caa a22 4500 605459282 CHVBK 20210128100233.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00167-014-3041-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3041-2 Anatomy of the anterior cruciate ligament insertion sites: comparison of plain radiography and three-dimensional computed tomographic imaging to anatomic dissection [Elektronische Daten] [Joon Lee, Sahnghoon Lee, Sang Seong, Myung Lee] 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. Springer-Verlag Berlin Heidelberg, 2014 Anatomic ACL reconstruction nationallicence Anatomic dissection nationallicence Radiographic measurement nationallicence 3D CT nationallicence Anteromedial (AM) bundle nationallicence Posterolateral (PL) bundle nationallicence Lee Joon Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, 431-796, Anyang-si, Gyeonggi-do, Korea aut Lee Sahnghoon Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut Seong Sang Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut Lee Myung Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/8(2015-08-01), 2297-2305 0942-2056 23:8<2297 2015 23 167 https://doi.org/10.1007/s00167-014-3041-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3041-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Joon Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, 431-796, Anyang-si, Gyeonggi-do, Korea aut NATIONALLICENCE 700 1- Lee Sahnghoon Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut NATIONALLICENCE 700 1- Seong Sang Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut NATIONALLICENCE 700 1- Lee Myung Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, 110-744, Seoul, Korea aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/8(2015-08-01), 2297-2305 0942-2056 23:8<2297 2015 23 167