Behind-remnant arthroscopic observation and scoring of femoral attachment of injured anterior cruciate ligament

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
T MunetaIchiro Sekiya

Abstract

To describe the femoral anterior cruciate ligament (ACL) attachment based on the behind-remnant observation with a new scoring system and to investigate the characteristics of an ACL injured knee. One hundred and twenty-six ACL injured knees with four standardized arthroscopic photos and full evaluation under anaesthesia were included in the study. Sixty non-ACL injured knees were also evaluated as control. A scoring system for the femoral ACL attachment was set as follows based on behind-remnant findings; the direct insertion was divided into three portions as proximal, middle and distal. The fibrous extension from the articular surface (indirect insertion) and the severity of synovitis were also graded into 2, 1 and 0 points. The total score was 10 as full marks. The correlation between each score and total score, as well as age at surgery, gender, anterior laxity, pivot-shift test and meniscus injuries, was statistically evaluated with a significance of 0.05. The femoral attachment score of the ACL injured knees was statistically different from that of the non-ACL injured knees. Anterior laxity was dependent only on the integrity of the proximal portion. Knee instability was significantly correlated with the status of the di...Continue Reading

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Citations

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
Feb 6, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·John NylandDavid N M Caborn

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