Hansford Barry Glenn, Yablon Corrie M
Division of Musculoskeletal Radiology, Department of Radiology, University of Utah, Sandy, Utah.
Division of Musculoskeletal Radiology, Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Semin Musculoskelet Radiol. 2017 Apr;21(2):63-74. doi: 10.1055/s-0037-1599208. Epub 2017 Mar 29.
Anterior cruciate and posterior cruciate injuries rarely occur in isolation and are often associated with injuries to the secondary or supporting structures that provide stability against rotational forces. These structures include the posterolateral and posteromedial corner ligaments and tendons, as well as the anterolateral ligament. If injuries to these secondary structures are not appreciated at the time of cruciate ligament reconstruction, an isolated cruciate ligament reconstruction may be predisposed to early failure. Thus it is crucial for radiologists interpreting knee magnetic resonance imaging to understand and report on injury to these ligaments and tendons at the time of initial injury to help the orthopaedic surgeon plan a comprehensive approach to ligament reconstruction. This strategy will ultimately result in improved patient outcomes.
前交叉韧带和后交叉韧带损伤很少单独发生，常与二级或支撑结构损伤相关，这些结构可提供抵抗旋转力的稳定性。这些结构包括后外侧和后内侧角韧带及肌腱，以及前外侧韧带。如果在交叉韧带重建时未发现这些二级结构损伤，单纯的交叉韧带重建可能易早期失败。因此，对于解读膝关节磁共振成像的放射科医生来说，在初次损伤时了解并报告这些韧带和肌腱的损伤情况至关重要，以帮助骨科医生制定全面的韧带重建方案。这一策略最终将改善患者预后。
