The tibial attachment of the anterior cruciate ligament in children and adolescents: analysis of magnetic resonance imaging

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Kevin G SheaPaul D Traughber

Abstract

Recent studies have demonstrated that skeletally immature athletes with an ACL injury may require surgical reconstruction if they return to high-demand sports. This study used MRI to compare the anatomy of the ACL in skeletally immature and adult subjects. Measurements were recorded in the sagittal plane for the anterior-posterior dimension of the proximal tibia, and the anterior, center, and posterior limits of the ACL, and the roof inclination angle of the femur. These values were compared to established reference values for adult knee anatomy. In skeletally immature women ( n=7) the ACL anterior limit, center and posterior limit, and roof inclination angle were 28%, 46%, 63%, and 38 degrees, respectively, compared to 28%, 44%, 60%, and 35 degrees in adult women. In skeletally immature men ( n=15) the ACL anterior limit, center, posterior limit, and roof inclination angle were 27%, 43%, 59%, and 40 degrees, respectively, compared to 28%, 44%, 59%, and 37 degrees in adult men. In the younger subjects the overall dimensions of the proximal tibia were smaller than that in adults, but the anatomical landmarks for the ACL were proportional. If ACL reconstruction is performed in skeletally immature subjects, the smaller dimensions ...Continue Reading

Citations

Aug 16, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kevin G SheaPaul D Traughber
Nov 22, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mitsuhito DoiAkira Nagano
Jan 25, 2003·Current Opinion in Pediatrics·Leslie S Beasley, Steven C Chudik
Sep 6, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Håvard MoksnesMay Arna Risberg
Feb 9, 2012·International Journal of Pediatrics·Joshua L Hudgens, Diane L Dahm
Feb 11, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maria TucaDaniel W Green
Aug 4, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kevin G SheaRonald Pfeiffer
Dec 8, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kevin G SheaRonald P Pfeiffer
Mar 17, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kevin G SheaJohn C Jacobs
Sep 3, 2016·Current Reviews in Musculoskeletal Medicine·Andrew PennockMark Wu
Nov 5, 2016·Sports Medicine and Arthroscopy Review·Jay AlbrightStephanie Mayer
Feb 22, 2011·The American Journal of Sports Medicine·Dana P PiaseckiNikhil N Verma
May 22, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Feilong LiNing Hu
Mar 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Peter James Apel, Kevin G Shea

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