Med Bull Sisli Etfal Hosp. 2023; 57(4): 557-562 | DOI: 10.14744/SEMB.2022.12844

How Many Bundles Does the Anterior Cruciate Ligament Consist of? A Case Report

Burak Gunaydin¹, Tugba Ilkem Kurtoglu Ozcaglayan², Cem Sever³, Meltem Oznur⁴, Mehmet Umit Cetin¹, Erdem Can¹, Osman Tugrul Eren^5
1Department of Orthopaedics and Traumatology, Namik Kemal University Faculty of Medicine, Tekirdag, Türkiye
²Department of Radiology, Namik Kemal University Faculty of Medicine, Tekirdag, Türkiye
³Department of Orthopaedics and Traumatology, Istanbul Aydin University Faculty of Medicine, Istanbul, Türkiye
⁴Department of Pathology, Namik Kemal University Faculty of Medicine, Tekirdag, Türkiye
⁵Department of Orthopaedics and Traumatology, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

In some cases with anterior cruciate ligament (ACL) injury, physical examination and magnetic resolution imaging cannot clearly identify whether the ACL is intact or partially or completely ruptured. A 40-year-old female patient was admitted to our clinic with complaints of knee pain. After the requested examinations, we could not clearly identify whether the ACL was intact or partially or completely ruptured. Arthroscopic knee surgery was planned for the patient. In diagnostic arthroscopy, it was also determined that there was a multibundle ACL that was not surrounded by the synovium and was tight in the figure 4 position. The surgery was completed by repairing the meniscal tear. It was seen in the current case report that the ACL was a multibundle structure without overlying synovium around. In such cases, it is difficult to evaluate the ACL, and it should be kept in mind that there may also be variations of the ACL.

Keywords: ACL bundles, anterior cruciate ligament, MRI in knee flexion position, multibundle, partial ACL rupture

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Ön Çapraz Bað Kaç Banttan Oluþur? Vaka Takdimi

Burak Gunaydin¹, Tugba Ilkem Kurtoglu Ozcaglayan², Cem Sever³, Meltem Oznur⁴, Mehmet Umit Cetin¹, Erdem Can¹, Osman Tugrul Eren^5
1Tekirdað Namýk Kemal Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Tekirdað
²Tekirdað Namýk Kemal Üniversitesi Týp Fakültesi, Radyoloji Anabilim Dalý, Tekirdað
³Ýstanbul Aydýn Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Ýstanbul
⁴Tekirdað Namýk Kemal Üniversitesi Týp Fakültesi, Patoloji Anabilim Dalý, Tekirdað
⁵Türkiye Saðlýk Bilimleri Üniversitesi, Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Ortopedi ve Travmatoloji Kliniði, Ýstanbul

Ön Çapraz Bað (ÖÇB) yaralanmasý olan bazý durumlarda, fizik muayene ve manyetik rezolüsyon görüntüleme (MRI) ÖÇB'nin saðlam mý yoksa kýsmen/tamamen yýrtýlmýþ mý olduðunu net olarak belirleyemez. 40 yaþýnda bayan hasta diz aðrýsý þikayeti ile kliniðimize baþvurdu. Ýstenen incelemelerden sonra ÖÇB'nin saðlam mý yoksa kýsmen/tamamen yýrtýlmýþ mý olduðunu net olarak belirleyemedik. Hastaya artroskopik diz cerrahisi planlandý. Diagnostik artroskopide de þekil 4 pozisyonunda sinovyum ile çevrili olmayan ve gergin çok demetli ÖÇB olduðu belirlendi. Menisküs yýrtýðý onarýlarak ameliyat tamamlandý. Bu olgu sunumunda ÖÇB'nin etrafýndaki sinovyumu örtmeyen çok demetli bir yapý olduðu görüldü. Bu gibi durumlarda ÖÇB'nin deðerlendirilmesi zordur ve ÖÇB'nin varyasyonlarýnýn da olabileceði akýlda tutulmalýdýr. (SETB-2022-09-210)

Anahtar Kelimeler: ÖÇB demetleri, ön çapraz bað, diz fleksiyon pozisyonunda MRG, çoklu demet, kýsmi ÖÇB ruptürü

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