vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1814-6023-2021-18-1-58-68vestim-733Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEВариабельность антеролатеральной связки на МРТ – отсутствие стандартизации исследований или варианты анатомии?Variability of anterolateral ligament on MRI images – lack of survey standardization or anatomical variants?https://orcid.org/0000-0001-7925-9362КострубА. А.KostrubO. O.

Коструб Александр Алексеевич – д-р мед. наук, профессор, заведующий отделом

ул. Бульварно-Кудрявская, 27, 01601, г. Киев, Украина

Oleksandr O. Kostrub – D. Sc. (Med.), Professor, Head of the Department

27, Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraine

akostrub@ukr.nethttps://orcid.org/0000-0001-8837-8603КотюкВ. В.КotiukV. V.

Котюк Виктор Владимирович – канд. мед. наук, ст. науч. сотрудник

ул. Бульварно-Кудрявская, 27, 01601, г. Киев, Украина

Viktor V. Kotiuk ‒ Ph. D. (Med.), Senior Researcher

27, Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraine

kotyuk_v@ukr.nethttps://orcid.org/0000-0003-1814-4240ПоляченкоЮ. В.PoliachenkoIu. V.

Поляченко Юрий Володимирович – д-р мед. наук, профессор, и. о. директора

ул. Бульварно-Кудрявская, 27, 01601, г. Киев, Украина

Iurii V. Poliachenko – D. Sc. (Med.), Professor, Acting Director

27, Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraine

poliach.yv@gmail.comГерасименкоМ. А.GerasimenkoM. A.

Герасименко Михаил Александрович – д-р мед. наук, профессор, директор

ул. Кижеватова, 60/4, 220024, г. Минск, Республика Беларусь

Mikhail A. Gerasimenko – D. Sc. (Med.), Professor, Director

60/4, Kizhevatov Str., 220024, Minsk, Republic of Belarus

vbo@ortoped.byhttps://orcid.org/0000-0003-2310-6345БлонскийР. И.BlonskyiR. I.

Блонский Роман Ивавнович – д-р мед. наук, вед. науч. сотрудник

ул. Бульварно-Кудрявская, 27, 01601, г. Киев, Украина

Roman I. Blonskyi – D. Sc. (Med.), Leading Researcher

27, Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraine

drblonskiy@ukr.nethttps://orcid.org/0000-0002-1099-4454ЗасаднюкИ. А.ZasadnyukI. A.

Засаднюк Иван Андреевич – канд. мед. наук, науч. сотрудник

ул. Бульварно-Кудрявская, 27, 01601, г. Киев, Украина

Ivan A. Zasadnyuk – Ph. D. (Med.), Researcher

27, Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraine

zasadnyuk@ukr.netИнститут травматологии и ортопедии НАМН УкраиныInstitute of Traumatology and Orthopedics of the National Academy of Medical Sciences of UkraineРеспубликанский научно-практический центр травматологии и ортопедииRepublican Scientific and Practical Center of Traumatology and Orthopedics2021230220211815868Copyright © Коструб А.А., Котюк В.В., Поляченко Ю.В., Герасименко М.А., Блонский Р.И., Засаднюк И.А., 20212021Коструб А.А., Котюк В.В., Поляченко Ю.В., Герасименко М.А., Блонский Р.И., Засаднюк И.А.Kostrub O.O., Кotiuk V.V., Poliachenko I.V., Gerasimenko M.A., Blonskyi R.I., Zasadnyuk I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/733

Антеролатеральная связка является ротационным стабилизатором коленного сустава. Однако не всегда ясно, что мы видим на МРТ в этой области.

Цель исследования ‒ оценить с помощью МРТ-изображений варианты антеролатеральной связки для выявления их общих черт и отличий и попытаться найти объяснение феномену этой вариабельности.

Проанализировано 200 серий МРТ-изображений коленных суставов. Оценено наличие антеролатеральной связки, количество ее слоев, взаимосвязь с капсулой сустава и другие анатомические особенности.

Антеролатеральная связка визуализировалась на МРТ хотя бы частично в 88 % случаев. По крайней мере частичная двухслойная структура была обнаружена в 68 % из всех 200 серий МРТ. Волнообразный вид некоторых частей антеролатеральной связки наблюдался в некоторых нормальных коленных суставах без травм в анамнезе.

В ходе исследований установлено, что антеролатеральная связка является отдельным анатомическим элементом коленного сустава, который имеет вариабельную, преимущественно двухслойную, анатомическую структуру и может быть обнаружена на МРТ по меньшей мере в 88 % случаев. Аксиальные срезы позволяют идентифицировать антеролатеральную связку в сложных случаях и проанализировать ее анатомию, но малоинформативны в плане диагностики ее повреждений.

The anterolateral ligament is a rotational stabilizer of the knee joint. It is not always clear what we actually see on MRI in the area of anterolateral ligament (ALL).

The aim of the study was to evaluate the ALL variants on MRI images to summarize their common features and differences, and to try to find an explanation for the phenomenon of the ALL variability.

200 series of MRI images of knee joints were analyzed. The presence of the ALL, the number of its layers, the relation to the joint capsule, and other anatomical features were assessed.

The ALL was visualized on MRI at least partially in 88 % of cases. At least partially two-layer structure was detected in 68 % of all 200 MRI series. The wavy appearance of the certain portions of the anterolateral ligament was observed in some normal knee joints without a history of injuries.

Determined that the ALL is a separate anatomical element of the knee joint that has a variable, but in most cases two-layered, anatomical structure and can be detected on MRI in at least 88 % of cases. Axial sections help to identify ALL in complex cases and allow analyzing its anatomy, but adding little in the diagnosis of ALL injury.

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The authors declare that there are no conflicts of interest present.