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The popliteofibular ligament : a cadaveric ultrasound study
popliteofibular ligament
pfl
ultrasonography
posterolateral corner
arcuate sign
Objective: The popliteofibular ligament (PFL) is an important stabilizer of the knee found within the posterolateral corner (PLC) of the joint. Injuries to the PLC can cause substantial patient morbidity. Accurate PFL visualization has been historically challenging, impeding injury diagnosis and treatment. The gold standard for in vivo PFL visualization is magnetic resonance imaging (MRI), but this procedure has slice thickness limitations, is costly, and is subject to longer wait times. Ultrasonographic (US) PFL assessment is a potentially viable alternative to MRI. This study aimed to determine the viability of US PFL assessment.:n Materials and methods: Ten fresh-frozen lower limb specimens were evaluated for the presence and morphometric characteristics of the PFL via US using an 18.0-MHz linear transducer. The cadavers were then dissected and reassessed for the presence and morphometric characteristics of the PFLs for comparison with US findings. Moreover, the fracture of the fibular styloid process near the site of the insertion of the PFL (the arcuate sign) was simulated and assessed via US. Results: The PFL was visualized and measured in all ten knees via both US and cadaveric assessments. There were no statistically significant differences in PFL morphometric characteristics determined via US examination and dissection. The fibular styloid fracture was easily identified in US examination. Conclusion: US imaging is a viable alternative for accurate and effective assessment of the normal PFL. Moreover, the arcuate sign can be evaluated via US.
dc.abstract.en | Objective: The popliteofibular ligament (PFL) is an important stabilizer of the knee found within the posterolateral corner (PLC) of the joint. Injuries to the PLC can cause substantial patient morbidity. Accurate PFL visualization has been historically challenging, impeding injury diagnosis and treatment. The gold standard for in vivo PFL visualization is magnetic resonance imaging (MRI), but this procedure has slice thickness limitations, is costly, and is subject to longer wait times. Ultrasonographic (US) PFL assessment is a potentially viable alternative to MRI. This study aimed to determine the viability of US PFL assessment.:n Materials and methods: Ten fresh-frozen lower limb specimens were evaluated for the presence and morphometric characteristics of the PFL via US using an 18.0-MHz linear transducer. The cadavers were then dissected and reassessed for the presence and morphometric characteristics of the PFLs for comparison with US findings. Moreover, the fracture of the fibular styloid process near the site of the insertion of the PFL (the arcuate sign) was simulated and assessed via US. Results: The PFL was visualized and measured in all ten knees via both US and cadaveric assessments. There were no statistically significant differences in PFL morphometric characteristics determined via US examination and dissection. The fibular styloid fracture was easily identified in US examination. Conclusion: US imaging is a viable alternative for accurate and effective assessment of the normal PFL. Moreover, the arcuate sign can be evaluated via US. | |
dc.affiliation | Wydział Lekarski : Zakład Anatomii | pl |
dc.affiliation | Wydział Lekarski : Katedra Anatomii | pl |
dc.affiliation | Wydział Lekarski : Zakład Biofizyki | pl |
dc.cm.date | 2022-04-08T06:23:39Z | |
dc.cm.id | 104682 | pl |
dc.cm.idOmega | UJCMd1283a3eaf3f403d8fcbe89c1eced993 | pl |
dc.contributor.author | Pękala, Przemysław - 201408 | pl |
dc.contributor.author | Mizia, Ewa - 131002 | pl |
dc.contributor.author | Mann, Mitchell R. | pl |
dc.contributor.author | Wagner-Olszewska, Ilona | pl |
dc.contributor.author | Mostowy, Marcin | pl |
dc.contributor.author | Tatoń, Grzegorz - 133654 | pl |
dc.contributor.author | Domżalski, Marcin | pl |
dc.date.accession | 2022-02-15 | pl |
dc.date.accessioned | 2022-04-08T06:23:39Z | |
dc.date.available | 2022-04-08T06:23:39Z | |
dc.date.issued | 2022 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 1 | pl |
dc.description.physical | 183-189 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 51 | pl |
dc.identifier.doi | 10.1007/s00256-021-03813-9 | pl |
dc.identifier.eissn | 1432-2161 | pl |
dc.identifier.issn | 0364-2348 | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/290393 | |
dc.identifier.weblink | https://link.springer.com/article/10.1007%2Fs00256-021-03813-9?fbclid=IwAR17ot5-jHCDCOc3Mfvb92ScaZlcJIvcNPakVPBDeDV-iby7JjDfL7dpTEA | pl |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.pbn.affiliation | Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne | |
dc.pbn.affiliation | Dziedzina nauk inżynieryjno-technicznych : inżynieria biomedyczna | |
dc.rights | Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa | |
dc.rights.licence | CC-BY | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/legalcode.pl | |
dc.share.type | Otwarte czasopismo | |
dc.subject.en | popliteofibular ligament | |
dc.subject.en | pfl | |
dc.subject.en | ultrasonography | |
dc.subject.en | posterolateral corner | |
dc.subject.en | arcuate sign | |
dc.subtype | Article | pl |
dc.title | The popliteofibular ligament : a cadaveric ultrasound study | pl |
dc.title.journal | Skeletal Radiology | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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