Assessment of the anterolateral ligament of the knee by 1.5 T magnetic resonance imaging

Kızılgöz, Volkan; Sivrioğlu, Ali Kemal; Aydın, Hasan; Çetin, Türkhun; Ulusoy, Gökhan Ragıp

doi:10.1177/0300060517740032

Cited by 11 publications

(9 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, the ALL was identified both by the orthopedic surgeon and by the radiologist in 100% of patients. Kizilgoz et al identified the ALL on 82% of 206 MRI examinations performed in patients with knee injuries; 53.3% of their cohort had both ACL and concomitant ALL injury [10]. The incidence of The K coefficient (k = − 0.02 to 0.38) was low for the identification of tears in various parts of the ALL in our study.…”

Section: Discussioncontrasting

confidence: 48%

See 1 more Smart Citation

Timing of magnetic resonance imaging affects the accuracy and interobserver agreement of anterolateral ligament tears detection in anterior cruciate ligament deficient knees

Han

Tan

Nguyen

et al. 2020

Knee Surg & Relat Res

View full text Add to dashboard Cite

Purpose We aimed to identify the anterolateral ligament (ALL) tears in anterior cruciate ligament (ACL)-deficient knees using standard 1.5-Tesla magnetic resonance imaging (MRI). Methods We included all patients who underwent primary ACL reconstruction at our center between 2012 and 2015. Exclusion criteria included patients with multiple ligament injuries, lateral collateral ligament, posterolateral corner, and infections, and patients who underwent MRI more than 2 months after their injury. All patients (n = 148) had ACL tears that were subsequently arthroscopically reconstructed. The magnetic resonance (MR) images of the injured knees performed within 2 months of injury were reviewed by a musculoskeletal radiologist and an orthopedic surgeon. The patients were divided into two groups. The first group of patients had MRI performed within 1 month of injury. The second group of patients had MRI performed 1–2 months after the index injury. Both assessors were blinded and the MR mages were read separately to assess the presence of ALL, presence of a tear and the location of the tear. Based on their readings, interobserver agreement (kappa statistic (K)), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were compared. Results The ALL was identified in 100% of the patients. However, there was a discrepancy of up to 15% in the identification of tear of the ALL. In the first group in which MRI scans were performed within 1 month of injury, the ALL tear was identified by the radiologist in 92% of patients and by the surgeon in 90% of patients (Κ = 0.86). In the second group in which MRI scans were performed within 1–2 months of the injury, the ALL tear was identified by the radiologist in 78% of patients and by the surgeon in 93% of patients (K = 0.62). Conclusion The ALL can be accurately identified on MRI, but the presence and location of ALL tear and its location cannot be reliably identified on MRI. The accuracy in identification and characterization of a tear was affected by the interval between the time of injury and the time when the MRI was performed. Level of evidence Diagnostic, level IIIb, retrospective.

show abstract

Section: Discussioncontrasting

confidence: 48%

“…Taneja reported good agreement (kappa (K) = 0.70) between two MSK radiologists in identifying the presence of the ALL as a structure [9]. Kizilgovz reported good agreement (K = 0.784-1) for the visibility of the various parts of the ALL [10].…”

Section: Introductionmentioning

confidence: 99%

Timing of magnetic resonance imaging affects the accuracy and interobserver agreement of anterolateral ligament tears detection in anterior cruciate ligament deficient knees

Han

Tan

Nguyen

et al. 2020

Knee Surg & Relat Res

View full text Add to dashboard Cite

show abstract

“…They could identify the tibial insertion in all cases. Kızılgöz et al could recognize the entire ALL (femoral, meniscal, and tibial portions) in 82% of MR images [ 20 ]. These differences in identifying ALL in cadavers and imaging-based studies could be attributed to the differences in technique.…”

Section: Discussionmentioning

confidence: 99%

Correlation Between the Thickness of Anterolateral Ligament and Lateral Collateral Ligament of the Knee

Chaware

Santoshi

Chaurasia

et al. 2021

Cureus

View full text Add to dashboard Cite

Background Persistent anterolateral rotatory instability (ALRI) following the anterior cruciate ligament (ACL) reconstruction has led to a renewed interest in defining the role of anterolateral complex (ALC) of the knee. Methods We explored the anterolateral corner of 34 cadaveric knees to define the anterolateral ligament (ALL) in all its dimensions and measured the thickness of lateral collateral ligament (LCL) at the lateral meniscus level (tLCL) in ALL-intact and ALL-deficient knees. Results ALL was present in 27/34 (79%) of the knees. We found complete ALL in 13 cadavers bilaterally. ALL was absent bilaterally in three cadavers; it was present on one side and absent contralaterally in one cadaver. In ALL-intact knees, the average tLCL was 2.05 mm, whereas, in ALL-deficient knees, it was 2.57 mm. This difference in tLCL was statistically significant. Conclusions Our study adds new data to the recent voluminous research on ALL. We have examined the correlation between the thickness of ALL and LCL and documented alterations in the thickness of LCL in ALL-intact knees. These findings would help in designing reconstructive procedures for the combined ACL injury with ALRI.

show abstract

“…By utilizing a 3-Tesla (T) MRI, Hooda et al managed to identify ALL in all 31 patients [16]. On the other hand, studies using 1.5T MRI show a large discrepancy, with reports showing full visualization of ALL ranging from 11% to 100%, possibly due to anatomical variations and the fine thickness of this structure [17][18][19][20][21][22]. Thus far, there is still no study on MRI evaluation of the ALL in South-East Asian countries.…”

Section: Introductionmentioning

confidence: 99%

MRI Evaluation of Anterolateral Ligament of the Knee: A Cross-Sectional Study in Malaysia

Kow

Low

Said

2021

Cureus

View full text Add to dashboard Cite

IntroductionAfter detailed anatomical delineation of the anterolateral ligament (ALL) of the knee, there is a surge in research on this anatomical structure. Owing to the anatomical variation and lack of experience in the identification of this structure, magnetic resonance (MR) evaluation of the ALL produces mixed results. It was aimed to evaluate the ALL using the routinely performed MR imaging of the knee and to determine any associated factors with ALL injuries. Materials and methodsThirty-six MR images of the knee from 31 patients from January 1, 2017, to June 30, 2017, are evaluated. MR sequences performed include T1-weighted, T2-weighted, proton density (PD), and PD fat saturation (FS). All MR images were double-read by two authors and approved by a consultant radiologist with more than 20 years of radiological experience. The ALL was divided into three portions: femoral, meniscal, and tibial, and the ALL was considered fully visualized when all three portions were seen on MR images. ResultsAt least a portion of the ALL was visualized in 27 scans (75%), and it was fully visualized in 20 scans (55.6%). The femoral portion was the most commonly identified (75%), followed by the meniscal portion (69.4%) and the tibial portion (58.3%). ALLs were best visualized on coronal view in PD FS with the lateral inferior genicular artery as a guide to locate the bifurcation of the meniscal and tibial components. ConclusionThe ALL can be visualized in routine 1.5-T MR imaging, either full delineation (55.6%) or partially visualized (75%). It is best characterized via a PD-weighted sequence with fat saturation on the coronal plane. The ALL injury was associated with an anterior cruciate ligament (ACL) injury.

show abstract

Assessment of the anterolateral ligament of the knee by 1.5 T magnetic resonance imaging

Cited by 11 publications

References 42 publications

Timing of magnetic resonance imaging affects the accuracy and interobserver agreement of anterolateral ligament tears detection in anterior cruciate ligament deficient knees

Timing of magnetic resonance imaging affects the accuracy and interobserver agreement of anterolateral ligament tears detection in anterior cruciate ligament deficient knees

Correlation Between the Thickness of Anterolateral Ligament and Lateral Collateral Ligament of the Knee

MRI Evaluation of Anterolateral Ligament of the Knee: A Cross-Sectional Study in Malaysia

Contact Info

Product

Resources

About