nach oben

European Radiology

Erschienen in:

17.06.2022 | Musculoskeletal

Anterior cruciate ligament foot plate anatomy: 3-dimensional and 2-dimensional MRI evaluation with arthroscopy assessment in a subset of patients

verfasst von: Toan Nguyen, Shamrez Haider, David Tietze, Yin Xi, Uma Thakur, Jay Shah, Avneesh Chhabra

Erschienen in: European Radiology | Ausgabe 12/2022

Einloggen, um Zugang zu erhalten

Abstract

Objectives

ACL reconstruction tunnel location is an important predictor for outcomes after surgery. The aim was to establish 3D and 2D MRI radiological measurements for native ACL tibial footprint that can provide information to facilitate pre-operative planning for anatomical graft placement. The measurements were also correlated in a subset of patients on arthroscopy.

Methods

Retrospective evaluation of a consecutive series of knee MRIs with both 2D and 3D MR imaging was performed in 101 patients with 43 men and 66 women and ages 39.5 ± 11.9 years. Two measurements were obtained, tibial to ACL and intermeniscal ligament to ACL (T-ACL) and (IM-ACL), respectively. In a cohort of 18 patients who underwent knee arthroscopy, the T-ACL and IML-ACL distances were also determined by an orthopedic surgeon using a standard scale. ICC, Pearson correlation, and Bland-Altman plot were generated.

Results

For readers 1 and 2, the mean differences between 2D and 3D measurements of T-ACL and IM-ACL were 1.17 and 1.03 mm and 0.65 and 0.65 mm, respectively. The 2D measurements of T-ACL and IM-ACL were larger than the 3D measurements for both readers. The inter-reader reliability was excellent on 2D (0.81–0.96) and fair to excellent on 3D MRI (0.59–0.90). The mean arthroscopic IML-ACL was closer to that of 3D MRI compared to 2D MRI. The mean arthroscopic T-ACL was closer to 2D MRI than 3D MRI.

Conclusions

Both 2D and 3D MRI show inter-reader reliability with small inter-modality mean differences in the measurements from the tibial or inter-meniscal ligament margins.

Key Points

• The mean differences between 2D and 3D measurements of tibia-ACL and intermeniscal ligament-ACL are small (< 1.2 mm).

• As compared to arthroscopy, the mean T-ACL and IML-ACL were closer to measurements from 2D and 3D MRI, respectively.

• Both 2D and 3D MRI can be reliably used to delineate ACL foot plate anatomy.

Shin CS, Chaudhari AM, Andriacchi TP (2011) Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone. Med Sci Sports Exerc. 43:1484–1491. https://doi.org/10.1249/MSS.0b013e31820f8395CrossRefPubMed

Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935. https://doi.org/10.1002/jor.1100130618

Kaeding CC, Léger-St-Jean B, Magnussen RA (2017) Epidemiology and diagnosis of anterior cruciate ligament injuries. Clin Sports Med. 36:1–8. https://doi.org/10.1016/j.csm.2016.08.001CrossRefPubMed

Boden BP, Dean GS, Feagin JA, Garrett WE (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics. 23:573–578CrossRefPubMed

Sanders TL, Maradit Kremers H, Bryan AJ et al (2016) Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med 44:1502–1507. https://doi.org/10.1177/0363546516629944CrossRefPubMed

Mather RC, Koenig L, Kocher MS et al (2013) MOON Knee Group, Societal and economic impact of anterior cruciate ligament tears. J Bone Joint Surg Am 95:1751–1759. https://doi.org/10.2106/JBJS.L.01705CrossRefPubMedPubMedCentral

Suter LG, Smith SR, Katz JN et al (2017) Projecting lifetime risk of symptomatic knee osteoarthritis and total knee replacement in individuals sustaining a complete anterior cruciate ligament tear in early adulthood. Arthritis Care Res (Hoboken) 69:201–208. https://doi.org/10.1002/acr.22940

Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 45:596–606. https://doi.org/10.1136/bjsm.2010.076364CrossRefPubMed

Musahl V, Karlsson J (2019) Anterior Cruciate Ligament Tear. N Engl J Med. 380:2341–2348. https://doi.org/10.1056/NEJMcp1805931CrossRefPubMed

10.

Fithian DC, Paxton LW, Goltz DH (2002) Fate of the anterior cruciate ligament-injured knee. Orthop Clin North Am. 33:621–636, v. https://doi.org/10.1016/s0030-5898(02)00015-9CrossRefPubMed

11.

Mahapatra P, Horriat S, Anand BS (2018) Anterior cruciate ligament repair - past, present and future. J Exp Orthop. 5:20. https://doi.org/10.1186/s40634-018-0136-6CrossRefPubMedPubMedCentral

12.

Davarinos N, O’Neill BJ, Curtin W (2014) A brief history of anterior cruciate ligament reconstruction. advances in orthopedic surgery 2014:1–6. https://doi.org/10.1155/2014/706042CrossRef

13.

MacDonald P, Kim C, McRae S, Leiter J, Khan R, Whelan D (2018) No clinical differences between anteromedial portal and transtibial technique for femoral tunnel positioning in anterior cruciate ligament reconstruction: a prospective randomized, controlled trial. Knee Surg Sports Traumatol Arthrosc 26:1335–1342. https://doi.org/10.1007/s00167-017-4664-x

14.

Iriuchishima T, Shirakura K, Fu FH (2013) Graft impingement in anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 21:664–670. https://doi.org/10.1007/s00167-012-2014-6CrossRefPubMed

15.

Inderhaug E, Strand T, Fischer-Bredenbeck C, Solheim E (2014) Effect of a too posterior placement of the tibial tunnel on the outcome 10-12 years after anterior cruciate ligament reconstruction using the 70-degree tibial guide. Knee Surg Sports Traumatol Arthrosc. 22:1182–1189. https://doi.org/10.1007/s00167-013-2593-xCrossRefPubMed

16.

Inderhaug E, Raknes S, Østvold T, Solheim E, Strand T (2017) Increased revision rate with posterior tibial tunnel placement after using the 70-degree tibial guide in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 25:152–158. https://doi.org/10.1007/s00167-016-4341-5CrossRefPubMed

17.

Morgan JA, Dahm D, Levy B, Stuart MJ, MARS Study Group (2012) Femoral tunnel malposition in ACL revision reconstruction. J Knee Surg 25:361–368. https://doi.org/10.1055/s-0031-1299662CrossRefPubMedPubMedCentral

18.

Hussein M, van Eck CF, Cretnik A, Dinevski D, Fu FH (2012) Prospective randomized clinical evaluation of conventional single-bundle, anatomic single-bundle, and anatomic double-bundle anterior cruciate ligament reconstruction: 281 cases with 3- to 5-year follow-up. Am J Sports Med. 40:512–520. https://doi.org/10.1177/0363546511426416CrossRefPubMed

19.

Luites JWH, Wymenga AB, Blankevoort L, Kooloos JGM (2007) Description of the attachment geometry of the anteromedial and posterolateral bundles of the ACL from arthroscopic perspective for anatomical tunnel placement. Knee Surg Sports Traumatol Arthrosc. 15:1422–1431. https://doi.org/10.1007/s00167-007-0402-0CrossRefPubMedPubMedCentral

20.

Hwang MD, Piefer JW, Lubowitz JH (2012) Anterior cruciate ligament tibial footprint anatomy: systematic review of the 21st century literature. Arthroscopy. 28:728–734. https://doi.org/10.1016/j.arthro.2011.11.025CrossRefPubMed

21.

Lubowitz JH, Hwang M, Piefer J, Pflugner R (2014) Anterior cruciate ligament femoral footprint anatomy: systematic review of the 21st century literature. Arthroscopy. 30:539–541. https://doi.org/10.1016/j.arthro.2014.02.003CrossRefPubMed

22.

Otsubo H, Akatsuka Y, Takashima H et al (2017) MRI depiction and 3D visualization of three anterior cruciate ligament bundles. Clin Anat. 30:276–283. https://doi.org/10.1002/ca.22810

23.

Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290. https://doi.org/10.1037/1040-3590.6.4.284CrossRef

24.

Frank RM, Seroyer ST, Lewis PB, Bach BR, Verma NN (2010) MRI analysis of tibial position of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 18:1607–1611. https://doi.org/10.1007/s00167-010-1192-3CrossRefPubMed

25.

Nelson EW, LaPrade RF (2000) The anterior intermeniscal ligament of the knee. An anatomic study. Am J Sports Med 28:74–76. https://doi.org/10.1177/03635465000280012401CrossRefPubMed

26.

Kongcharoensombat W, Ochi M, Abouheif M et al (2011) The transverse ligament as a landmark for tibial sagittal insertions of the anterior cruciate ligament: a cadaveric study. Arthroscopy 27:1395–1399. https://doi.org/10.1016/j.arthro.2011.05.019

27.

Marcheix P-S (2009) B et al The anterior intermeniscal ligament of the knee: an anatomic and MR study. Surg Radiol Anat. 31:331–334. https://doi.org/10.1007/s00276-008-0447-xCrossRefPubMed

28.

Harasen G (2011) Orthopedic hardware and equipment for the beginner: part 1: pins and wires. Can Vet J. 52:1025–1026PubMedPubMedCentral

29.

Stäubli HU, Rauschning W (1994) Tibial attachment area of the anterior cruciate ligament in the extended knee position. Anatomy and cryosections in vitro complemented by magnetic resonance arthrography in vivo. Knee Surg Sports Traumatol Arthrosc 2:138–146. https://doi.org/10.1007/BF01467915CrossRefPubMed

30.

Ohsawa T, Kimura M, Hagiwara K, Yorifuji H, Takagishi K (2012) Clinical and second-look arthroscopic study comparing 2 tibial landmarks for tunnel insertions during double-bundle ACL reconstruction with a minimum 2-year follow-up. Am J Sports Med. 40:2479–2486. https://doi.org/10.1177/0363546512458257CrossRefPubMed

Titel: Anterior cruciate ligament foot plate anatomy: 3-dimensional and 2-dimensional MRI evaluation with arthroscopy assessment in a subset of patients
verfasst von: Toan Nguyen
Shamrez Haider
David Tietze
Yin Xi
Uma Thakur
Jay Shah
Avneesh Chhabra
Publikationsdatum: 17.06.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 12/2022
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-022-08920-2

Machine learning–based radiomics for histological classification of parotid tumors using morphological MRI: a comparative study

Head and Neck

Can deep learning improve image quality of low-dose CT: a prospective study in interstitial lung disease

Chest

Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy

Editorial Comment

Combined [18F]FDG-PET with MRI structural patterns in predicting post-surgical seizure outcomes in temporal lobe epilepsy patients

Nuclear Medicine

Development and validation of an ultrasound-based prediction model for differentiating between malignant and benign solid pancreatic lesions

Open Access
Gastrointestinal

Perfluorobutane-enhanced ultrasonography with a Kupffer phase: improved diagnostic sensitivity for hepatocellular carcinoma

Ultrasound

Neu im Fachgebiet Radiologie

KI-gestütztes Mammografiescreening überzeugt im Praxistest

16.01.2025
Künstliche Intelligenz im Gesundheitswesen
Nachrichten

Mit dem Einsatz künstlicher Intelligenz lässt sich die Detektionsrate im Mammografiescreening offenbar deutlich steigern. Mehr unnötige Zusatzuntersuchungen sind laut der Studie aus Deutschland nicht zu befürchten.

Stumme Schlaganfälle − ein häufiger Nebenbefund im Kopf-CT?

12.01.2025
Computertomografie
Nachrichten

In 4% der in der Notfallambulanz initiierten zerebralen Bildgebung sind „alte“ Schlaganfälle zu erkennen. Gar nicht so selten handelt es sich laut einer aktuellen Studie dabei um unbemerkte Insulte. Bietet sich hier womöglich die Chance auf ein effektives opportunistisches Screening?

Die elektronische Patientenakte kommt: Das sollten Sie jetzt wissen

12.01.2025
Elektronische Patientenakte
Nachrichten

Am 15. Januar geht die „ePA für alle“ zunächst in den Modellregionen an den Start. Doch schon bald soll sie in allen Praxen zum Einsatz kommen. Was ist jetzt zu tun? Was müssen Sie wissen? Wir geben in einem FAQ Antworten auf 21 Fragen.

Stören weiße Wände und viel Licht die Bildqualitätskontrolle?

09.01.2025
Mammografie
Nachrichten

Wenn es darum geht, die technische Qualität eines Mammogramms zu beurteilen, könnten graue Wandfarbe und reduzierte Beleuchtung im Bildgebungsraum von Vorteil sein. Darauf deuten zumindest Ergebnisse einer kleinen Studie hin.

Update Radiologie

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

Newsletter bestellen

Springer Medizin

Anterior cruciate ligament foot plate anatomy: 3-dimensional and 2-dimensional MRI evaluation with arthroscopy assessment in a subset of patients