Anatomy of normal human anterior cruciate ligament attachments evaluated by divided small bundles

The American Journal of Sports Medicine
Kenji HaraTakeshi Muneta

Abstract

Double-bundle anterior cruciate ligament (ACL) reconstruction has several potential advantages over single-bundle reconstruction with hamstring tendons. However, there are still controversies regarding tunnel placement in tibial and femoral attachments. The macroscopically normal ACL consists of small bundles about 1 mm in diameter. Detailed observation of the divided smaller bundles will achieve better understanding of the tunnel placement in anatomic ACL reconstruction. Descriptive laboratory study. This study used 20 cadaveric knees. The ACL was divided into anteromedial and posterolateral bundles, then separated into 10 small bundles of 2-mm diameters, with preservation of their attachment sites marked with color markers. The positional relationship between the femoral and tibial attachments of each small bundle was investigated. A layered positional correlation of small bundles was found between the tibial and femoral attachments. Small bundles aligned in the anterior-posterior direction in the tibia corresponded to the bundles aligned in a high-low direction in the femur in flexion. The femoral attachment pattern was relatively similar in each specimen; however, the tibial attachment showed 2 patterns: an oblique type (12...Continue Reading

References

Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·A A Amis, G P Dawkins
Jan 1, 1994·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·H U Stäubli, W Rauschning
Jun 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·H Boszotta
Jun 3, 1998·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·A A Amis, R P Jakob
Sep 24, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·T MunetaK Shinomiya
Oct 19, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·C D HarnerS L Woo
Nov 6, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J KartusJ Karlsson
Dec 14, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kazunori YasudaAkio Minami
Apr 4, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tomoyuki MochizukiIchiro Sekiya
Sep 6, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Philippe ColombetAbdou Sbihi
Jun 15, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Takeshi MunetaIchiro Sekiya
Oct 25, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrew EdwardsAndrew A Amis
Nov 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mario FerrettiFreddie H Fu
Feb 2, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Rainer SieboldThomas Ellert
Feb 2, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Rainer SieboldJuergen Metz
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Sung-Jae KimKyung-Soo Oh

❮ Previous
Next ❯

Citations

Jan 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rainer Siebold
Mar 17, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·R SieboldC A Jacobs
May 3, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshinari TanakaShuji Horibe
Jan 27, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrew A Amis
Feb 9, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rainer Siebold, Peter Schuhmacher
Mar 13, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Apr 25, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Piia SuomalainenTimo Järvelä
May 1, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takeshi MunetaIchiro Sekiya
Oct 18, 2012·International Orthopaedics·Piia SuomalainenTimo Järvelä
Apr 20, 2011·Current Reviews in Musculoskeletal Medicine·Ryosuke Kuroda, Takehiko Matsushita
Dec 25, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Jan 25, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tomoyuki MochizukiKeiichi Akita
Jun 12, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshinari TanakaShuji Horibe
Mar 9, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Gof TantisricharoenkulFreddie H Fu
Jul 6, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Sep 26, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hideyuki KogaIchiro Sekiya
Dec 4, 2015·Connective Tissue Research·Takayuki FurumatsuToshifumi Ozaki
Jan 25, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hideyuki KogaIchiro Sekiya
Oct 14, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Mar 24, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Norihiro SasakiYoshikazu Tonosaki
Feb 4, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael D HwangJames H Lubowitz
Feb 4, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jason W PieferJames H Lubowitz
Aug 3, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yasuo NikiYasunori Suda
Dec 22, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shinya OkaRainer Siebold
May 20, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Adam HartPaul A Martineau
Mar 10, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·T FurumatsuT Ozaki
Dec 23, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yasuyuki KawaguchiAndrew A Amis
May 4, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hu XuShu-Hang Yung
Jun 3, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takayuki Furumatsu, Toshifumi Ozaki
Sep 15, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Thomas TampereJan Victor
Oct 19, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Breck R LordAndrew A Amis
Jan 31, 2015·The American Journal of Sports Medicine·Nathan W SkelleyRobert H Brophy
Oct 18, 2011·The American Journal of Sports Medicine·T Thomas Liu
Oct 31, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hitomi FujishiroKeiichi Akita
Nov 22, 2016·Orthopaedic Journal of Sports Medicine·César JanovskyMoises Cohen
May 21, 2011·The American Journal of Sports Medicine·Kazunori YasudaScott Tashman

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Mario FerrettiFreddie H Fu
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Tomoyuki MochizukiIchiro Sekiya
© 2022 Meta ULC. All rights reserved