PMID- 31375445
OWN - NLM
STAT- MEDLINE
DCOM- 20200128
LR  - 20200128
IS  - 1873-5800 (Electronic)
IS  - 0968-0160 (Linking)
VI  - 26
IP  - 5
DP  - 2019 Oct
TI  - The interrelationship between anterior cruciate ligament tibial footprint and 
      anterolateral meniscal root insertions: Quantitative, morphological and 
      positional analyses using three-dimensional computed tomography images.
PG  - 969-977
LID - S0968-0160(19)30160-7 [pii]
LID - 10.1016/j.knee.2019.07.004 [doi]
AB  - BACKGROUND: The purpose of this study was to evaluate quantitative, morphological 
      and positional differences between the anterior cruciate ligament (ACL) tibial 
      footprint and anterolateral meniscal root (ALMR) insertion and investigate an 
      intraoperative landmark to estimate their boundaries. METHODS: Thirty-three fixed 
      human cadaveric knees were evaluated. After resecting the components, the 
      anterior fiber (AF) and posterior fiber (PF) of ALMR, the tibial center of ACL 
      bundles (anteromedial (AM) and posterolateral (PL) bundles) and ACL were marked. 
      Insertion morphology was classified into three categories, and the distance and 
      relative positional relationship between AF/PF insertions and the center of each 
      attachment were measured on three-dimensional computed tomography images. 
      RESULTS: There was no significant difference between the AF of AM and ACL 
      (P = 0.16), but both were significantly shorter than the AF of PL (both 
      P < 0.001). There was no significant difference between the PF of ACL and PL 
      (P = 0.99), which were significantly shorter than PF of AM (both P < 0.001). 
      Morphology of the ACL tibial insertion was classified as follows: triangular, 15 
      knees (45.5%); oval, 18 knees (54.5%); none, C-shape. Quantitative and positional 
      analyses showed that the AF insertion was significantly closer to AM and ACL 
      centers in the oval type than in the triangular type. Excluding two cases, the 
      AF/PF insertion was located laterally to the ML center of the medial and lateral 
      intercondylar tubercles. CONCLUSION: Proximity of ACL tibial footprint and ALMR 
      varies by their footprint morphology. The medial and lateral intercondylar 
      tubercles were useful landmarks for ALMR injury prevention.
CI  - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Tensho, Keiji
AU  - Tensho K
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan. Electronic address: kten@shinshu-u.ac.jp.
FAU - Iwaasa, Tomoya
AU  - Iwaasa T
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Koyama, Suguru
AU  - Koyama S
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Yoshida, Kazushige
AU  - Yoshida K
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Shimodaira, Hiroki
AU  - Shimodaira H
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Horiuchi, Hiroshi
AU  - Horiuchi H
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Kato, Hiroyuki
AU  - Kato H
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Saito, Naoto
AU  - Saito N
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
FAU - Fukushima, Nanae
AU  - Fukushima N
AD  - Department of Orthopedic Surgery, Shinshu University School of Medicine, Nagano, 
      Japan.
LA  - eng
PT  - Journal Article
DEP - 20190730
PL  - Netherlands
TA  - Knee
JT  - The Knee
JID - 9430798
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Anterior Cruciate Ligament/*diagnostic imaging/surgery
MH  - Anterior Cruciate Ligament Reconstruction/methods
MH  - Cadaver
MH  - Female
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Knee Joint/*diagnostic imaging/surgery
MH  - Male
MH  - Menisci, Tibial/*diagnostic imaging/surgery
MH  - Middle Aged
MH  - Tibia/*diagnostic imaging/surgery
MH  - Tomography, X-Ray Computed
OTO - NOTNLM
OT  - Anterior cruciate ligament
OT  - Anterolateral meniscal root
OT  - Three-dimensional computed tomography
OT  - Tibial footprint
EDAT- 2019/08/04 06:00
MHDA- 2020/01/29 06:00
CRDT- 2019/08/04 06:00
PHST- 2019/03/23 00:00 [received]
PHST- 2019/06/18 00:00 [revised]
PHST- 2019/07/03 00:00 [accepted]
PHST- 2019/08/04 06:00 [pubmed]
PHST- 2020/01/29 06:00 [medline]
PHST- 2019/08/04 06:00 [entrez]
AID - S0968-0160(19)30160-7 [pii]
AID - 10.1016/j.knee.2019.07.004 [doi]
PST - ppublish
SO  - Knee. 2019 Oct;26(5):969-977. doi: 10.1016/j.knee.2019.07.004. Epub 2019 Jul 30.