Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 3/2017

11.08.2016 | Original Article

A dynamic study of the anterior cruciate ligament of the knee using an open MRI

verfasst von: Daphne Guenoun, Julien Vaccaro, Thomas Le Corroller, Pierre-Antoine Barral, Aude Lagier, Vanessa Pauly, Benjamin Coquart, Joel Coste, Pierre Champsaur

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2017

Einloggen, um Zugang zu erhalten

Abstract

Recent anatomical and radiological studies of the anterior cruciate ligament (ACL) suggest the ACL length and orientation change during knee flexion, and an open MRI sequencing during knee flexion enables a dynamic ACL analysis. This study’s goal is to describe a normal ACL using a 1T open MRI and, in particular, variations in length and insertion angles at different degrees of flexion. Twenty-one volunteers with clinically healthy knees received a dynamic MRI with their knees in hyperextension, neutral position, and flexed at 45° and 90° angles. For each position, two radiologists measured the ACL lengths and angles of the proximal insertion between the ACL’s anterior edge and the roof of the inter-condylar notch. Additionally, we measured the ACL’s and the tibial plateau’s distal angle insertion between their anterior edges and then compared these with the nonparametric Wilcoxon test. The ACL had a significant extension between the 90° flexion and all other positions (hyperextension: 31.75 ± 2.5 mm, neutral position: 32.5 ± 2.6 mm, 45°: 35.6 ± 1.6 mm, 90°: 35.6 ± 1.6 mm). There was also a significant increase of the angle insertion between the proximal 90° flexion and all other positions, as well as between hyperextension and bending to 45° (hyperextension: 2.45° ± 3.7°, neutral: 13.4° ± 9.7°, 45°: 33 25 ± 9.3, 90: 51.85° ± 9.3°). Additionally, there is a significant increase in the distal angle insertion for all positions (hyperextension: 133.2° ± 5.4°, neutral position: 134.95° ± 4.4°, 45°: 138.35° ± 5.9°, 90°: 149.15° ± 8.6°). Our study is the first to exhibit that a dynamic MRI has a significant ACL extension in vivo during bending. This concept opens the way for further studies to improve the diagnosis of traumatic ACL injuries using a dynamic MRI.
Literatur
1.
Zurück zum Zitat Amis AA, Dawkins GP (1991) Anterior cruciate ligament: functional anatomy f its bundles actions related to ligaments replacement and injuries. J Bone Joint Surg Br 73:260–267PubMed Amis AA, Dawkins GP (1991) Anterior cruciate ligament: functional anatomy f its bundles actions related to ligaments replacement and injuries. J Bone Joint Surg Br 73:260–267PubMed
2.
Zurück zum Zitat Arnoldi AP, Weckbach S, Nussbickel C, Horng A, Nöbauer I, Zysk S, Reiser M, Glaser C (2011) MRI based volumetric assessment of knee cartilage after ACL-reconstruction, correlated with qualitative morphologic changes in the joint and with clinical outcome. Is there evidence for early posttraumatic degeneration? Rofo 183:1138–1144. doi:10.1055/s-0031-1281685 CrossRefPubMed Arnoldi AP, Weckbach S, Nussbickel C, Horng A, Nöbauer I, Zysk S, Reiser M, Glaser C (2011) MRI based volumetric assessment of knee cartilage after ACL-reconstruction, correlated with qualitative morphologic changes in the joint and with clinical outcome. Is there evidence for early posttraumatic degeneration? Rofo 183:1138–1144. doi:10.​1055/​s-0031-1281685 CrossRefPubMed
3.
Zurück zum Zitat Clément B, Drouin G, Shorock G, Gely P (1989) Statistical analysis of the knee ligaments lengths. J Biomech 22:767–774CrossRefPubMed Clément B, Drouin G, Shorock G, Gely P (1989) Statistical analysis of the knee ligaments lengths. J Biomech 22:767–774CrossRefPubMed
5.
Zurück zum Zitat Cotten A, Delfaut E, Demondlon X, Lapegue F, Boukhelifa M, Boutry N (2000) MR imaging of the knee at 0.2 and 1.5 T: correlation with surgery. AJR Am J Roentgenol 174:1093–1097CrossRefPubMed Cotten A, Delfaut E, Demondlon X, Lapegue F, Boukhelifa M, Boutry N (2000) MR imaging of the knee at 0.2 and 1.5 T: correlation with surgery. AJR Am J Roentgenol 174:1093–1097CrossRefPubMed
6.
Zurück zum Zitat Girgis FG, Marshall JL, Al Monajem ARS (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop Relat Res 106:216–231CrossRef Girgis FG, Marshall JL, Al Monajem ARS (1975) The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin Orthop Relat Res 106:216–231CrossRef
7.
Zurück zum Zitat Guenoun D, Le Corroller T, Amous Z, Pauly V, Sbihi A, Champsaur P (2012) Apport de l’IRM dans le diagnostic des ruptures traumatiques du ligament croisé antérieur. Journal de Radiologie Diagnostic et Interventionnel 93:357–367. doi:10.1016/j.jradio.2011.02.030 CrossRef Guenoun D, Le Corroller T, Amous Z, Pauly V, Sbihi A, Champsaur P (2012) Apport de l’IRM dans le diagnostic des ruptures traumatiques du ligament croisé antérieur. Journal de Radiologie Diagnostic et Interventionnel 93:357–367. doi:10.​1016/​j.​jradio.​2011.​02.​030 CrossRef
8.
Zurück zum Zitat Hirokawa S, Tsuruno R (1997) Hyper-elastic model of anterior cruciate ligament. Med Eng Phys (19) 7:637–651CrossRef Hirokawa S, Tsuruno R (1997) Hyper-elastic model of anterior cruciate ligament. Med Eng Phys (19) 7:637–651CrossRef
9.
Zurück zum Zitat Hollis JM, Takai S, Adams DJ (1991) The effects of knee motion and external loading on the length of the anterior cruciate ligament (ACL): a kinematic study. J Biomech Eng 113(2):208–214CrossRefPubMed Hollis JM, Takai S, Adams DJ (1991) The effects of knee motion and external loading on the length of the anterior cruciate ligament (ACL): a kinematic study. J Biomech Eng 113(2):208–214CrossRefPubMed
11.
Zurück zum Zitat Klass D, Toms AP, Greenwood R, Hopgood P (2007) MR imaging of acute anterior cruciate ligament injuries. Knee 14:339–347CrossRefPubMed Klass D, Toms AP, Greenwood R, Hopgood P (2007) MR imaging of acute anterior cruciate ligament injuries. Knee 14:339–347CrossRefPubMed
12.
Zurück zum Zitat Lee JK, Yao L, Phelps CT, Writh CR, Czajka J, Lozman J (1998) Anterior cruciate ligament tears: MR imaging compared with arthroscopy and clinical tests. Radiology 166:861–864CrossRef Lee JK, Yao L, Phelps CT, Writh CR, Czajka J, Lozman J (1998) Anterior cruciate ligament tears: MR imaging compared with arthroscopy and clinical tests. Radiology 166:861–864CrossRef
13.
Zurück zum Zitat Logan MC, Williams A, Lavelle J, Gedroyc W, Freeman M (2004) Tibiofemoral kinematics following successful anterior cruciate ligament reconstruction using dynamic multiple resonance imaging. Am J Sports Med 32:984–992CrossRefPubMed Logan MC, Williams A, Lavelle J, Gedroyc W, Freeman M (2004) Tibiofemoral kinematics following successful anterior cruciate ligament reconstruction using dynamic multiple resonance imaging. Am J Sports Med 32:984–992CrossRefPubMed
14.
Zurück zum Zitat Mink JH, Reicher MA, Crues JV III, Deutsh AL (1987) MRI of the knee, 2nd edn. Raven, New York, NY, pp 145–162 Mink JH, Reicher MA, Crues JV III, Deutsh AL (1987) MRI of the knee, 2nd edn. Raven, New York, NY, pp 145–162
15.
17.
Zurück zum Zitat Niitsu M, Ikeda K, Fukubayashi T, Anno I, Itai Y (1996) Knee extension and flexion: MR delineation of normal and torn anterior cruciate ligaments. J Comput Assist Tomogr 20:322CrossRefPubMed Niitsu M, Ikeda K, Fukubayashi T, Anno I, Itai Y (1996) Knee extension and flexion: MR delineation of normal and torn anterior cruciate ligaments. J Comput Assist Tomogr 20:322CrossRefPubMed
18.
Zurück zum Zitat Niitsu M, Ikeda K, Itai Y (1998) Slightly flexed knee position within a standard knee coil: MR delineation of the anterior cruciate ligament. Eur Radiol 8:113–115CrossRefPubMed Niitsu M, Ikeda K, Itai Y (1998) Slightly flexed knee position within a standard knee coil: MR delineation of the anterior cruciate ligament. Eur Radiol 8:113–115CrossRefPubMed
19.
Zurück zum Zitat Pereira ER, Ryu KN, Ahn JM, Kayser F, Bielcki D, Resnick D (1998) Evaluation of the Anterior cruciate ligament of the knee: comparison between partial flexion true sagittal and extension sagittal oblique positions during MR imaging. Clin Radiol 53:574–578CrossRefPubMed Pereira ER, Ryu KN, Ahn JM, Kayser F, Bielcki D, Resnick D (1998) Evaluation of the Anterior cruciate ligament of the knee: comparison between partial flexion true sagittal and extension sagittal oblique positions during MR imaging. Clin Radiol 53:574–578CrossRefPubMed
20.
Zurück zum Zitat Sbihi A, Frank A, Dorfmann H (2006) Arthroscopie:genou, cheville, hanche, épaule, coude, poignet, extra-articulaire. Anatomie du ligament croisé antérieur et isométrie, 2nd edn. Elsevier, Paris Sbihi A, Frank A, Dorfmann H (2006) Arthroscopie:genou, cheville, hanche, épaule, coude, poignet, extra-articulaire. Anatomie du ligament croisé antérieur et isométrie, 2nd edn. Elsevier, Paris
21.
Zurück zum Zitat Takai S, Woo SL, Livesay GA, Adams DJ, Fu FH (1993) Determination of the in situ loads on the human anterior cruciate ligament. J Orthop Res 11:686–695CrossRefPubMed Takai S, Woo SL, Livesay GA, Adams DJ, Fu FH (1993) Determination of the in situ loads on the human anterior cruciate ligament. J Orthop Res 11:686–695CrossRefPubMed
23.
Zurück zum Zitat Umans H, Wimpfheimer O, Haramati N, Applbaum YH, Adler M, Bosco J (1995) Diagnosis of partial tears of the anterior cruciate ligament of the knee: value of MR imaging. AJR Am Roentgenol 165:893–897CrossRef Umans H, Wimpfheimer O, Haramati N, Applbaum YH, Adler M, Bosco J (1995) Diagnosis of partial tears of the anterior cruciate ligament of the knee: value of MR imaging. AJR Am Roentgenol 165:893–897CrossRef
24.
Zurück zum Zitat Yao L, Gentili A, Petrus L, Lee JK (1995) Partiel ACL rupture: an MR diagnosis? Skeletal Radiol 24:247–251CrossRefPubMed Yao L, Gentili A, Petrus L, Lee JK (1995) Partiel ACL rupture: an MR diagnosis? Skeletal Radiol 24:247–251CrossRefPubMed
25.
Zurück zum Zitat Zaffagini S, Martelli S, Acquarolli F (2004) Computer investigation of ACL orientation during passive range of motion. Comput Biol Med 34:153–163CrossRef Zaffagini S, Martelli S, Acquarolli F (2004) Computer investigation of ACL orientation during passive range of motion. Comput Biol Med 34:153–163CrossRef
Metadaten
Titel
A dynamic study of the anterior cruciate ligament of the knee using an open MRI
verfasst von
Daphne Guenoun
Julien Vaccaro
Thomas Le Corroller
Pierre-Antoine Barral
Aude Lagier
Vanessa Pauly
Benjamin Coquart
Joel Coste
Pierre Champsaur
Publikationsdatum
11.08.2016
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 3/2017
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-016-1730-x

Weitere Artikel der Ausgabe 3/2017

Surgical and Radiologic Anatomy 3/2017 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.