ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Anterior cruciate ligament tibial insertion site is elliptical or triangular shaped in healthy young adults: high-resolution 3-T MRI analysis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Size and Shape of the Human Anterior Cruciate Ligament and the Impact of Sex and Skeletal Growth: A Systematic Review.JBJS reviews · 2019Pooled it
- Comparative Meta-Analysis of ACL Footprint Anatomy Between Asian and Western Populations.Orthopaedic journal of sports medicine · 2025Review
- Anterior Cruciate Ligament Bundles Elongation Patterns During Fast Running and Single-Leg Drop Landing: An In Vivo Biplane Radiography Study.Orthopaedic journal of sports medicine · 2025Article
- MRI-based evaluation of tibial tunnel proximity to the anterior horn of the lateral meniscus in remnant-preserving anterior cruciate ligament reconstruction.Acta orthopaedica et traumatologica turcica · 2025Article
- Anterior talofibular ligament footprint dimension measured using three-dimensional magnetic resonance imaging.Skeletal radiology · 2025Article
- Morphometric Analysis of the Tibial Attachment Shape of the Anterior Cruciate Ligament and Its Relationship With the Location of the Anterior Horn of the Lateral Meniscus.The American journal of sports medicine · 2024Article
- 3D visualization of the human anterior cruciate ligament combining micro-CT and histological analysis.Surgical and radiologic anatomy : SRA · 2024Article
- Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Significance of the broad non-bony attachments of the anterior cruciate ligament on the tibial side.Scientific reports · 2022Article
- Better Coverage of the ACL Tibial Footprint and Less Injury to the Anterior Root of the Lateral Meniscus Using a Rounded-Rectangular Tibial Tunnel in ACL Reconstruction: A Cadaveric Study.Orthopaedic journal of sports medicine · 2022Article
- The Effect of Tibial Insertion Site in Single-Bundle ACL Reconstruction during Gait Based on Motion Capture and Musculoskeletal Model.Journal of healthcare engineering · 2022Article
- Three-Dimensional Reconstruction Algorithm-Based Magnetic Resonance Imaging Evaluation of Biomechanical Changes in Articular Cartilage in Patients after Anterior Cruciate Ligament Reconstruction.Computational intelligence and neuroscience · 2022Article
- Preoperative ultrasound predicts the intraoperative diameter of the quadriceps tendon autograft more accurately than preoperative magnetic resonance imaging for anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Current trends in the anterior cruciate ligament part 1: biology and biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Review
- Patient Height may Predict the Length of the Anterior Cruciate Ligament: A Magnetic Resonance Imaging Study.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- The morphology of the tibial footprint of the anterior cruciate ligament changes with ageing from oval/elliptical to C-shaped.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Three-Dimensional Magnetic Resonance Imaging for Guiding Tibial and Femoral Tunnel Position in Anterior Cruciate Ligament Reconstruction: A Cadaveric Study.Orthopaedic journal of sports medicine · 2020Article
- Correlation bettween Individual Anthropometric Characteristics and Anterior Cruciate Ligament Tibial Fovea Measurements.Revista brasileira de ortopedia · 2020Article
- A more flattened bone tunnel has a positive effect on tendon-bone healing in the early period after ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The Complex Relationship Between In Vivo ACL Elongation and Knee Kinematics During Walking and Running.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
purposeTo clarify the morphology of anterior cruciate ligament (ACL) tibial insertion site in healthy young knees using high-resolution 3-T MRI.
methodsSubjects were 50 ACL-reconstructed patients with a mean age of 21.4 ± 6.8 years. The contralateral healthy knees were scanned using high-resolution 3-T MRI. The tibial insertion sites of the anteromedial (AM) and posterolateral (PL) bundle fibres, and the ACL attachment on the anterior horn of lateral meniscus (AHLM) were segmented from the MR images, and 3D models were reconstructed to evaluate the morphology. The shape of ACL footprint was qualitatively analysed, and the size of AM and PL attachments and AHLM overlapped area was measured digitally.
resultsTibial AM and PL bundles were clearly identified in 42 of 50 knees (84.0%). Morphology of the whole ACL tibial insertion site was elliptical in 23 knees (54.8%) and triangular in 19 knees (45.2%), but not classified as C-shape in any knees. However, the AM bundle attachment was of C-shape in 29 knees (69.0%) and band-like in 13 knees (31.0%). Overlap of ACL on AHLM was found in 26 knees (61.9%), and the size of the overlapped area was 4.8 ± 4.7% of the whole ACL insertion site.
conclusion3D morphology of the intact ACL tibial insertion site analysed by high-resolution 3-T MRI was elliptical or triangular in healthy young knees. However, the AM bundle insertion site was of C-shape or band-like. A small lateral portion of the ACL was overlapped with the AHLM. As for clinical relevance, these findings should be considered in order to reproduce the native ACL insertion site sufficiently. LEVEL OF EVIDENCE: III.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.