Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9, Supplement , Pages S13-S20 , September 2010

Direct Anterior Cruciate Ligament Insertion to the Femur Assessed by Histology and 3-Dimensional Volume-Rendered Computed Tomography

  • Takehiko Iwahashi, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedics, Osaka University Graduate School of Medicine, Osaka, Japan
    • Corresponding Author InformationAddress correspondence and reprint requests to Takehiko Iwahashi, M.D., Ph.D., Department of Orthopaedics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan
  • ,
  • Konsei Shino, M.D., Ph.D.

      Affiliations

    • Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan
  • ,
  • Ken Nakata, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedics, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Hidenori Otsubo, M.D.

      Affiliations

    • Department of Orthopaedics, Sapporo Medical University, Sapporo, Japan
  • ,
  • Tomoyuki Suzuki, M.D.

      Affiliations

    • Department of Orthopaedics, Sapporo Medical University, Sapporo, Japan
  • ,
  • Hiroshi Amano, M.D.

      Affiliations

    • Department of Orthopaedics, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Norimasa Nakamura, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedics, Osaka University Graduate School of Medicine, Osaka, Japan

Received 19 November 2008 ,Accepted 26 January 2010.

References 

  1. Schneider H. Structure of tendon attachments. Z Anat Entwicklungsgesch. 1956;119:431–456(in German)
  2. Weiler A, Scheffler S. Healing of ligament and tendon to bone. In:  Walsh WR editors. Orthopedic biology and medicine: Repair and regeneration of ligaments, tendons, and joint capsule. Totowa, NJ: Humana Press; 2005;p. 201–231
  3. Benjamin M, Evans EJ, Copp L. The histology of tendon attachment to bone in man. J Anat. 1986;149:89–100
  4. Benjamin M, Moriggl B, Brenner E, Emery P, McGonagle D, Redman S. The “enthesis organ” concept: Why enthesopathies may not present as focal insertional disorders. Arthritis Rheum. 2004;50:3306–3313
  5. Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy. 2006;20:1015–1025
  6. Ferretti M, Ekdahl M, Shen W, Fu FH. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: An anatomic study. Arthroscopy. 2007;23:1218–1225
  7. Takahashi M, Doi M, Abe M, Suzuki D, Nagano A. Anatomical study of the femoral and tibial insertions of the anteromedial and posterolateral bundles of human anterior cruciate ligament. Am J Sports Med. 2006;34:787–792
  8. Amis AA, Jakob RP. Anterior cruciate ligament graft positioning, tensioning and twisting. Knee Surg Sports Traumatol Arthrosc. 1998;6(Suppl 1):S2–S12
  9. Bernard M, Hornung H, Cierpinski T. Femoral insertion of the ACL (Radiographic quadrant method). Am J Knee Surg. 1997;10:14–22
  10. Colombet P, Robinson J, Christel P, et al. Morphology of anterior cruciate ligament attachments for anatomic reconstruction: A cadaveric dissection and radiographic study. Arthroscopy. 2006;22:984–992
  11. Girgis FG, Marshall JL, Monajem A. The cruciate ligaments of the knee joint (Anatomical, functional and experimental analysis). Clin Orthop Relat Res. 1975;216–231
  12. Giron F, Cuomo P, Aglietti P, Bull AM, Amis AA. Femoral attachment of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14:250–256
  13. Harner CD, Baek GH, Vogrin TM, Carlin GJ, Kashiwaguchi S, Woo SL. Quantitative analysis of human cruciate ligament insertions. Arthroscopy. 1999;15:741–749
  14. Mochizuki T, Muneta T, Nagase T, Shirasawa S, Akita KI, Sekiya I. Cadaveric knee observation study for describing anatomic femoral tunnel placement for two-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2006;22:356–361
  15. Keating AP, Knox J, Bibb R, Zhurov AI. A comparison of plaster, digital and reconstructed study model accuracy. J Orthod. 2008;35:191–201
  16. Moritomo H, Goto A, Sato Y, Sugamoto K, Murase T, Yoshikawa H. The triquetrum-hamate joint: An anatomic and in vivo three-dimensional kinematic study. J Hand Surg Am. 2003;28:797–805
  17. Purnell ML, Larson AI, Clancy W. Anterior cruciate ligament insertions on the tibia and femur and their relationships to critical bony landmarks using high-resolution volume-rendering computed tomography. Am J Sports Med. 2008;36:2083–2090
  18. Shino K, Nakata K, Nakamura N, et al. Anatomic anterior cruciate ligament reconstruction using two double-looped hamstring tendon grafts via twin femoral and triple tibial tunnels. Oper Tech Orthop. 2005;15:130–134
  19. Hutchinson MR, Ash SA. Resident's ridge: Assessing the cortical thickness of the lateral wall and roof of the intercondylar notch. Arthroscopy. 2003;19:931–935

 The authors report no conflict of interest.

PII: S0749-8063(10)00094-0

doi: 10.1016/j.arthro.2010.01.023

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9, Supplement , Pages S13-S20 , September 2010