nach oben

Erschienen in:

08.01.2016 | Musculoskeletal

Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries

verfasst von: Pieter Van Dyck, Stefan Clockaerts, Filip M. Vanhoenacker, Valérie Lambrecht, Kristien Wouters, Eline De Smet, Jan L. Gielen, Paul M. Parizel

Erschienen in: European Radiology | Ausgabe 10/2016

Einloggen, um Zugang zu erhalten

Abstract

Objective

To determine the frequency of anterolateral ligament (ALL) injury in patients with acute anterior cruciate ligament (ACL) rupture and to analyse its associated injury patterns.

Methods

Ninety patients with acute ACL rupture for which MRI was obtained within 8 weeks after the initial trauma were retrospectively identified. Two radiologists assessed the status of the ALL on MRI by consensus. The presence or absence of an ALL abnormality was compared with the existence of medial and lateral meniscal tears diagnosed during arthroscopy. Associated collateral ligament and osseous injuries were documented with MRI.

Results

Forty-one of 90 knees (46 %) demonstrated ALL abnormalities on MRI. Of 49 knees with intact ALL, 15 (31 %) had a torn lateral meniscus as compared to 25 torn lateral menisci in 41 knees (61 %) with abnormal ALL (p = 0.008). Collateral ligament (p ≤ 0.05) and osseous injuries (p = 0.0037) were more frequent and severe in ALL-injured as compared with ALL-intact knees.

Conclusion

ALL injuries are fairly common in patients with acute ACL rupture and are statistically significantly associated with lateral meniscal, collateral ligament and osseous injuries.

Key Points

• ALL injuries are fairly common in patients with acute ACL rupture.

• ALL injuries are highly associated with lateral meniscal and osseous injuries.

• MRI assessment of ACL-injured knees should include evaluation of the ALL.

Oh YK, Lipps DB, Ashton-Miller JA, Wojtys EM (2012) What strains the anterior cruciate ligament during a pivot landing? Am J Sports Med 40:574–83CrossRefPubMedPubMedCentral

Yoon KH, Yoo JH, Kim KI (2011) Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. J Bone Joint Surg Am 93:1510–8PubMed

MacMahon PJ, Palmer WE (2011) A biomechanical approach to MRI of acute knee injuries. AJR Am J Roentgenol 197:568–77CrossRefPubMed

Shybut TB, Vega CE, Haddad J et al (2015) Effect of lateral meniscal root tear on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med 43:905–11CrossRefPubMed

Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J (2013) Anatomy of the anterolateral ligament of the knee. J Anat 223:321–8CrossRefPubMedPubMedCentral

Stijak L, Bumbaširević M, Radonjić V et al (2014) Anatomic description of the anterolateral ligament of the knee. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3422-6

Vincent JP, Magnussen RA, Gezmez F et al (2012) The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc 20:147–52CrossRefPubMed

Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A (2014) A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3117-z

Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA (2014) The anterolateral ligament: anatomy, length changes and association with the Segond fractures. Bone Joint J 96-B:325–31CrossRefPubMed

10.

Parsons EM, Gee AO, Spiekerman C, Cavanagh PR (2015) The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med 43:669–74CrossRefPubMedPubMedCentral

11.

Van der Watt L, Khan M, Rothrauff BB et al (2015) The structure and function of the anterolateral ligament of the knee: a systematic review. Arthroscopy 31:569–582.e3CrossRefPubMed

12.

Dodds AL, Gupte CM, Neyret P, Williams AM, Amis AA (2011) Extra-articular techniques in anterior cruciate ligament reconstruction: a literature review. J Bone Joint Surg (Br) 93:1440–8CrossRef

13.

Sonnery-Cottet B, Thaunat M, Freychet B, Pupim BHB, Murphy CG, Claes S (2015) Outcome of a combined anterior cruciate ligament and anterolateral ligament reconstruction technique with a minimum 2-year follow-up. Am J Sports Med 43:1598–605CrossRefPubMed

14.

Mackay GM, Blyth MJ, Anthony I, Hopper GP, Ribbans WJ (2015) A review of ligament augmentation with the InternalBrace™: the surgical principle is described for the lateral ankle ligament and ACL repair in particular, and a comprehensive review of other surgical applications and techniques is presented. Surg Technol Int 26:239–55PubMed

15.

Lopomo N, Zaffagnini S, Amis AA (2013) Quantifying the pivot shift test: a systematic review. Knee Surg Sports Traumatol Arthrosc 21:767–83CrossRefPubMed

16.

LaPrade RF, Gilbert TJ, Bollom TS, Wentorf F, Chaljub G (2000) The magnetic resonance imaging appearance of individual structures of the posterolateral knee. A prospective study of normal knees and knees with surgically verified grade III injuries. Am J Sports Med 28:191–9PubMed

17.

Porrino J Jr, Maloney E, Richardson M, Mulcahy H, Ha A, Chew FS (2015) The anterolateral ligament of the knee: MRI appearance, association with the Segond fracture, and historical perspective. AJR Am J Roentgenol 204:367–73CrossRefPubMed

18.

Taneja AK, Miranda FC, Braga CA et al (2015) MRI features of the anterolateral ligament of the knee. Skelet Radiol 44:403–10CrossRef

19.

Helito CP, Helito PV, Costa HP et al (2014) MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skelet Radiol 43:1421–7CrossRef

20.

De Maeseneer M, Boulet C, Willekens I et al (2015) Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. Skelet Radiol 44:413–21CrossRef

21.

Kosy JD, Mandalia VI, Anaspure R (2015) Characterization of the anatomy of the anterolateral ligament of the knee using magnetic resonance imaging. Skelet Radiol 44:1647–53CrossRef

22.

Claes S, Bartholomeeusen S, Bellemans J (2014) High prevalence of anterolateral ligament abnormalities in magnetic resonance images of anterior cruciate ligament-injured knees. Acta Orthop Belg 80:45–9PubMed

23.

Sanders TG, Miller MD (2005) A systematic approach to magnetic resonance imaging interpretation of sports medicine injuries of the knee. Am J Sports Med 33:131–48CrossRefPubMed

24.

Oei EH, Nikken JJ, Verstijnen AC, Ginai AZ, Hunink MG (2003) MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology 226:837–48CrossRefPubMed

25.

Jee WH, McCauley TR, Kim JM, Jun DJ, Lee YJ, Choi BG et al (2003) Meniscal tear configurations: categorization with MR imaging. AJR Am J Roentgenol 180:93–7CrossRefPubMed

26.

Schweitzer ME, Tran D, Deely DM, Hume EL (1995) Medial collateral ligament injuries: evaluation of multiple signs, prevalence and location of associated bone bruises, and assessment with MR imaging. Radiology 194:825–9CrossRefPubMed

27.

Brittberg M, Winalski CS (2003) Evaluation of cartilage injuries and repair. J Bone Joint Surg Am 85-A:58–69PubMed

28.

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–74CrossRefPubMed

29.

Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am 58:173–9PubMed

30.

Campos JC, Chung CB, Lektrakul N, Pedowitz R, Trudell D, Yu J et al (2001) Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology 219:381–6CrossRefPubMed

31.

Terry GC, Hughston JC, Norwood LA (1986) The anatomy of the iliopatellar band and iliotibial tract. Am J Sports Med 14:39–45CrossRefPubMed

32.

Churchill DL, Incavo SJ, Johnson CC, Beynnon BD (1998) The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop Relat Res 356:111–8CrossRefPubMed

33.

Claes S, Luyckx T, Vereecke E, Bellemans J (2014) The Segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy 30:1475–82CrossRefPubMed

34.

Hess T, Rupp S, Hopf T, Gleitz M, Liebler J (1994) Lateral tibial avulsion fractures and disruptions to the anterior cruciate ligament: a clinical study of their incidence and correlation. Clin Orthop Relat Res 303:193–7PubMed

35.

Savoye PY, Ravey JN, Dubois C et al (2011) Magnetic resonance diagnosis of posterior horn tears of the lateral meniscus using a thin axial plane: the zip sign – a preliminary study. Eur Radiol 21:151–9CrossRefPubMed

36.

Blankenbaker DG, De Smet AA, Smith JD (2002) Usefulness of two indirect MR imaging signs to diagnose lateral meniscal tears. AJR Am J Roentgenol 178:579–782CrossRefPubMed

37.

Kijowski R, Sanogo ML, Lee KS et al (2012) Short-term clinical importance of osseous injuries diagnosed at MR imaging in patients with anterior cruciate ligament tear. Radiology 264:531–41CrossRefPubMed

38.

Sonnery-Cottet B, Archbold P, Rezende FC, Neto AM, Fayard JM, Thaunat M (2014) Arthroscopic identification of the anterolateral ligament of the knee. Arthrosc Tech 3:e389–92CrossRefPubMedPubMedCentral

Titel: Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries
verfasst von: Pieter Van Dyck
Stefan Clockaerts
Filip M. Vanhoenacker
Valérie Lambrecht
Kristien Wouters
Eline De Smet
Jan L. Gielen
Paul M. Parizel
Publikationsdatum: 08.01.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 10/2016
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-015-4171-8

Update Radiologie

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

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Anterolateral ligament abnormalities in patients with acute anterior cruciate ligament rupture are associated with lateral meniscal and osseous injuries