Rework size in ACL in a few clicks

Aug 6th, 2022
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How to rework size in ACL

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hello everyone this is Dr Sam and today you will learn about ACL TI on MRI anterior cruciate ligament or ACL is an important liament which helps in stabilizing the knee joint MRI images especially in sagittal planes are very helpful in visualizing the CL we will compare the normal image the normal MRI image of ACL with ACL tiar these are T1 weighted images in sagittal plane this is the knee this bone is the femur and the bone over here is the tibia this bone is the patella we can also see the hofa fat pad appearing hyper intense in D1 images and this is the ACL this fibrous hypointense dark band is the ACL it inserts on the medial aspect of the lateral femoral cile its tibial insertion is on the anterior part of the inter condar Eminence of the tibia at the tibial Plateau so this is the appearance of the ACL we can also see part of the posterior cruciate ligament the PCL in this image the PCL is posterior to the ACL the image on the right shows a complete ACL tier in this case we do no

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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.
If they are larger than 12 to 14 mm in diameter, or are in a position where an anatomic positioning of the ACL reconstruction graft would break into the previously malpositioned tunnel, then a two-staged surgery would be recommended.
The ACL measures 32 mm long and is 7 to 12 mm wide. It has two bundles; an isometric anteromedial and a posterolateral bundle with more versatile length changes.[1]
Anterior cruciate ligament graft stretching can lead to the following conditions: chronic instability. chondral injury. meniscal tears.
The ACL measures 31-38 mm in length and 10-12 mm in width, with the anteromedial bundle (6-7 mm) slightly thicker than the posterolateral bundle (5-6 mm) 5.
The ACL diameter averages 4.8 mm [29] to 8.3 mm [30]. Studies say that the average diameter of ACL in patients with ACL injuries is 2 mm less than in the general population (6.10 mm -6.20 mm) [31, 32]. We used this size to assess the risk of exercise and loads on the intact ACL.
It can be concluded that to decrease the risk of having a failure in hamstring ACL reconstruction, a graft of at least 8.5-mm should be used.

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