Radiographic landmarks for surgical reconstruction of the anterolateral ligament of the knee

Verfasser / Beitragende:
[Alex Rezansoff, Scott Caterine, Luke Spencer, Michael Tran, Robert Litchfield, Alan Getgood]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/11(2015-11-01), 3196-3201
Format:
Artikel (online)
ID: 605460639
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024 7 0 |a 10.1007/s00167-014-3126-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3126-y 
245 0 0 |a Radiographic landmarks for surgical reconstruction of the anterolateral ligament of the knee  |h [Elektronische Daten]  |c [Alex Rezansoff, Scott Caterine, Luke Spencer, Michael Tran, Robert Litchfield, Alan Getgood] 
520 3 |a Purpose: To determine the radiographic landmarks of the anterolateral ligament (ALL) on the femur and tibia to assist in intraoperative graft placement during ALL reconstruction. Methods: The footprints of the ALL, fibular collateral ligament (FCL), popliteus insertion, lateral gastrocnemius insertion, and Gerdy's tubercle were isolated and centrally marked with tantalum beads in thirteen fresh-frozen cadaveric knees. Measurements were taken from the true lateral fluoroscopic images. On the femur, the mean distances from the ALL origin to the FCL origin and from the ALL origin to the popliteus insertion were measured. On the tibia, the mean distances from the ALL insertion to Gerdy's tubercle and from the ALL insertion to the lateral tibial plateau were measured. Furthermore, radiographic descriptions of the ALL origin and insertion were developed. Results: The ALL origin on the femur averaged 3.3±1.5mm anterior-distal to the FCL origin in one anatomical variant and 5.4±1.4mm posterior-proximal to the FCL origin in a second variant. The ALL origin was 9.9±2.7mm from the popliteus insertion. The ALL origin is described as overlying the posterior femoral cortical line, between Blumensaat's line and a line from the posterior condylar articular edge parallel to Blumensaat's line. The ALL insertion on the tibia averaged 24.7±4.5mm posterior to Gerdy's tubercle and 11.5±2.9mm distal to the lateral tibial plateau. The tibial ALL insertion is described between the posterior tibial cortical line and a parallel line drawn down from the apex of the tibial spine, and overlying a line drawn perpendicular to the posterior tibial cortical line starting from the apex of the posterior tibial condyles. Conclusions: Using direct lateral fluoroscopy, radiographic landmarks of the ALL origin and insertion have been described. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterolateral ligament (ALL)  |2 nationallicence 
690 7 |a Radiographic landmarks  |2 nationallicence 
690 7 |a Anatomy  |2 nationallicence 
690 7 |a Ligament reconstruction  |2 nationallicence 
700 1 |a Rezansoff  |D Alex  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
700 1 |a Caterine  |D Scott  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
700 1 |a Spencer  |D Luke  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
700 1 |a Tran  |D Michael  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
700 1 |a Litchfield  |D Robert  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
700 1 |a Getgood  |D Alan  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3196-3201  |x 0942-2056  |q 23:11<3196  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3126-y  |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/s00167-014-3126-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rezansoff  |D Alex  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Caterine  |D Scott  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Spencer  |D Luke  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tran  |D Michael  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Litchfield  |D Robert  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Getgood  |D Alan  |u Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, 1151 Richmond Street, N6A 3K7, London, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3196-3201  |x 0942-2056  |q 23:11<3196  |1 2015  |2 23  |o 167