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前交叉韧带在外侧半月板的异常附着：一例报告

Aberrant Insertion of the Anterior Cruciate Ligament on the Lateral Meniscus: A Case Report.

作者信息

Norman Mackenzie, Zehner Katie, Gardner Elizabeth

机构信息

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.

出版信息

JBJS Case Connect. 2025 Jan 24;15(1). doi: 10.2106/JBJS.CC.24.00395. eCollection 2025 Jan 1.

DOI:10.2106/JBJS.CC.24.00395
PMID:39854511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11756712/
Abstract

CASE

A 16-year-old woman presented with acute on chronic knee pain and instability following a twisting injury. The tibial insertion of the anterior cruciate ligament (ACL) was nonvisualized on magnetic resonance imaging. A cord-like ACL, originating from the lateral intercondylar notch and inserting smoothly into the anterior horn of the intact lateral meniscus, was found on arthroscopy. Her ACL was reconstructed with quadriceps tendon autograft.

CONCLUSION

We report a rare case of dysplastic ACL inserting into the lateral meniscus in a patient without obvious skeletal deformities. This pathology could be congenital or traumatic. Surgeons and radiologists should be aware of this rare variant.

摘要

病例

一名16岁女性在扭伤后出现慢性膝关节疼痛急性发作及膝关节不稳。磁共振成像显示前交叉韧带（ACL）的胫骨附着点不可见。关节镜检查发现一条索状ACL，起自外侧髁间切迹，平滑地插入完整外侧半月板的前角。她接受了自体股四头肌肌腱ACL重建术。

结论

我们报告了一例罕见的发育异常的ACL插入外侧半月板的病例，该患者无明显骨骼畸形。这种病理情况可能是先天性的或创伤性的。外科医生和放射科医生应了解这种罕见的变异情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/1461a3066ee3/jbjscc-15-e24.00395-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/61d6c818525f/jbjscc-15-e24.00395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/670674bec5f6/jbjscc-15-e24.00395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/09d9b3471cac/jbjscc-15-e24.00395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/3b90ef4ac4d0/jbjscc-15-e24.00395-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/1461a3066ee3/jbjscc-15-e24.00395-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/61d6c818525f/jbjscc-15-e24.00395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/670674bec5f6/jbjscc-15-e24.00395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/09d9b3471cac/jbjscc-15-e24.00395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/3b90ef4ac4d0/jbjscc-15-e24.00395-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8505/11756712/1461a3066ee3/jbjscc-15-e24.00395-g005.jpg

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本文引用的文献

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Management of Anterior Cruciate Ligament Aplasia for the Arthroscopy Surgeons: A Systematic Review.关节镜外科医生对前交叉韧带发育不全的处理：一项系统评价
Indian J Orthop. 2022 May 24;56(7):1123-1138. doi: 10.1007/s43465-022-00651-2. eCollection 2022 Jul.
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Anterolateral Meniscofemoral Ligament Associated with Ring-shaped Lateral Meniscus and Congenital Absence of Anterior Cruciate Ligament, Managed with Ligament Reconstruction.与环形外侧半月板及先天性前交叉韧带缺如相关的前外侧半月板股骨韧带，采用韧带重建治疗。
Arch Bone Jt Surg. 2020 Jan;8(1):112-116. doi: 10.22038/abjs.2019.14128.
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Classification of Cruciate Ligament Dysplasia and the Severity of Congenital Fibular Deficiency.
J Pediatr Orthop. 2019 Mar;39(3):136-140. doi: 10.1097/BPO.0000000000000910.
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Anterolateral Meniscofemoral Ligament of the Lateral Meniscus.外侧半月板前外侧半月板股骨韧带
Knee Surg Relat Res. 2016 Sep;28(3):245-8. doi: 10.5792/ksrr.2016.28.3.245. Epub 2016 Aug 25.
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Arthroscopic Avulsion Repair of a Pediatric ACL with an Anomalous Primary Insertion into the Lateral Meniscus.关节镜下儿童前交叉韧带异常原发性止点撕脱修复术：止点位于外侧半月板。
HSS J. 2011 Jul;7(2):190-3. doi: 10.1007/s11420-011-9197-0. Epub 2011 Mar 11.
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Congenital absence of the cruciate ligaments.先天性十字韧带缺失。
Knee Surg Sports Traumatol Arthrosc. 2012 Aug;20(8):1622-5. doi: 10.1007/s00167-011-1816-2. Epub 2011 Dec 14.
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Anterior lateral meniscofemoral ligament with congenital absence of the ACL.前外侧半月板股骨韧带，伴有 ACL 先天性缺失。
Knee Surg Sports Traumatol Arthrosc. 2011 Feb;19(2):192-5. doi: 10.1007/s00167-010-1199-9. Epub 2010 Jun 22.
8
Dysplasia of the cruciate ligaments: radiographic assessment and classification.十字韧带发育异常：影像学评估与分类
J Bone Joint Surg Am. 2006 Jan;88(1):130-7. doi: 10.2106/JBJS.E.00146.
9
[The "empty" cruciate ligament notch. Aplasia or trauma aftereffect?].["空"的交叉韧带切迹。发育不全还是外伤后遗症？]
Unfallchirurg. 2000 Aug;103(8):693-5. doi: 10.1007/s001130050604.