Laura Scarciolla1, Matthias Herteleer2,3,4, Edouard Turquet1, Sammy Badr1, Xavier Demondion1,2,3,4, Thibaut Jacques1,4, Anne Cotten5,6. 1. Service de Radiologie et Imagerie Musculosquelettique, CCIAL, CHU de Lille, 59037, Lille, France. 2. Laboratoire d'Anatomie, Faculté de Médecine, Université de Lille, Lille, France. 3. Unité de Taphonomie Médico-Légale et Anatomie (UTML & A), EA 7367, Université de Lille, Lille, France. 4. Faculté de Médecine, Université de Lille, Lille, France. 5. Service de Radiologie et Imagerie Musculosquelettique, CCIAL, CHU de Lille, 59037, Lille, France. anne.cotten@chru-lille.fr. 6. Faculté de Médecine, Université de Lille, Lille, France. anne.cotten@chru-lille.fr.
Abstract
OBJECTIVES: No description of the proximal tibiofibular (PTF) ligaments by means of high ultrasound has yet been reported in the literature. The purpose of this study was to assess whether ultrasound may allow the assessment of these ligaments. METHODS: This study was initially undertaken in three cadaveric knees, followed by an ultrasound study performed by two musculoskeletal radiologists working in consensus of 52 patients without history of trauma or surgery of the knee, and without lateral knee pain. The visibility, echogenicity, length and thickness of the PTF ligaments were assessed. RESULTS: Regarding the anterior PTF ligament, the superior bundle and the upper and lower middle bundles were clearly seen in 42.3%, 100% and 75% of the knees, respectively. Regarding the posterior PTF ligament, the superior and middle bundles were clearly seen in 88.4% and 51.9% of the knees, respectively. The echo-anatomy of these ligaments and the probe positioning allowing their best depiction were described in this study. CONCLUSION: Most of the PTF ligaments can be visualized by means of ultrasound. This possible assessment may have clinical applications, particularly in patients with lateral knee pain.
OBJECTIVES: No description of the proximal tibiofibular (PTF) ligaments by means of high ultrasound has yet been reported in the literature. The purpose of this study was to assess whether ultrasound may allow the assessment of these ligaments. METHODS: This study was initially undertaken in three cadaveric knees, followed by an ultrasound study performed by two musculoskeletal radiologists working in consensus of 52 patients without history of trauma or surgery of the knee, and without lateral knee pain. The visibility, echogenicity, length and thickness of the PTF ligaments were assessed. RESULTS: Regarding the anterior PTF ligament, the superior bundle and the upper and lower middle bundles were clearly seen in 42.3%, 100% and 75% of the knees, respectively. Regarding the posterior PTF ligament, the superior and middle bundles were clearly seen in 88.4% and 51.9% of the knees, respectively. The echo-anatomy of these ligaments and the probe positioning allowing their best depiction were described in this study. CONCLUSION: Most of the PTF ligaments can be visualized by means of ultrasound. This possible assessment may have clinical applications, particularly in patients with lateral knee pain.
Authors: Jack Anavian; Daniel Cole Marchetti; Gilbert Moatshe; Erik L Slette; Jorge Chahla; Alex W Brady; David M Civitarese; Robert F LaPrade Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-03-20 Impact factor: 4.342