Kızılgöz Volkan, Sivrioğlu Ali Kemal, Aydın Hasan, Çetin Türkhun, Ulusoy Gökhan Ragıp
1 Department of Radiology, Faculty of Medicine, 52975 Kafkas University , Kars, Turkey.
2 Department of Radiology, Okmeydanı Training and Research Hospital, Istanbul, Turkey.
J Int Med Res. 2018 Apr;46(4):1486-1495. doi: 10.1177/0300060517740032. Epub 2018 Jan 19.
Objective This study was performed to evaluate the visibility of the knee's anterolateral ligament (ALL) by magnetic resonance (MR) imaging when evaluating injuries of the ALL in relation to injuries of the anterior cruciate ligament (ACL). Methods Two reviewers retrospectively analyzed MR images for the visibility and dimensions of the ALL and the relationship between ALL and ACL injuries. The intraclass correlation coefficient (ICC) and kappa analysis were used to assess interobserver reliability. The chi-square test was used to assess the relationship between ALL and ACL injuries. Results The entire ALL was viewed on 82% of all MR images. The ICC for ALL visualization ranged from moderate to perfect between the two readers. There was almost perfect agreement between the reviewers when evaluating ALL dimensions. The mean length ± standard error, median thickness, and mean width ± standard error of the ALL were 36.5 ± 0.6 mm, 2.5 mm, and 8.2 ± 0.2 mm, respectively. A statistically significant relationship was observed between ALL and ACL injuries. Conclusion The ALL was visible on most MR images, allowing ALL injuries to be noted during routine MR image interpretation. Radiologists should note concomitant ACL and ALL injuries as part of their assessments.
本研究旨在评估在评估前外侧韧带(ALL)损伤与前交叉韧带(ACL)损伤相关情况时,磁共振成像(MR)对膝关节前外侧韧带(ALL)的显示情况。方法:两名评估者回顾性分析ALL的显示情况、尺寸以及ALL与ACL损伤之间的关系的MR图像。组内相关系数(ICC)和kappa分析用于评估观察者间的可靠性。卡方检验用于评估ALL与ACL损伤之间的关系。结果:在所有MR图像中,82%能看到完整的ALL。两位读者之间ALL可视化的ICC从中度到完美。在评估ALL尺寸时,评估者之间几乎完全一致。ALL的平均长度±标准误、中位厚度和平均宽度±标准误分别为36.5±0.6mm、2.5mm和8.2±0.2mm。ALL与ACL损伤之间存在统计学上的显著关系。结论:在大多数MR图像上可以看到ALL,这使得在常规MR图像解读过程中能够注意到ALL损伤。放射科医生在评估时应注意同时存在的ACL和ALL损伤。