Purpose
This work shows some clinical cases in order to describe the use of Rosenberg X-ray diagnosis and prone knee view to help in defining anterior cruciate ligament injuries in athletes.
These diagnostic techniques are generally carried out after having examined radiographs in the two orthogonal projections in order to assess the joint space; especially for traumatic and degenerative lesions of the tibial plateau and the intercondylar notch.
Methods and Materials
For this work we selected high level athletes suffering from a recent knee trauma,
operated to reconstruct the anterior cruciate ligament (ACL).
The selected athletes had a radiographic examination with two orthogonal projections supplemented with Rosenberg projection,
PKV and RM of injured knee.
The radiograms presented in this work are acquired by digital technique trough an orthoclinoscope with a brilliance intensifier.
The magnetic resonance images used for the comparison were obtained using a 1.5 T tomograph.
The Rosenberg radiographic view uses two radiographs obtained in...
Results
We examined 20 high level athletes performing different sports who suffered from a recent trauma or were assessed for eligibility.
The projections were carried out in comparison,
evaluating the direction and the width of ACL reconstruction tunnel,
verifying the orientation of the means of synthesis,
the presence of possible loose bodies and comparing the radiological PKV picture with the sagittal oblique plane ( Fig.5,
6,
7 )
We examined 20 professional athletes in different sports who suffered from a recent trauma or were assessed for...
Conclusion
In the preliminary work,
the PKV shows more sensible and specific compared to the Rosenberg projection,
because of a more accurate evaluation of the intercondilar notch during its whole course and to a better definition of its extension and width.
It also gives a better definition of the tibial tunnel and femoral button interfering screws.
We were really surprised in seeing that the PK view was very detailed in highlighting the endoarticular loose bodies adjacient to the devoloping tunnel,
which weren’t always visible with the...
References
1.Yoo JH,Yi SR,Son BK The prone Kneeling View of the intercondylar notch for radiographic assessment of the femoral tunnel position in anterior cruciate legament reconstruction .
Arthroscopy 2008;24:465-471
2.
Mars group,
Radiographic Findings in Revision Anterior Cruciate Ligament Reconstructions from the MARS Cohort.
J.
knee Surg 2013.
3.
Anderson AF,Anderson CN,Gorman TM et al.
Radiographic measurements of the intercondylar notch.
Are they accurate? Arthroscopy 2007;23:261-268
4.
Cole J.,Brand JC Jr,Caborn DN et al.
Radiographic analysis of femoral tunnel position in anterior cruciate ligament reconstruction.
Am...
Personal Information
Silvana Giannini MD Department of Radiology Casa di Cura Villa Stuart Rome Italy
E-mail :
[email protected]