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The Precision of MRI in the Diagnosis of Anterior Cruciate Ligament Injury Among Athletes in Riyadh, Kingdom of Saudi Arabia

Submission Type:

1 Radiological Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University

2 Radiological Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University

3 Radiological Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University

4 Radiological Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University

5 Radiological Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University

Abstract

Introduction:
An anterior cruciate ligament (ACL) is frequently injured among athletes.  ACL injuries occur due to strong contact or indirect knee trauma, causing the enlarging or destroying of non-contractile, and elastic soft-tissue articular structures. Aims: An anterior cruciate ligament injury is the most injured among young athletes.  It could be a complete or partial tear.  This study aimed to evaluate the role of MRI and physical examination in diagnosis of anterior cruciate ligament tears among athletes.

Method:
The data on anterior cruciate ligament tears were collected retrospectively from Riyadh's main hospitals, KSA.  The diagnosis went through physical examinations and MRI knee protocol, and the final diagnosis in most cases was based on the physical examination combined with an MRI image.

Results:
Our data consists of 32 male athletic patients with anterior cruciate ligament tears.  The incidence of athlete injuries was mainly among young males between 20-35 years old. The most commonly reported was a partial tear by 66% and a complete tear by 34%.  MRI is the main tool to evaluate ACL injury and differentiate between partial and complete ACL tear.


Conclusion: The final reported cases were diagnosed by using a special MRI knee protocol.  A partial tear is the most common injury among young male Saudi athletes, which is a male injury in Saudi society.

Main Subjects

Training
Radiological Education
Quality Assurance
+4

Keywords

Complete anterior cruciate ligament tear
Partial anterior cruciate ligament tear
MRI imaging
anterior cruciate ligament tear diagnosis
medical imaging

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References

  1. 1.
    [1] Johnson DL, Brunkhorst J, Johnson DL. Radiographic evidence of anterior cru-
  2. 2.
    ciate ligament insufficiency. Orthopedics. 2014;37(11):759–62. PMID: 25361360.
  3. 3.
    doi:10.3928/01477447-20141023-06.
  4. 4.
    [2] Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. Anatomy and biomechanics of
  5. 5.
    the anterior cruciate ligament. In: Prodomos CC. The Anterior Cruciate Ligament:
  6. 6.
    Reconstruction and Basic Science. 2nd ed. Philadelphia, PA: Elsevier; 2018. chap 1.
  7. 7.
    [3] Bolgla LA. Gender issues in ACL injury. In: Giangarra CE, Manske R, editors. Clini-
  8. 8.
    cal Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia, PA: Elsevier;
  9. 9.
    2018. chap 49.
  10. 10.
    [4] Nenezic D, Kocijancic I. The value of the sagittal-oblique MRI technique for injuries
  11. 11.
    of the anterior cruciate ligament in the knee. Radiol Oncol. 2013;47(1):19–25.
  12. 12.
    doi:10.2478/raon-2013- 0006.
  13. 13.
    [5] Cheung EC, Mcallister DR, Petrigliano FA. Anterior cruciate ligament injuries.
  14. 14.
    In: Miller MD, Thompson SR, editors. DeLee, Drez, & Miller’s Orthopaedic Sports
  15. 15.
    Medicine. vol. 2020. 5th ed. Philadelphia, PA: Elsevier;. chap 98.
  16. 16.
    [6] Howard J, Luks MD. Partial Anterior Cruciate Ligament – ACL – Tears;. Available from: http://www.howardluksmd.com/sports-medicine/partial-anterior-cruciate- ligament-acl-tears.
  17. 17.
    [7] Arendt EA, Agel J, Dick R. Anterior cruciate ligament injury patterns among collegiate men and women. J Athl Train. 1999;34:86–92.
  18. 18.
    [8] Garrick JG, Requa RK. Anterior cruciate ligament injuries in men and women: how common are they? In: Griffin LY, editor. Prevention of noncontact ACL injuries, Saudi Journal of Radiology
  19. 19.
    [10] Hawesa et al. The precision of MRI in the diagnosis of anterior cruciate ligament injury among Athletes in Riyadh, KSA.
  20. 20.
    Rosemont,IL: American Academy Orthopaedic Surgeons; 2001. p. 1–10.
  21. 21.
    [9] Gwiazdoń P, Racut1 BA, Strózik M, Bała W, Klimek K, Rajca J et al. Diagnosis, treat-
  22. 22.
    ment and statistic of anterior cruciate ligament injuries. Baltic Journal of Health and
  23. 23.
    Physical Activity. 2019;11(4):115–125.
  24. 24.
    [10] Agel J, Arendt E, Bershadsky B. Anterior cruciate ligament injury in national colle-
  25. 25.
    giate athletic association basketball and soccer: a 13 year review. Am J Sports Med.
  26. 26.
    2005;33(4):524–554.
  27. 27.
    [11] Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nichols CE. rior cruciate ligament injuries, part I. Treatment of ante-
  28. 28.
    The American journal of sports medicine.
  29. 29.
    2005;33(10):1579–602.
  30. 30.
    [12] Di Iorio, Carnesecchi A, Philippot O, Farizon R, F. Multiscale analysis of anterior cruciate ruptures: Prospective study of 49 cases. Orthop Traumatol Surg Res. 2014;100(7):751–4. Epub 2014 Jun 19. PMID: 24954368.doi:10.1016/j.otsr.2014.02.011.
  31. 31.
    [13] Potter HG, Jain SK, Ma Y, Black BR, Fung S, Lyman S. Cartilage injury after acute, isolated anterior cruciate ligament tear: immediate and longitudinal effect with clinical/MRI follow-up. Am J Sports Med. 2011;40(2):276–85. Epub 2011 Sep 27. PubMed PMID: 21952715. doi:10.1177/0363546511423380.
  32. 32.
    [14] Raines EBT, Naclerio SL, Sherman. Management of Anterior Cruciate Ligament Injury: What’s In and What’s Out? Indian J Orthop. 2017;51(5):563–575.
  33. 33.
    [15] Joanne L, Parsons SE, Coen S, Bekker. Anterior cruciate ligament injury: towards a gendered environmental approach. British Journal of Sports Medicine. 2023;55(17).
  34. 34.
    [16] Hash TW. 2nd. Magnetic resonance imaging of the knee. Sports Health. 2013;5(1):78–107. PMID: 24381701; PMCID: PMC3548666. doi:10.1177/1941738112468416.
  35. 35.
    [17] Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. Open Access J Sports Med. 2016;7:21–32. PMID: 26955296.
  36. 36.
    [18] Ostrowski JA. Accuracy of 3 diagnostic tests for anterior cruciate ligament tears. J Athl Train. 2006;41(1):120–121.
  37. 37.
    [19] Prins M. The Lachman test is the most sensitive and the pivot shift the most specific test for the diagnosis of ACL rupture. Australian Journal of Physiotherapy. 2006;.