The popliteofibular ligament : a cadaveric ultrasound study
| Autor: | Marcin Domżalski, Ilona Wagner-Olszewska, Marcin Mostowy, Mitchell R Mann, Przemysław A. Pękala, Ewa Mizia, Grzegorz Tatoń |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Knee Joint PFL 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Popliteofibular ligament Cadaver Posterolateral corner Medicine Humans Radiology Nuclear Medicine and imaging Scientific Article Ultrasonography medicine.diagnostic_test business.industry Magnetic resonance imaging Gold standard (test) Dissection Fibula Orthopedic surgery Ligaments Articular 030101 anatomy & morphology business Cadaveric spasm Nuclear medicine Arcuate sign |
| Zdroj: | Skeletal Radiology |
| Popis: | Objective The popliteofibular ligament (PFL) is an important stabilizer of the knee found within the posterolateral corner (PLC) of the joint. Injuries to the PLC can cause substantial patient morbidity. Accurate PFL visualization has been historically challenging, impeding injury diagnosis and treatment. The gold standard for in vivo PFL visualization is magnetic resonance imaging (MRI), but this procedure has slice thickness limitations, is costly, and is subject to longer wait times. Ultrasonographic (US) PFL assessment is a potentially viable alternative to MRI. This study aimed to determine the viability of US PFL assessment. Materials and methods Ten fresh-frozen lower limb specimens were evaluated for the presence and morphometric characteristics of the PFL via US using an 18.0-MHz linear transducer. The cadavers were then dissected and reassessed for the presence and morphometric characteristics of the PFLs for comparison with US findings. Moreover, the fracture of the fibular styloid process near the site of the insertion of the PFL (the arcuate sign) was simulated and assessed via US. Results The PFL was visualized and measured in all ten knees via both US and cadaveric assessments. There were no statistically significant differences in PFL morphometric characteristics determined via US examination and dissection. The fibular styloid fracture was easily identified in US examination. Conclusion US imaging is a viable alternative for accurate and effective assessment of the normal PFL. Moreover, the arcuate sign can be evaluated via US. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|