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Ultrasonographic examination of the normal and injured posterior cruciate ligament

Ultrasonographic examination of the normal and injured posterior cruciate ligament Purpose The purpose of the study was to determine the echogenicity and thickness of both the normal and injured posterior cruciate ligament (PCL). Methods Eight patients with anterior cruciate ligament injury received ultrasonographic evaluation during arthroscopic examination. With the aid of the comet‐tail artifact produced by the metal hook during arthroscopic examination, the normal PCL was located on sonograms. Thereafter, 11 patients with PCL injury were examined. In all subjects, the PCL thickness was measured at 2.0 cm proximal from posterior end of the distal PCL inserting onto the tibia. Results The normal PCL was located just posterior to the posterior tibial intercondylar area. It was hypo‐echoic and was thickened proximally and tapered distally. The mean thickness of the injured PCL was 0.71 ± 0.12 cm, which was significantly (p < 0.05) greater than that of the normal ligament (0.52 ± 0.08 cm). Different appearances could be observed, including ligamental rupture and avulsion fracture of the tibial insertion of the PCL. Conclusions The normal PCL appears on longitudinal sonograms as a hypoechoic fan‐shape structure. Sonographic examination can identify different types of PCL lesions. © 2005 Wiley Periodicals, Inc. J Clin Ultrasound 33:277–282, 2005 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Ultrasonographic examination of the normal and injured posterior cruciate ligament

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References (22)

Publisher
Wiley
Copyright
Copyright © 2005 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.20136
pmid
16134155
Publisher site
See Article on Publisher Site

Abstract

Purpose The purpose of the study was to determine the echogenicity and thickness of both the normal and injured posterior cruciate ligament (PCL). Methods Eight patients with anterior cruciate ligament injury received ultrasonographic evaluation during arthroscopic examination. With the aid of the comet‐tail artifact produced by the metal hook during arthroscopic examination, the normal PCL was located on sonograms. Thereafter, 11 patients with PCL injury were examined. In all subjects, the PCL thickness was measured at 2.0 cm proximal from posterior end of the distal PCL inserting onto the tibia. Results The normal PCL was located just posterior to the posterior tibial intercondylar area. It was hypo‐echoic and was thickened proximally and tapered distally. The mean thickness of the injured PCL was 0.71 ± 0.12 cm, which was significantly (p < 0.05) greater than that of the normal ligament (0.52 ± 0.08 cm). Different appearances could be observed, including ligamental rupture and avulsion fracture of the tibial insertion of the PCL. Conclusions The normal PCL appears on longitudinal sonograms as a hypoechoic fan‐shape structure. Sonographic examination can identify different types of PCL lesions. © 2005 Wiley Periodicals, Inc. J Clin Ultrasound 33:277–282, 2005

Journal

Journal of Clinical UltrasoundWiley

Published: Jul 1, 2005

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