ACL anatomy: Is there still something to learn?

Article disponible en castellà: http://hdl.handle.net/10230/60228

Detalles Bibliográficos
Autores: Morales Avalos, Rodolfo, Torres González, Emilio, Padilla-Medina, José Ramón, Monllau García, Juan Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/60227
Acceso en línea:http://hdl.handle.net/10230/60227
http://dx.doi.org/10.1016/j.recot.2023.02.005
Access Level:acceso abierto
Palabra clave:ACL
Anatomy
Morphology
Bundles
Footprint
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spelling ACL anatomy: Is there still something to learn?Morales Avalos, RodolfoTorres González, EmilioPadilla-Medina, José RamónMonllau García, Juan CarlosACLAnatomyMorphologyBundlesFootprintArticle disponible en castellà: http://hdl.handle.net/10230/60228Background: The different bony and soft tissue reference points and the micro and macroscopic structures of the knee continue to be the object of focused study and analysis. Upon reviewing the most recent literature, we saw the wide spectrum of studies that seek to define the different anatomical aspects of the anterior cruciate ligament (ACL). Purpose: The purpose of this paper is to review the most recent publications on the ACL and its morphology in which its microscopic composition and macroscopic anatomy are addressed. Results: The ACL consists of type I (90%) and type III (10%) collagen matrix. Its length ranges from 27 to 38mm and its width from 10 to 12mm. The ACL cross-section area measures an average of 44mm2, and its shape resembles that of an hourglass or a bow tie. ACL bundles have been defined as anteromedial, intermediate, and posterolateral. Femoral and tibial footprints were seen to present a high degree of variability in shape and size. Furthermore, the blood supply is given by the medial genicular artery and innervation by the tibial nerve branches. Additionally, the ACL functionally prevents anterior translation of the tibia and stabilizes against the internal rotation of the tibia and valgus angulation of the knee. Conclusions: There is great variability in the anatomy of the ACL as well as its attachment sites. At the same time, the shape and size of its footprint has become a factor in determining individualized ACL reconstruction. The persistence of morphological variability in the aging of the ACL and important aspects of surgical planning and decision making with respect to anatomical risk factors suggest that further studies are called for.Elsevier202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/60227http://dx.doi.org/10.1016/j.recot.2023.02.005reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésRev Esp Cir Ortop Traumatol. 2024;68(4):422-7© 2023 SECOT. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/602272026-06-12T07:21:37Z
dc.title.none.fl_str_mv ACL anatomy: Is there still something to learn?
title ACL anatomy: Is there still something to learn?
spellingShingle ACL anatomy: Is there still something to learn?
Morales Avalos, Rodolfo
ACL
Anatomy
Morphology
Bundles
Footprint
title_short ACL anatomy: Is there still something to learn?
title_full ACL anatomy: Is there still something to learn?
title_fullStr ACL anatomy: Is there still something to learn?
title_full_unstemmed ACL anatomy: Is there still something to learn?
title_sort ACL anatomy: Is there still something to learn?
dc.creator.none.fl_str_mv Morales Avalos, Rodolfo
Torres González, Emilio
Padilla-Medina, José Ramón
Monllau García, Juan Carlos
author Morales Avalos, Rodolfo
author_facet Morales Avalos, Rodolfo
Torres González, Emilio
Padilla-Medina, José Ramón
Monllau García, Juan Carlos
author_role author
author2 Torres González, Emilio
Padilla-Medina, José Ramón
Monllau García, Juan Carlos
author2_role author
author
author
dc.subject.none.fl_str_mv ACL
Anatomy
Morphology
Bundles
Footprint
topic ACL
Anatomy
Morphology
Bundles
Footprint
description Article disponible en castellà: http://hdl.handle.net/10230/60228
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/60227
http://dx.doi.org/10.1016/j.recot.2023.02.005
url http://hdl.handle.net/10230/60227
http://dx.doi.org/10.1016/j.recot.2023.02.005
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Rev Esp Cir Ortop Traumatol. 2024;68(4):422-7
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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