Anterolateral Ligament ve Dizdeki İlişkili Lezyonlarının MRI ile Değerlendirmesi

Year 2022, Volume: 4 Issue: 3, 439 - 446, 22.09.2022

Bulent Petik

https://doi.org/10.37990/medr.1144361

Abstract

Amaç: Bu çalışmada anterolateral ligament (ALL) yaralanmalarının anatomisi ve ALL yaralanmaları ile diğer diz bağ yaralanmaları, menisküs yırtıkları, kemik yaralanmaları arasındaki ilişkinin hastaların diz manyetik rezonans görüntülerinin (MRI) retrospektif olarak taranmasıyla değerlendirilmesi amaçlanmıştır.
Materyal ve Metot: Bu çalışma retrospektif, randomize olmayan ve tek merkezli bir klinik çalışma olarak tasarlandı. Üçüncü basamak kurumumuza başvuran Ağustos 2021 ile Mart 2022 arasında diz MRI çekilen 320 hastanın diz MR görüntülerini derlendi.
Bulgular: Toplam 320 diz MRI [kadın;163 (%50.9)), ortalama yaş; 39,60±14,16 yıl, yaş aralığı; 21-77 yıl, sol diz; 172 (%53,7)] çalışmaya dahil edildi. 319 (%99.7) olguda ALL’nin en az bir komponenti görüldü [bütün komponentler: 276 (%86.3), menisküs: 311 (%97.2), femoral: 314 (%98.1), tibial: 280 (%87.5)]. ALL yaralanmalı 182 dizden 182’sinde (%100) ön çapraz bağ (ÖÇB) yaralanması, 116’sında (%63.7) lateral menisküs yaralanması ve 103’ünde (%56.6) kemik yaralanması vardı. ÖÇB (p=0.001), lateral menisküs (p=0.001) ve kemik yaralanması (p=0.001) ALL-intakt diz ile karşılaştırıldığında ALL-yaralılarda daha sıktı.
Sonuç: Akut ÖÇB rüptürü, lateral menisküs, kemik yaralanması ve ALL yaralanması arasında istatistiksel olarak anlamlı bir ilişki vardır. ÖÇB, lateral menisküs ve kemik yaralanması olan hastalarda MRI değerlendirilirken ALL değerlendirmesi de yapılmalıdır.

MRI Evaluation of Anterolateral Ligament and Associated Lesions of the Knee

Abstract

Aim: This study aimed to evaluate the anatomy of the anterolateral ligament (ALL), ALL injuries and the relationship between ALL injuries and other knee ligaments injuries, meniscal tears, bone injuries by retrospectively scanning patients’ knee magnetic resonance imaging (MRI).
Material and Methods: Our study was designed as a retrospective, non-randomized, and single-center clinical study. We included knee MR images of 320 patients who applied to our tertiary care institution and underwent knee MRI between August 2021 and March 2022.
Results: A total 320 knee MRI’s [female;163 (50.9%), mean age; 39.60±14.16 years, range; 21-77 years, left knee; 172 (53.7%)] were included study. At least one component of ALL was visualized in 319 (99.7%) cases [whole components: 276 (86.3%), meniscal: 311 (97.2%), femoral: 314 (98.1%), tibial: 280 (87.5%)]. Of the 182 ALL-injured knee, 182 (100%) had anterior cruciate ligament (ACL) injury, 116 (63.7%) had lateral meniscal injury, and 103 (56.6%) had bone injury. ACL (p=0.001), lateral meniscus (p=0.001), and bone injury (p=0.001) were more frequently in ALL-injured as compared with ALL-intact knee.
Conclusion: There is a statistically significant relationship between acute ACL rupture, lateral meniscus, bone injury, and ALL injury. When evaluating MRI in patients with ACL, lateral meniscus, and bone injury, ALL evaluation should also be performed.

Keywords

Anterolateral ligament, ALL, Anterior cruciate ligament, ACL, MRI

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