MRI is not reliable in diagnosing of concomitant anterolateral ligament and anterior cruciate ligament injuries of the knee

Abstract

Case-control study, Level III.

Three-dimensional Magnetic Resonance Imaging of the Anterolateral Ligament of the Knee: An Evaluation of Intact and Anterior Cruciate Ligament–Deficient Knees From the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group

“…However, because the ALL is a thin structure (thickness 1.4+/-0.6mm) 18 , it should be expected that clinical studies using more typical slice thicknesses (particularly if an interslice gap is present) have failed to show full visualisation reliably. In previous clinical MRI series the following slice thicknesses and rates of complete visualisation have been reported: 2.5mm (Helito 71%) 11 , 3mm (Devitt 20%) 20 , and 3.5mm (Macchi 54% 17 , Coquart 82%) .…”

Risk factors for residual anterolateral rotational instability after double bundle anterior cruciate ligament reconstruction: Evaluation by quantitative assessment of the pivot shift phenomenon using triaxial accelerometer

“…The reason meniscal tears did not have a significant relationship with residual ALRI might have been because most of the meniscal tears were repaired instead of meniscectomy. Factors regarding anterolateral structure or iliotibial tract injury were not investigated in the present study because the sensitivity and specificity of detecting these damages with image evaluation remain controversial [22][23][24]. As for the ATT side-to-side difference, it showed weak negative association with absolute residual acceleration based on univariate analysis, however, multivariate analysis showed no correlation between them.…”

Editorial Commentary: Extension of Knowledge—and the Knee! New Biomechanical Study Suggests the Clinical Practice of Anterolateral Ligament Fixation Near Extension

“…3 In these situations, it is hard to say that one perspective is completely right and the other is completely wrong. Controversy was found regarding anatomy, 1,2,4-6 histology, 7-9 biomechanics, [10][11][12][13] radiological evaluation, [14][15][16][17][18][19][20] and reconstruction techniques. [21][22][23][24][25] Even though we have some data showing the benefits of ALL reconstruction, [26][27][28][29][30] it is not an absolute truth for most knee surgeons.…”