Anterior Cruciate Ligament Tear
Conditions
Keywords
dynamic knee laxity measurement, laxi-MRI, partial anterior cruciate ligament tear
Brief summary
Anterior cruciate ligament (ACL) tear is frequent, but the diagnosis of partial tears is difficult. Standard MRI may be used but is of limited diagnostic value. The present study aimed to evaluate the diagnostic interest of dynamic knee laxity measurement coupled to MRI for the diagnosis of ACL tear.
Interventions
Dynamic knee laxity measurement coupled to MRI for the diagnosis of ACL tear
Sponsors
Study design
Eligibility
Inclusion criteria
* knee injury requiring MRI examination * accepting to participate * covered by a health care insurance system
Exclusion criteria
* MRI contraindication * pregnancy * patient included in another study potentially affecting the results * protected patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anterior tibial translation (ATT) measurement | 1 year after the baseline MRI-scan | Time Frame : 1 year after the baseline MRI-scan a follow-up MRI is performed if the patient did not had surgery. ATT is calculated as the difference between the distance from the tangent to the condyle to the tangent to the posterior aspect of the tibial plateau in the stress position and in resting conditions. ATT is measured for the medial and the lateral compartment respectively and the final ATT is the average of medial and lateral ATT. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Degree of laxity | 1 year after the baseline MRI-scan | 1 year after the baseline MRI-scan a follow-up MRI is performed if the patient did not had surgery. Laxity of the torn ligament is defined using a visual scale with the following grading : 0 : No laxity. Grade 1: moderate laxity. Grade 2: severe laxity. |
| Femorotibial rotation (FTR) value | 1 year after the baseline MRI-scan | 1 year after the baseline MRI-scan a follow-up MRI is performed if the patient did not had surgery. FTR= arc tan ((ATT lateral-ATT medial)/(slice thickness\*number of sagittal slices))\*180/π |
Countries
France