Abnormal bone scans in anterior cruciate ligament deficiency indicate structural and functional abnormalities
Many patients with anterior cruciate ligament (ACL) deficiency have an abnormal bone scan. This finding has not yet been explained. Suggested explanations include intra-articular (structural) or kinematic (functional) abnormalities. We examined the relationship between bone scintigraphy and cartilag...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.137-142 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Hogervorst, T Pels Rijcken, T H van der Hart, C P De Lange, E S Taconis, W K |
| description | Many patients with anterior cruciate ligament (ACL) deficiency have an abnormal bone scan. This finding has not yet been explained. Suggested explanations include intra-articular (structural) or kinematic (functional) abnormalities. We examined the relationship between bone scintigraphy and cartilage degeneration or meniscal lesions in the ACL-deficient knee in 95 consecutive patients who had bone scintigraphy 1-3 days prior to arthroscopic ACL reconstruction. Intra-articular abnormalities of the knee did not explain all scintigraphic patterns of this study. We did not find clinically useful positive predictive values for scintigraphic patterns considered to indicate cartilage degeneration or a lateral meniscus lesion. A clinically useful positive predictive value was found only for medial meniscus lesions when time since ACL rupture was more than 18 months, and for local cartilage degeneration when markedly increased uptake was seen when time since ACL rupture was more than 4 months. Considering these findings, alternative explanations are discussed, based on specific aspects of abnormal kinematics and adaptive bone metabolism of the ACL-deficient knee. |
| doi_str_mv | 10.1007/s001670050203 |
| format | Article |
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This finding has not yet been explained. Suggested explanations include intra-articular (structural) or kinematic (functional) abnormalities. We examined the relationship between bone scintigraphy and cartilage degeneration or meniscal lesions in the ACL-deficient knee in 95 consecutive patients who had bone scintigraphy 1-3 days prior to arthroscopic ACL reconstruction. Intra-articular abnormalities of the knee did not explain all scintigraphic patterns of this study. We did not find clinically useful positive predictive values for scintigraphic patterns considered to indicate cartilage degeneration or a lateral meniscus lesion. A clinically useful positive predictive value was found only for medial meniscus lesions when time since ACL rupture was more than 18 months, and for local cartilage degeneration when markedly increased uptake was seen when time since ACL rupture was more than 4 months. Considering these findings, alternative explanations are discussed, based on specific aspects of abnormal kinematics and adaptive bone metabolism of the ACL-deficient knee.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s001670050203</identifier><identifier>PMID: 10883423</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Abnormalities ; Adolescent ; Adult ; Anterior cruciate ligament ; Anterior Cruciate Ligament - physiopathology ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Biopsy ; Bone surgery ; Bone turnover ; Bones ; Cartilage ; Degeneration ; Diphosphonates ; Female ; Hernia ; Humans ; Joint Instability - diagnostic imaging ; Kinematics ; Knee ; Knee Injuries - diagnostic imaging ; Knees ; Lesions ; Ligaments ; Male ; Menisci, Tibial - physiopathology ; Meniscus ; Metabolism ; Middle Aged ; Organotechnetium Compounds ; Patients ; Predictive Value of Tests ; Radionuclide Imaging ; Radiopharmaceuticals ; Rupture ; Scintigraphy ; Sports ; Sports injuries ; Structure-function relationships ; Surgery ; Tibial Meniscus Injuries</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.137-142</ispartof><rights>Springer-Verlag Berlin Heidelberg 2000.</rights><rights>Springer-Verlag Berlin Heidelberg 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-87347c9d2b884f414a31a3a57956a986f46015a8f9f3e1f422d7ed54880c24d13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10883423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hogervorst, T</creatorcontrib><creatorcontrib>Pels Rijcken, T H</creatorcontrib><creatorcontrib>van der Hart, C P</creatorcontrib><creatorcontrib>De Lange, E S</creatorcontrib><creatorcontrib>Taconis, W K</creatorcontrib><title>Abnormal bone scans in anterior cruciate ligament deficiency indicate structural and functional abnormalities</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Many patients with anterior cruciate ligament (ACL) deficiency have an abnormal bone scan. This finding has not yet been explained. Suggested explanations include intra-articular (structural) or kinematic (functional) abnormalities. We examined the relationship between bone scintigraphy and cartilage degeneration or meniscal lesions in the ACL-deficient knee in 95 consecutive patients who had bone scintigraphy 1-3 days prior to arthroscopic ACL reconstruction. Intra-articular abnormalities of the knee did not explain all scintigraphic patterns of this study. We did not find clinically useful positive predictive values for scintigraphic patterns considered to indicate cartilage degeneration or a lateral meniscus lesion. A clinically useful positive predictive value was found only for medial meniscus lesions when time since ACL rupture was more than 18 months, and for local cartilage degeneration when markedly increased uptake was seen when time since ACL rupture was more than 4 months. Considering these findings, alternative explanations are discussed, based on specific aspects of abnormal kinematics and adaptive bone metabolism of the ACL-deficient knee.</description><subject>Abnormalities</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - physiopathology</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biopsy</subject><subject>Bone surgery</subject><subject>Bone turnover</subject><subject>Bones</subject><subject>Cartilage</subject><subject>Degeneration</subject><subject>Diphosphonates</subject><subject>Female</subject><subject>Hernia</subject><subject>Humans</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Injuries - diagnostic imaging</subject><subject>Knees</subject><subject>Lesions</subject><subject>Ligaments</subject><subject>Male</subject><subject>Menisci, Tibial - physiopathology</subject><subject>Meniscus</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Organotechnetium Compounds</subject><subject>Patients</subject><subject>Predictive Value of Tests</subject><subject>Radionuclide Imaging</subject><subject>Radiopharmaceuticals</subject><subject>Rupture</subject><subject>Scintigraphy</subject><subject>Sports</subject><subject>Sports injuries</subject><subject>Structure-function relationships</subject><subject>Surgery</subject><subject>Tibial Meniscus Injuries</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90T1LJTEUBuAgit5Vy22XQWGtRk--k1Iu7ioINloPuZlEIjMZTTKF_94M9xa7glYh5OHl5LwI_cRwiQHkVQbAQgJwIED30AozSltJmdxHK9CMtAS4OEI_cn6BqgTTh-gIg1KUEbpC4_UmTmk0Q7OZomuyNTE3ITYmFpfClBqbZhtMcc0Qns3oYml654MNLtr3Cvtgl8dcKitzqjkm9o2foy1hist1lx9KcPkEHXgzZHe6O4_R05-bx_Vte__w9259fd9aKkVp1TK_1T3ZKMU8w8xQbKjhUnNhtBKeCcDcKK89ddgzQnrpes6UAktYj-kxutjmvqbpbXa5dGPI1g2DiW6ac6c5E4wLvsjf30qJCWV1wxWefYIv05zqD2saIVIKqaGi868QEUTpOjWXVbVbZdOUc3K-e01hNOm9w9AtpXb_lVr9r13qvBld_4_etkg_AJZcm1o</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Hogervorst, T</creator><creator>Pels Rijcken, T H</creator><creator>van der Hart, C P</creator><creator>De Lange, E S</creator><creator>Taconis, W K</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Abnormal bone scans in anterior cruciate ligament deficiency indicate structural and functional abnormalities</title><author>Hogervorst, T ; 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This finding has not yet been explained. Suggested explanations include intra-articular (structural) or kinematic (functional) abnormalities. We examined the relationship between bone scintigraphy and cartilage degeneration or meniscal lesions in the ACL-deficient knee in 95 consecutive patients who had bone scintigraphy 1-3 days prior to arthroscopic ACL reconstruction. Intra-articular abnormalities of the knee did not explain all scintigraphic patterns of this study. We did not find clinically useful positive predictive values for scintigraphic patterns considered to indicate cartilage degeneration or a lateral meniscus lesion. A clinically useful positive predictive value was found only for medial meniscus lesions when time since ACL rupture was more than 18 months, and for local cartilage degeneration when markedly increased uptake was seen when time since ACL rupture was more than 4 months. Considering these findings, alternative explanations are discussed, based on specific aspects of abnormal kinematics and adaptive bone metabolism of the ACL-deficient knee.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>10883423</pmid><doi>10.1007/s001670050203</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.137-142 |
| issn | 0942-2056 1433-7347 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Abnormalities Adolescent Adult Anterior cruciate ligament Anterior Cruciate Ligament - physiopathology Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Biopsy Bone surgery Bone turnover Bones Cartilage Degeneration Diphosphonates Female Hernia Humans Joint Instability - diagnostic imaging Kinematics Knee Knee Injuries - diagnostic imaging Knees Lesions Ligaments Male Menisci, Tibial - physiopathology Meniscus Metabolism Middle Aged Organotechnetium Compounds Patients Predictive Value of Tests Radionuclide Imaging Radiopharmaceuticals Rupture Scintigraphy Sports Sports injuries Structure-function relationships Surgery Tibial Meniscus Injuries |
| title | Abnormal bone scans in anterior cruciate ligament deficiency indicate structural and functional abnormalities |
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