1 thought on “Knee XR consult 36M discomfort 2 years post ACL graft reconstruction”
avneesh.chhabra
Hello,
Its ok- in fact it should be less than 75 deg angle on coronal or AP view – so little better on left side.
The foot plate is also more anteriorly located than previously thought.
You might like these recent articles from our group..
Thakur U, Gulati V, Shah J, Tietze D, Chhabra A. Anterior cruciate ligament reconstruction related complications: 2D and 3D high-resolution magnetic resonance imaging evaluation. Skeletal Radiol. 2022 Jul;51(7):1347-1364. doi: 10.1007/s00256-021-03982-7. Epub 2022 Jan 3. PMID: 34977965.
Nguyen T, Haider S, Tietze D, Xi Y, Thakur U, Shah J, Chhabra A. Anterior cruciate ligament foot plate anatomy: 3-dimensional and 2-dimensional MRI evaluation with arthroscopy assessment in a subset of patients. Eur Radiol. 2022 Jun 17. doi: 10.1007/s00330-022-08920-2. Epub ahead of print. PMID: 35713663.
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Sent: Tuesday, August 9, 2022 1:19 PM
EXTERNAL MAIL
The femoral interference screw seems to straddle Blumensaat’s Line at the intersection with the posterior femoral cortex.
I’m not sure if it’s supposed to extend this low?
Seems find in the AP / PA.
Is this normal?
There is capsular distention….will recommend MRI…just like to know what I’m looking at on XR…otherwise it’s just a waste of good radiation.
Thanks for your help…Hilary
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Its ok- in fact it should be less than 75 deg angle on coronal or AP view – so little better on left side.
The foot plate is also more anteriorly located than previously thought.
You might like these recent articles from our group..
Thakur U, Gulati V, Shah J, Tietze D, Chhabra A. Anterior cruciate ligament reconstruction related complications: 2D and 3D high-resolution magnetic resonance imaging evaluation. Skeletal Radiol. 2022 Jul;51(7):1347-1364. doi: 10.1007/s00256-021-03982-7. Epub 2022 Jan 3. PMID: 34977965.
Nguyen T, Haider S, Tietze D, Xi Y, Thakur U, Shah J, Chhabra A. Anterior cruciate ligament foot plate anatomy: 3-dimensional and 2-dimensional MRI evaluation with arthroscopy assessment in a subset of patients. Eur Radiol. 2022 Jun 17. doi: 10.1007/s00330-022-08920-2. Epub ahead of print. PMID: 35713663.
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor Radiology & Orthopedic Surgery
Chief, Division of Musculoskeletal Radiology
UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178
Office: 214-648-2122
avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>
http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>
________________________________
Sent: Tuesday, August 9, 2022 1:19 PM
EXTERNAL MAIL
The femoral interference screw seems to straddle Blumensaat’s Line at the intersection with the posterior femoral cortex.
I’m not sure if it’s supposed to extend this low?
Seems find in the AP / PA.
Is this normal?
There is capsular distention….will recommend MRI…just like to know what I’m looking at on XR…otherwise it’s just a waste of good radiation.
Thanks for your help…Hilary
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