The influences and mechanisms of the physiology, rupture and reconstruction of the anterior cruciate ligament (ACL) on kinematics and clinical outcomes have been investigated in many biomechanical and clinical studies over the last several decades. The knee is a complex joint with shifting contact points, pressures and axes that are affected when a ligament is injured. The ACL, as one of the intra-articular ligaments, has a strong influence on the resulting kinematics. Often, other meniscal or ligamentous injuries accompany ACL ruptures and further deteriorate the resulting kinematics and clinical outcomes. Knowing the surgical options, anatomic relations and current evidence to restore ACL function and considering the influence of concomitant injuries on resulting kinematics to restore full function can together help to achieve an optimal outcome.

Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques

Wegen ihres ausgezeichneten Weichteilkontrasts ist die MRT die Methode der Wahl, um Gelenke und die sie umgebenden Strukturen zu beurteilen. Eine gute Diagnostik setzt dabei mindestens voraus, Anatomie, Pathologie, pathophysiologische Mechanismen und haufige Verletzungsmuster zu kennen. Aber auch die in diesem Beitrag vorgestellten weniger augenscheinlichen Diagnosen sind essenzieller Bestandteil der Diagnostik.

Fallstricke in der MRT-Diagnostik des Kniegelenks

Einleitung
Die Ruptur des vorderen Kreuzbands (VKB) ist eine der haufigsten Knieverletzungen. Die daraus resultierende Instabilitat stellt einen wesentlichen Risikofaktor fur die Entwicklung einer Gonarthrose dar.

Arthroseentwicklung nach vorderer Kreuzbandruptur

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Arthroseentwicklung nach vorderer Kreuzbandruptur