THE ROLE OF SONOGRAPHY IN THE DIAGNOSIS OF TRAUMATIC RUPTURE OF THE ANTERIOR CRUCIATE LIGAMENT OF THE KNEE

Authors

  • Piyadara KHONGPIBOONKIT Department of Radiology
  • Chairat KHONGPIBOONKIT Department of Orthopaedics, Phayao Hospital
  • Worachai AUEAPINUN Department of Orthopaedics, Phayao Hospital
  • Anun MALAIRUNGSAKUL Department of Orthopaedics, Phayao Hospital

Abstract

OBJECTIVE: To evaluate the usefulness and value of sonography in the diagnosis ofa rupture of the anterior cruciate ligament resulting from a recent knee injury, which was indicated by a physical examination suggesting ofa traumatic anterior cruciate ligament injury.

MATERIALS & METHODS: Sonography was prospectively performed in 16 patients with a recent traumatic knee injury,in which a physical examination by an orthopaedist suggested a traumatic rupture of the anterior cruciate ligament of the knee. The presence ofa hypoechoic collection along the lateral wall of the femoral intercondylar notch was interpreted as a hematoma together with a ligament stump at the femoral attachment of the anterior cruciate ligament. The operative findings were compared in 12 cases. Arthroscopy was subsequently performed in 2 cases.

RESULTS: The positive sonographic findings were confirmed by operative findings in 12 of 16 patients and the negative sonographic findings were confirmed by arthroscopy in 2 of 16 patients. In the remaining 2 of the 16 cases,there was a loss of follow up.

CONCLUSION: Sonography is a useful,available and inexpensive method of detecting the presence ofa rupture of the antericr cruciate ligament, particularly in the hospitals which do not have MRI.

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References

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R. Ptasznik, J Feller, J Bartlett , G. Fitt, A. Mitchell, O. Hennessy. The value of sonography in the diagnosis of traumatic rupture of the anterior cruciate ligament of the knee. AJR 1995; 164: 1461-1463

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Charles A. Rockwood, Jr, Devid P.Green, Robert W. Bucholz. Injuries of The Cruciate Ligaments. Fractures in Adults,3rd ed. New York : London, 1991 ; 1865 - 1885

Peagin JA, Abbott Hg, Rokus JR. The isolated tear of the anterior cruciate ligament. J Bone Joint Surg Am 1972 ;47-A : 1340- 1341

Van Holsbeek M, Introcaso JH. Musculos keletal ultrasound, 1“ ed. St. Louis: Mosby, 1991 : 300-308

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Published

2023-04-17

How to Cite

1.
KHONGPIBOONKIT P, KHONGPIBOONKIT C, AUEAPINUN W, MALAIRUNGSAKUL A. THE ROLE OF SONOGRAPHY IN THE DIAGNOSIS OF TRAUMATIC RUPTURE OF THE ANTERIOR CRUCIATE LIGAMENT OF THE KNEE. ASEAN J Radiol [Internet]. 2023 Apr. 17 [cited 2024 Dec. 9];10(1):7-14. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/671

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