Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture

Original Article, 23 - 27
doi: 10.11138/mltj/2018.8.1.023
Tag this article
Abstract
Full text PDF
Introduction: To evaluate the incidence of anterolateral ligament (ALL) tear in acute knee injury and its association with anterior cruciate ligament tear (ACL).
Methods: Forty patients with isolated early ACL tears were prospectively reviewed under 3T-MRI evaluation to identify ALL tears. This was correlated with trauma mechanisms and degree of knee instability. Patients less than 18, or more than 50 years of age, and those with posterolateral corner injury or LCL instability were excluded, which left 31 patients (30 males: 1 female; mean age: 28.6 years) for the final evaluation.
Results: The ALL was visualized completely on the MRI in all 31 patients. ALL had mid substance tear in 19 knees (61.3%), proximal femoral attachment in eight knees (25.8%), at the tibial end in 6 knees (19.3%) and was seen torn at both proximal and distal ends in five knees (16.1%). Clinical correlation revealed higher number of giving way episodes, more functional loss of activities and higher grades of pivot shift test in cases with ALL tear along with ACL tear as compared with patients who had ACL deficiency without concomitant ALL tear (p value <0.05).
Conclusion: The ALL can be identified in all cases with 3T-MRI. Tears are clearly seen and may be classified according to location. We found no correlation of ALL tears with injury mechanism; however ACL deficient knees with concomitant ALL tear on MRI had more functional impairment and instability.
Level of evidence: II b.

Vol. 8 (No. 2) 2018 April/June

  1. Percutaneous trigger finger release with an MS64 scalpel
    Mifsut-Miedes D., Valverde Navarro A.A., Rivelles J.R.
    doi: 10.11138/mltj/2018.8.2.135
  2. The effect of choice reaction time task on pre-landing muscle timing in athletes with and without chronic ankle instability
    Fereydounnia S., Shadmehr A., Talebian Moghadam S., Olyaei G., Jalaie S.
    doi: 10.11138/mltj/2018.8.2.142
  3. Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy
    Cardoso Leffa T., Galvão Novelli J., Biff dos Santos G., Maciel Bello G., da Silva Santos M., Martins Silveira M., Leindecker R.C., Boff Daitx R., Baptista Dohnert M.
    doi: 10.11138/mltj/2018.8.2.150
  4. The undefined anatomical variations of the deltoid ligament bundles: a cadaveric study
    Zamperetti M., Guelfi M., Biz C., Pantalone A., Salini V., Oliva X.M., Ruggieri P., Mirapeix R.M.
    doi: 10.11138/mltj/2018.8.2.163
  5. The reproducibility of manual and fixed tensioning in anterior cruciate ligament reconstruction
    Stevens R., Chandrasenan J., Ali F., Haslam P., Nicolaou N.
    doi: 10.11138/mltj/2018.8.2.172
  6. Arthroscopic management of anterior inferior iliac spine impingement: a systematic review
    Fioruzzi A., Jannelli E., Ivone A., Perelli S., Fontana A., Giai Via A.
    doi: 10.11138/mltj/2018.8.2.178
  7. Low revision rate and excellent subjective outcome of primary ACL repair with a minimum follow-up of 5 years
    Nau T., Teuschl A., Ebner A., Jung I., Schenk C.
    doi: 10.11138/mltj/2018.8.2.185
  8. Box-loop technique in the management of complex elbow instability: a prospective controlled trial
    Vicenti G., Solarino G., Carrozzo M., Bizzoca D., Marinelli A., Rotini R., Moretti B.
    doi: 10.11138/mltj/2018.8.2.191
  9. Simvastatin does not adversely affect Achilles tendon properties in a diet induced hypercholesterolemia rat model
    Choi D.S., Shetye S.S., Tucker J.J., Huegel J., Soslowsky L.J.
    doi: 10.11138/mltj/2018.8.2.199
  10. Quality assessment of muscle injury classification in sports: a systematic literature review
    SantAnna J.P.C., de Almeida A.M., Pedrinelli A., Hernandez A.J., Fernandes T.L.
    doi: 10.11138/mltj/2018.8.2.206
  11. Laser therapy penetration depth: a near-infrared study on a horse tendon model
    Monici M., Gnerucci A., Falconi T., Bani D., Cialdai F., Fusi F., Romano G.
    doi: 10.11138/mltj/2018.8.2.222
  12. Quantitative elastography of Achilles tendon using Shear Wave Elastography (SWE): correlation with zonal anatomy
    Petitpierre F., Perez J.T., Bise S., Fournier C., Hauger O., Dallaudière B.
    doi: 10.11138/mltj/2018.8.2.229
  13. Regional differences in anterior cruciate ligament imaging biomarkers: T2 and T2* values
    Schmitz R.J., Wang H-M., Kraft R.A., Shultz S.J., Ross S.E., Henson R.A., Perrin D.H.
    doi: 10.11138/mltj/2018.8.2.238
  14. Ligaments vs tendons in joint reconstruction: a review of histology and biomechanics
    Ge S.M., Alnaif N., Azzi A.J., Zadeh T.
    doi: 10.11138/mltj/2018.8.2.246
  15. The immediate effects of whole body vibration on cervical joint position sense in subjects with forward head posture
    Salami A., Roostayi M.M., Sadat Naimi S., Shadmehr A., Baghban A.A.
    doi: 10.11138/mltj/2018.8.2.255
  16. Muscular injuries after tendon rupture in the rotator cuff of animal models. Systematic review
    Terrón V.M., Muiños-López E., Granero-Moltó F., Esteban M.A., Prosper F., Pérez-Ruiz A., Pons-Villanueva J.
    doi: 10.11138/mltj/2018.8.2.261
  17. Complete midsubstance rectus femoris ruptures: a series of 27 athletes treated operatively
    Lempainen L., Kosola J., Niemi P., Orava S., Pruna R.
    doi: 10.11138/mltj/2018.8.2.276
  18. Internal obturator muscle indirect injury in groin pain syndrome: a systematic review of the literature
    Bisciotti G.N., Corsini A., Vuckvovic Z., Cena E., Bisciotti A., Belli A., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.283
  19. Potential MRI findings associated with inguinal hernia and inguinal canal posterior wall weakness in athletes
    Bisciotti G.N., Auci A., Cena E., Corsini A., Bisciotti A., Eirale C., Parra F., Gassaghi G., Di Marzo F., Vuckvovic Z., Quaglia A., Volpi P.
    doi: 10.11138/mltj/2018.8.2.290
Last Viewed articles: la lista degli ultimi x visitati.
  1. MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture
    Hooda A., Dhillon M.S., Prabhakar S., Prakash M., John R., Kanwat H.
    doi: 10.11138/mltj/2018.8.1.023
credits