ArticleOrthopaedic journal of sports medicine2018
Can the Anterolateral Ligament Be Reliably Identified in Anterior Cruciate Ligament-Intact and Anterior Cruciate Ligament-Injured Knees on 3-T Magnetic Resonance Imaging?
Article in Orthopaedic journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Magnetic resonance imaging-based identification of the knee anterolateral ligament: A systematic review with meta-analysis.Journal of experimental orthopaedics · 2026Review
- Associations between MRI Findings of the Anterolateral Ligament in Knee Injuries and Clinical Variables in Candidates for Anterior Cruciate Ligament Reconstruction.The archives of bone and joint surgery · 2026Article
- Anterolateral Ligament Pathological Anatomy and its Associated Injuries: An Infographic.Oman medical journal · 2024Article
- The Functional Integrity of the Anterior Cruciate Ligament Can Be Objectively Assessed With the Use of Stress Radiographs: A Systematic Review.Orthopaedic journal of sports medicine · 2024Article
- Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint.Medicina (Kaunas, Lithuania) · 2022Review
- The deep lateral femoral notch sign: a reliable diagnostic tool in identifying a concomitant anterior cruciate and anterolateral ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Knee laxity, lateral meniscus tear and distal femur morphology influence pivot shift test grade in ACL injury patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Predictive Factors Associated with Anterolateral Ligament Injury in the Patients with Anterior Cruciate Ligament Tear.Indian journal of orthopaedics · 2020Article
- Painful Palpation of the Tibial Insertion of the Anterolateral Ligament Is Concordant With Acute Anterolateral Ligament Injury.Orthopaedic journal of sports medicine · 2020Article
- The anterolateral ligament of the knee joint: a review of the anatomy, biomechanics, and anterolateral ligament surgery.Knee surgery & related research · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe anterolateral ligament (ALL) has been described as an extracapsular stabilizer of knee rotational stability. Investigators have shown a renewed interest in the ALL and further evaluated its anatomy and biomechanical role as a knee stabilizer. The appearance of the ALL on magnetic resonance imaging (MRI) remains inconsistent across the literature. PURPOSE: The aims of this study were 2-fold. The first objective was to further investigate the appearance of the uninjured ALL on MRI and provide data regarding interrater agreement in identifying the ligament. The second objective was to describe the incidence of concomitant ALL injuries in anterior cruciate ligament (ACL)-injured knees and provide data regarding interrater agreement in identifying and grading these injuries. STUDY
designCohort study (diagnosis); Level of evidence, 3.
methodsFifty consecutive MRI scans of non-ACL-injured knees (control) and 50 consecutive MRI scans of ACL-injured knees performed at a single sports medicine center were identified. Three musculoskeletal radiologists independently reviewed the MRI scans in a randomized and blinded fashion. In the control group, the reviewers classified the ALL as visualized or not and did so for the proximal, middle, and distal thirds of the ligament. In the ACL tear group, the reviewers classified the ALL as visualized or not for each third of the ligament. They noted whether the ligament was injured and graded the injury as low, intermediate, or high.
resultsAll 3 segments of the ALL were visualized in a mean 11% of patients. The ALL was partially visualized in a mean 68% of patients. The distal third of the ALL was injured 28% (14/50) of the time in the ACL tear group. The agreement rate among raters for classifying the injury status was fair to poor.
conclusionVisualization of the ALL was inconsistent in the current study. Identifying and grading an injury to the ALL were difficult and had poor interobserver agreement. Using MRI to aid in the diagnosis of an ALL injury in the setting of an ACL tear is unreliable according to our study results. Further research looking at consistent ALL identification and injury patterns should be undertaken.
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