL reconstruction  |2 nationallicence 
690 7 |a Anatomic dissection  |2 nationallicence 
690 7 |a Radiographic measurement  |2 nationallicence 
690 7 |a 3D CT  |2 nationallicence 
690 7 |a Anteromedial (AM) bundle  |2 nationallicence 
690 7 |a Posterolateral (PL) bundle  |2 nationallicence 
700 1 |a Lee  |D Joon  |u Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, 431-796, Anyang-si, Gyeonggi-do, Korea  |4 aut 
700 1 |a Lee  |D Sahnghoon  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Seong  |D Sang  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Myung  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2297-2305  |x 0942-2056  |q 23:8<2297  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3041-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
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/s00167-014-3041-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Joon  |u Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, 431-796, Anyang-si, Gyeonggi-do, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Sahnghoon  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seong  |D Sang  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Myung  |u Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2297-2305  |x 0942-2056  |q 23:8<2297  |1 2015  |2 23  |o 167