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Imaging ACL reconstructions and their complications.

P Kulczycka1, A Larbi1, J Malghem1

  • 1Department of Radiology, institut de recherche expérimentale et clinique (IREC), cliniques universitaires Saint Luc, université catholique de Louvain, avenue Hippocrate, 10/2942, 1200 Brussels, Belgium.

Diagnostic and Interventional Imaging
|June 10, 2014
PubMed
Summary
This summary is machine-generated.

Magnetic resonance imaging (MRI) is crucial for evaluating anterior cruciate ligament (ACL) reconstructions. This review details common complications, including tunnel malposition, graft impingement, rupture, arthrofibrosis, and implant issues.

Keywords:
Anterior cruciate ligamentComplicationsKneeMRISurgery

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Area of Science:

  • Orthopedic imaging
  • Musculoskeletal radiology
  • Sports medicine

Background:

  • Anterior cruciate ligament (ACL) reconstructions are frequent in knee imaging.
  • Understanding normal post-operative appearances and potential complications is vital for radiologists.

Purpose of the Study:

  • To illustrate the main complications associated with anterior cruciate ligament (ACL) reconstruction surgery.
  • To provide a guide for interpreting MRI findings in post-operative ACL patients.

Main Methods:

  • Review of common complications following ACL reconstruction.
  • Magnetic resonance imaging (MRI) as the primary diagnostic modality.
  • Illustration of specific findings such as tunnel positioning, graft impingement, rupture, arthrofibrosis, Cyclops syndrome, and material fragmentation.

Main Results:

  • Suboptimal tunnel positioning can lead to impingement and graft failure.
  • Graft rupture, arthrofibrosis, and the Cyclops syndrome are significant complications.
  • Fragmentation or migration of fixation materials and granulomatous reactions can occur.

Conclusions:

  • Comprehensive knowledge of ACL reconstruction imaging is essential for accurate diagnosis.
  • MRI effectively identifies a spectrum of post-operative complications.
  • Early recognition of these complications aids in patient management and outcomes.