Kupczik Fabiano, Schiavon Marlus Eduardo Gunia, Sbrissia Bruno, Fávaro Rodrigo Caldonazzo, Valério Rafael
MSc in Surgery, Orthopedist and Head of the Knee Group at Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, PR, Brazil.
Orthopedist in the Knee Group, Hospital Universitário Cajuru PUC-PR, Curitiba, PR, Brazil.
Rev Bras Ortop. 2013 Oct 18;48(5):441-447. doi: 10.1016/j.rboe.2012.11.002. eCollection 2013 Sep-Oct.
The objective of this study was to measure in MRI scans, the size of the origin, insertion and length of the anterior cruciate ligament and possible graft for reconstruction surgery in case of injury. Besides this, there was a cross between statistical data to test the hypothesis of proportional relationship between these anatomical extent.
52 MRI examinations performed between 2008 and 2011 were valued at random in a longitudinal retrospective epidemiological study. To measure the width of the ACL was used coronal oblique to the length of the sagittal section, for inserting the tibial coronal femoral insertion and was also used oblique coronal section.
The average diameter of the ACL was 4.80 mm (3.1-8.3 mm), with a length of 3.8 cm (2.85-4.5 cm). The origin ranged from 9.7 mm to 15.4 mm. The average insertion on the tibia was 13.3 mm. The average diameter of the semi-tendinous was 4.38 mm and the average diameter was 3.42 mm gracilis. The quadriceps presented diameter of 7.67 mm, a length of 35.34 mm and 4.54 mm patellar tendon diameter and 26.62 mm in average length.
These data provide important information for the pre-operative surgeon, facilitating preoperative planning and providing viable alternatives and avoiding inadequate grafts.
本研究的目的是在磁共振成像(MRI)扫描中测量前交叉韧带的起点、止点大小和长度,以及损伤时可能用于重建手术的移植物。除此之外,还对统计数据进行了交叉分析,以检验这些解剖学范围之间比例关系的假设。
在一项纵向回顾性流行病学研究中,随机评估了2008年至2011年间进行的52例MRI检查。测量前交叉韧带宽度时使用与矢状面长度成冠状斜位的图像,测量胫骨冠状位股骨止点时使用冠状斜位图像。
前交叉韧带的平均直径为4.80毫米(3.1 - 8.3毫米),长度为3.8厘米(2.85 - 4.5厘米)。起点范围为9.7毫米至15.4毫米。在胫骨上的平均止点为13.3毫米。半腱肌的平均直径为4.38毫米,股薄肌的平均直径为3.42毫米。股四头肌的直径为7.67毫米,长度为35.34毫米,髌腱直径为4.54毫米,平均长度为26.62毫米。
这些数据为术前外科医生提供了重要信息,有助于术前规划,提供可行的替代方案并避免使用不合适的移植物。