IJAR.2019.332

Type of Article:  Original Research

Volume 7; Issue 4.3 (December 2019)

Page No.: 7149-7154

DOI: https://dx.doi.org/10.16965/ijar.2019.332

MORPHOMETRIC ANALYSIS OF CRUCIATE LIGAMENTS

Geetha rani B.G *1, Varsha Mokhasi 2, Tamsir Rong P 3.

*1 Assistant Professor, Department of Anatomy, Vydhehi Institute of Medical Sciences, Bangalore, Karnataka, India.

2 Professor & HOD, Department of Anatomy, Vydhehi Institute of Medical Sciences, Bangalore, Karnataka, India.

3Assistant Professor, Department of Radiology, Vydhehi Institute of Medical Sciences, Bangalore, Karnataka, India.

Corresponding Author:   Dr Geetha rani B.G, Assistant Professor, Department of Anatomy, Vydhehi Institute of Medical Sciences, Bangalore 560066, Karnataka, India. Mobile No: 9964068258 E-Mail: lalithgeetha246@gmail.com

ABSTRACT

Introduction: Anterior cruciate ligaments (ACL) and posterior cruciate ligaments (PCL) are tough band of fibrous structures extending between tibia and femur. Cruciate ligaments are at risk of injury in sports personnel. Injured ligaments are treated by reconstruction surgeries which require the morphometric understanding.  Therefore, this study intended to find the length and width of ACL and PCL in cadavers and by MRI in healthy individuals.

Material and methods: Thirty embalmed cadaver knees were dissected to expose the ligaments. Length and width of the ligaments was measured by the Vernier’s calipers. Thirty MRIs of knee joint with no previous detected knee pathology were obtained and reviewed. The data was tabulated for statistical analysis. Student‘t’ test was used for comparison. P value <0.05 was considered as statistically significant.

Results: In the cadavers, ACL was significantly longer than PCL in length (p <0.014). PCL width was larger than ACL width (p <0.001).

Conclusion: The present study contributes to the relative morphometric data on ACL and PCL and stresses that PCL is shorter and wider than ACL making it a more stable structure.

Key words: Morphometry, Anterior Cruciate Ligaments, Posterior Cruciate Ligament.

  1. REFERENCES
  2. Pinskerova V, Maquet P, Freeman MA. Writings on the knee between 1836 and 1917. The Journal of bone and joint surgery. British volume. 2000 Nov;82(8):1100-2.
  3. Girgis FG, Marshall JL, Monajem AR. The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clinical orthopaedics and related research. 1975;106:216-31.
  4. Arnoczky SP. Anatomy of the anterior cruciate ligament. Clinical orthopaedics and related research. 1983;172:19-25.
  5. Mink JH, Levy T, Crues 3rd JV. Tears of the anterior cruciate ligament and menisci of the knee: MR imaging evaluation. Radiology. 1988 Jun;167(3):769-74.
  6. Van Dommelen BA, Fowler PJ. Anatomy of the posterior cruciate ligament: a review. The American journal of sports medicine. 1989 Jan;17(1):24-9.
  7. Rodriguez Jr W, Vinson EN, Helms CA, Toth AP. MRI appearance of posterior cruciate ligament tears. American Journal of Roentgenology. 2008 Oct;191(4):W155-9.
  8. Kobayashi H, Kanamura T, Koshida S, Miyashita K, Okado T, Shimizu T, Yokoe K. Mechanisms of the anterior cruciate ligament injury in sports activities: a twenty-year clinical research of 1,700 athletes. Journal of sports science & medicine. 2010 Dec; 9(4):669.
  9. Fowler PJ, Messieh SS. Isolated posterior cruciate ligament injuries in athletes. The American journal of sports medicine. 1987; 15(6):553-7.
  10. Strouhal E, Vachala B, Vymazalová H. The medicine of the ancient Egyptians. The American University in Cairo Press; 2014 Sep 30.
  11. Nordenvall R, Bahmanyar S, Adami J, Mattila VM, Felländer-Tsai L. Cruciate ligament reconstruction and risk of knee osteoarthritis: the association between cruciate ligament injury and post-traumatic osteoarthritis. a population based nationwide study in Sweden, 1987–2009. PloS one. 2014 Aug 22;9(8):e104681.
  12. Zantop T, Kubo S, Petersen W, Musahl V, Fu FH. Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2007 Sep 1;23(9):938-47.
  13. Zantop T, Petersen W, Fu FH. Anatomy of the anterior cruciate ligament. Operative techniques in orthopaedics. 2005 Jan 1;15(1):20-8.
  14. Standring S, editor, Gray’s Anatomy, the anatomical basis of clinical practice. 3. Edinburgh: Elsevier Churchill Livingstone; 2005: 1461
  15. Kweon C, Lederman ES, Chhabra A. Anatomy and biomechanics of the cruciate ligaments and their surgical implications. InThe multiple ligament injured knee 2013 (pp. 17-27). Springer, New York, NY.
  16. Amis AA, Dawkins GP. Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. Bone & Joint Journal. 1991 Mar 1; 73(2):260-7.
  17. Kennedy JC, Fowler PJ, Peltier LF. Medial and anterior instability of the knee: an anatomical and clinical study using stress machines. Clinical Orthopaedics and Related Research (1976-2007). 1995 Dec 1;321:3-9.
  18. Hughston JC, Degenhardt TC. Reconstruction of the posterior cruciate ligament. Clinical Orthopaedics and Related Research®. 1982 Apr 1;164:59-77.
  19. Saddler SC, Noyes FR, Grood ES, Knochenmuss DR, Samir Hefzy M. Posterior cruciate ligament anatomy and length-tension behavior of PCL surface fibers. American Journal of Knee Surgery. 1996;9:194-9.
  20. Covey DC. Injuries of the posterolateral corner of the knee. JBJS. 2001 Jan 1;83(1):106-18.
  21. Tria AJ. A contemporary bicruciate total knee arthroplasty. InSeminars in Arthroplasty 2017 Jun 1;28(2):65-70. WB Saunders.
  22. Yelicharla AK, Gajbe U, Singh B. Morphometric Study on Cruciate Ligaments of Knee with Gender Differences: A Cadaveric Study. Asian Pac J Health Sci 2014; 1(3): 285-291
  23. Awadelsied MH. Radiological Study of Anterior Cruciate Ligament of the Knee Joint in Adult Human and its Surgical Implication. Universal Journal of Clinical Medicine. 2015 Feb;3(1):1-5.
  24. Odensten M, Gillquist J. Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. The Journal of bone and joint surgery. American volume. 1985 Feb;67(2):257-62.
  25. Iriuchishima T, Tajima G, Ingham SJ, Shen W, Smolinski P, Fu FH. Impingement pressure in the anatomical and nonanatomical anterior cruciate ligament reconstruction: a cadaver study. The American journal of sports medicine. 2010 Aug;38(8):1611-7.
  26. Pope T, Bloem HL, Beltran J, Morrison WB, Wilson DJ. Musculoskeletal Imaging E-Book. Elsevier Health Sciences; 2014 Nov 3.

Cite this article: Geetha rani B.G, Varsha Mokhasi, Tamsir Rong P. MORPHOMETRIC ANALYSIS OF CRUCIATE LIGAMENTS. Int J Anat Res 2019;7(4.3):7149-7154. DOI: 10.16965/ijar.2019.332