Study on the diagnostic value of different posterior cruciate ligament index measurement methods for anterior cruciate ligament injury.
10.12200/j.issn.1003-0034.2023.10.004
- Author:
Jun YANG
1
;
Yuan-Jun TENG
2
,
3
;
Zun-Lin WANG
1
;
Zhong-Cheng LIU
4
;
Si-Jie CHEN
1
;
Xue-Ping WU
5
;
Yong-Kang NIU
4
;
Ya-Yi XIA
2
,
3
Author Information
1. The Second Clinical Medical College, Lanzhou Universty, Lanzhou 730030, Gansu, China.
2. The Second Clinical Medical College, Lanzhou Universty, Lanzhou 730030, Gansu, China
3. Department of Orthopaedics, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China.
4. Department of Orthopaedics, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China.
5. Harbin Medical University, Harbin 15000, Heilongjiang, China.
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament injury;
Diagnostic value;
Posterior cruciate ligament index;
Sensitivity
- MeSH:
Humans;
Adolescent;
Young Adult;
Adult;
Middle Aged;
Posterior Cruciate Ligament/diagnostic imaging*;
Anterior Cruciate Ligament Injuries/diagnostic imaging*;
Anterior Cruciate Ligament;
Retrospective Studies;
Knee Joint;
Magnetic Resonance Imaging/methods*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(10):926-931
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the posterior cruciate ligament(PCL) index with six different measurement methods, and analyze and verify its clinical diagnostic value in anterior cruciate ligament (ACL) injury.
METHODS:The Magnetic resonance imaging (MRI) data of 225 knee joints in our hospital from May 2018 to March 2022 were retrospectively analyzed, aged from 18 to 60 years old, with a median of 32 years old. On the sagittal MRI images of 114 patients with ACL injury and 111 patients with intact ACL, Measure the straight-line distance (A) between the femoral attachment point and the tibial attachment point of the PCL on the MRI sagittal image and the maximum vertical distance (B) between the straight line and the arcuate mark point of the PCL on the sagittal image, calculate the PCL index and evaluate the diagnostic value of the PCL index for ACL injury.
RESULTS:The PCL index of the ACL normal group and the ACL injury group were statistically described. There was no significant difference in PCL index 1, 2, 3 and 6 between the two groups(P>0.05). The difference of PCL index 4 and 5 between the two groups was statistically significant (P<0.001). This study only found that the PCL index 2, 6 in the ACL normal group had a negative correlation with the patient's age (correlation coefficient=-0.213, -0.819;P<0.05), and the PCL index 5 in the ACL injury group was significantly correlated with the patient's body mass index(BMI)had a negative correlation (correlation coefficient=-0.277, P<0.05).
CONCLUSION:The change of PCL index is helpful for the diagnosis of ACL injury, PCL index 4 and 5 can be used as effective reference indexes for diagnosing ACL injury in clinic.
