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Tunnel enlargement and recurrent graft tear after ACL reconstruction

Authors:

K Petrovic ,

Center of Radiology, Clinical Center of Vojvodina, Hajduk Veljkova 1-9, 21000 Novi Sad, Serbia
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FM Vanhoenacker,

Department of B-2800 Mechelen, Department of Radiology, Antwerp University Hospital, Wilrijkstraat 10, B-2650 Edegem, University of Ghent, Faculty of Medicine and Health sciences, De Pintelaan 185, B-9000 Ghent
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O Nikolic,

Center of Radiology, Clinical Center of Vojvodina, Hajduk Veljkova 1-9, 21000 Novi Sad, Serbia
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P Vandenberk

Abstract

A 24-year-old soccer player presented with right knee instability after a pivot shift trauma during soccer game. His past medical history included multiple Anterior Cruciate Ligament (ACL) reconstructions (three times). Last revision was one year previously using allografts. Meticulous analysis of the plain radiographs demonstrates widening of the tibial bone tunnel and less marked widening of the femoral tunnel (Fig. A). Magnetic Resonance Imaging (MRI) was performed for further evaluation. Coronal fatsuppressed T2- Weighted Imaging (WI) (Fig. B) and sagittal T1-WI (Fig. C) confirmed tunnel enlargement, particularly of the tibial tunnel (black arrows). Furthermore, no residual intact graft fibers could be visualized, in keeping with graft tear.

How to Cite: Petrovic K, Vanhoenacker F, Nikolic O, Vandenberk P. Tunnel enlargement and recurrent graft tear after ACL reconstruction. Journal of the Belgian Society of Radiology. 2012;95(6):370. DOI: http://doi.org/10.5334/jbr-btr.729
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Published on 01 Nov 2012.
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