Blot index in ACL

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Aug 6th, 2022
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How to blot index in ACL

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0:41 2:14 The front or coronal view is also helpful for visualizing. The ACL the yellow arrow shows the normalMoreThe front or coronal view is also helpful for visualizing. The ACL the yellow arrow shows the normal ACL attachment on the lateral wall of the femur or thighbone not at the two oclock.
The ACL Blumensaat line angle is normally 15. It is calculated by drawing a line parallel to the roof of the intercondylar notch of the femur (Blumensaat line) and one parallel to the distal portion of the anterior cruciate ligament. The angle is calculated at the intersection of these two lines.
Instead of seeing normal contour of the dark ACL substance, we start to see more a balled-up appearance. In this view we can also see the injury to the posterior horn of the medial meniscus. Finally, we look at the axial views, although these are not as useful when looking at ACL tears.
Direct signs of an acute partial ACL tear include focal angulation of the ACL and focal intrasubstance high signal intensity on T2-weighted images, while still visualizing intact ACL fibers (10a, 11a). A chronic partial tear of the ACL may appear angulated and attenuated in caliber.
The normal ACL should have a taut, low to intermediate signal intensity with continuous fibres in all planes and sequences. It courses parallel or steeper than the intercondylar line. The PL bundle usually has higher signal intensity than the AM bundle.

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