术前腘绳肌腱横截面积的磁共振成像测量可用于预测前交叉韧带重建中的5股移植物直径

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.asmr.2024.101001

Jack M. Ayres M.D. , Benjamin M. Ose M.P.H. , Tucker Morey B.S. , Elizabeth Brown M.D. , Damon Mar Ph.D. , Erik Henkelman M.D. , Bryan G. Vopat M.D. , Ian Goodman M.D. , Jeffrey Randall M.D.

{"title":"术前腘绳肌腱横截面积的磁共振成像测量可用于预测前交叉韧带重建中的5股移植物直径","authors":"Jack M. Ayres M.D. , Benjamin M. Ose M.P.H. , Tucker Morey B.S. , Elizabeth Brown M.D. , Damon Mar Ph.D. , Erik Henkelman M.D. , Bryan G. Vopat M.D. , Ian Goodman M.D. , Jeffrey Randall M.D.","doi":"10.1016/j.asmr.2024.101001","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To determine if preoperative magnetic resonance imaging (MRI) measurements of semitendinosus and gracilis tendon cross-sectional area (CSA) could be used in predicting the intraoperative diameter of a 5-strand hamstring autograft.</div></div><div><h3>Methods</h3><div>A retrospective review was performed of patients who underwent anterior cruciate ligament (ACL) reconstruction with a 5-strand hamstring autograft. All patients undergoing a 5-strand hamstring autograft ACL reconstruction from a single surgeon between 2018 and 2021 were included in this analysis. CSA of both the semitendinosus (CSAst) and gracilis (CSAgr) tendons were measured on preoperative MRI. Demographic and operative data were recorded via chart review. Analyses of within-rater and between-rater reliability were performed. Multiple linear regression was used to analyze the predictors of graft diameter.</div></div><div><h3>Results</h3><div>A total of 45 ACLs were included in this study. An initial multiple linear regression model included multiple patient-independent variables (<em>R</em><sup>2</sup> = 0.62, <em>P</em> < .001), but CSAst was the only significant predictor of graft diameter. Accordingly, a second multiple linear regression model was created using CSAst and CSAgr (<em>R</em><sup>2</sup> = 0.61, <em>P</em> < .001). Both CSAst and CSAgr were significant predictors of graft diameter. The resulting equation for determining the graft diameter based on CSAst and CSAgr is as follows: [Graft Diameter (mm)] = 5.324 + 0.124 ∗ [CSAst (mm<sup>2</sup>)] + 0.183 ∗ [CSAgr (mm<sup>2</sup>)].</div></div><div><h3>Conclusions</h3><div>CSA measurements of the semitendinosus and gracilis tendons on preoperative MRI axial imaging, measured at the level for which the femoral condyle was the widest, may be used to predict the intraoperative graft diameter for ACL reconstruction using the 5-strand autograft technique.</div></div><div><h3>Clinical Relevance</h3><div>Predicting ACL autograft size on preoperative MRI can aid in preoperative planning, including choice of graft.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101001"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preoperative Magnetic Resonance Imaging Measurements of Hamstring Tendons’ Cross-Sectional Area May Be Used to Predict the 5-Stranded Graft Diameter in Anterior Cruciate Ligament Reconstruction\",\"authors\":\"Jack M. Ayres M.D. , Benjamin M. Ose M.P.H. , Tucker Morey B.S. , Elizabeth Brown M.D. , Damon Mar Ph.D. , Erik Henkelman M.D. , Bryan G. Vopat M.D. , Ian Goodman M.D. , Jeffrey Randall M.D.\",\"doi\":\"10.1016/j.asmr.2024.101001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>To determine if preoperative magnetic resonance imaging (MRI) measurements of semitendinosus and gracilis tendon cross-sectional area (CSA) could be used in predicting the intraoperative diameter of a 5-strand hamstring autograft.</div></div><div><h3>Methods</h3><div>A retrospective review was performed of patients who underwent anterior cruciate ligament (ACL) reconstruction with a 5-strand hamstring autograft. All patients undergoing a 5-strand hamstring autograft ACL reconstruction from a single surgeon between 2018 and 2021 were included in this analysis. CSA of both the semitendinosus (CSAst) and gracilis (CSAgr) tendons were measured on preoperative MRI. Demographic and operative data were recorded via chart review. Analyses of within-rater and between-rater reliability were performed. Multiple linear regression was used to analyze the predictors of graft diameter.</div></div><div><h3>Results</h3><div>A total of 45 ACLs were included in this study. An initial multiple linear regression model included multiple patient-independent variables (<em>R</em><sup>2</sup> = 0.62, <em>P</em> < .001), but CSAst was the only significant predictor of graft diameter. Accordingly, a second multiple linear regression model was created using CSAst and CSAgr (<em>R</em><sup>2</sup> = 0.61, <em>P</em> < .001). Both CSAst and CSAgr were significant predictors of graft diameter. The resulting equation for determining the graft diameter based on CSAst and CSAgr is as follows: [Graft Diameter (mm)] = 5.324 + 0.124 ∗ [CSAst (mm<sup>2</sup>)] + 0.183 ∗ [CSAgr (mm<sup>2</sup>)].</div></div><div><h3>Conclusions</h3><div>CSA measurements of the semitendinosus and gracilis tendons on preoperative MRI axial imaging, measured at the level for which the femoral condyle was the widest, may be used to predict the intraoperative graft diameter for ACL reconstruction using the 5-strand autograft technique.</div></div><div><h3>Clinical Relevance</h3><div>Predicting ACL autograft size on preoperative MRI can aid in preoperative planning, including choice of graft.</div></div>\",\"PeriodicalId\":34631,\"journal\":{\"name\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"volume\":\"7 1\",\"pages\":\"Article 101001\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666061X2400138X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X2400138X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨术前半腱肌和股薄肌腱横截面积（CSA）的磁共振成像（MRI）测量是否可用于预测5股腘绳肌自体移植物的术中直径。方法回顾性分析5股腘绳肌腱移植行前交叉韧带重建的病例。2018年至2021年间，所有接受同一位外科医生5股腘绳肌腱自体移植ACL重建的患者均被纳入本分析。术前MRI测量半腱肌（CSAst）和股薄肌（CSAgr）的CSA。通过图表回顾记录了人口统计学和手术数据。进行了评分内信度和评分间信度分析。采用多元线性回归分析移植物直径的预测因素。结果本研究共纳入45例ACLs。初始多元线性回归模型包含多个患者自变量(R2 = 0.62, P <；.001)，但CSAst是移植物直径的唯一显著预测因子。据此，利用CSAst和CSAgr建立第二次多元线性回归模型(R2 = 0.61, P <；措施)。CSAst和CSAgr是移植物直径的重要预测因子。基于CSAst和CSAgr确定接枝直径的公式如下：[接枝直径（mm）] = 5.324 + 0.124∗[CSAst (mm2)] + 0.183∗[CSAgr (mm2)]。结论术前MRI轴向成像时，在股骨髁最宽处测量半腱肌和股薄肌腱的scsa测量值可用于预测术中使用5股自体移植物技术重建ACL的移植物直径。术前MRI预测自体ACL移植物大小有助于术前规划，包括移植物的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Preoperative Magnetic Resonance Imaging Measurements of Hamstring Tendons’ Cross-Sectional Area May Be Used to Predict the 5-Stranded Graft Diameter in Anterior Cruciate Ligament Reconstruction

Purpose

To determine if preoperative magnetic resonance imaging (MRI) measurements of semitendinosus and gracilis tendon cross-sectional area (CSA) could be used in predicting the intraoperative diameter of a 5-strand hamstring autograft.

Methods

A retrospective review was performed of patients who underwent anterior cruciate ligament (ACL) reconstruction with a 5-strand hamstring autograft. All patients undergoing a 5-strand hamstring autograft ACL reconstruction from a single surgeon between 2018 and 2021 were included in this analysis. CSA of both the semitendinosus (CSAst) and gracilis (CSAgr) tendons were measured on preoperative MRI. Demographic and operative data were recorded via chart review. Analyses of within-rater and between-rater reliability were performed. Multiple linear regression was used to analyze the predictors of graft diameter.

Results

A total of 45 ACLs were included in this study. An initial multiple linear regression model included multiple patient-independent variables (R² = 0.62, P < .001), but CSAst was the only significant predictor of graft diameter. Accordingly, a second multiple linear regression model was created using CSAst and CSAgr (R² = 0.61, P < .001). Both CSAst and CSAgr were significant predictors of graft diameter. The resulting equation for determining the graft diameter based on CSAst and CSAgr is as follows: [Graft Diameter (mm)] = 5.324 + 0.124 ∗ [CSAst (mm²)] + 0.183 ∗ [CSAgr (mm²)].

Conclusions

CSA measurements of the semitendinosus and gracilis tendons on preoperative MRI axial imaging, measured at the level for which the femoral condyle was the widest, may be used to predict the intraoperative graft diameter for ACL reconstruction using the 5-strand autograft technique.