Knee MRI anatomy: Anterolateral Ligament and AIML

In this video, I show you the MRI anatomy of the anterolateral ligament ALL and the accessory iliotibial band-meniscal ligament (AIML), both only discovered or described in recent years.
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References:
The Anterolateral Ligament of the Knee: MRI Appearance, Association With the Segond Fracture, and Historical Perspective www.ajronline.org/doi/10.2214...
www.ajronline.org/doi/10.2214...
Identification of the Anterolateral Ligament on Magnetic Resonance Imaging
www.ncbi.nlm.nih.gov/pmc/arti...
Anatomy of the anterolateral ligament of the knee
pubmed.ncbi.nlm.nih.gov/23906...
Thanks for watching and keep learning!
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[@DrXMH]

Thank you so much !

[@taal_whisperer]

Nicely done

[@alikoubrujup_Argentina]

MRI on ACL,LCL,MCL,PCL. ACL completely torn. 10 tons truck hit on knee. ACL reconstruction done a year ago and just realized that ALL ligament torn causing +ve pivot shift. Recommended to do ALL reconstruction but still considering,wanna watch Euro 2024, Copa America and Olympics Games. 😅😅

[@ravindran.murthy6310]

Doesn't it look like menisci tibial and menisci femoral components of LCL? very confusing indeed n tough to trace them in already damaged knee

[@DrChristophAgten]

It's more anteriorly.

[@aminekorchi1647]

N is the new V ! (V shape formed by biceps femoris and LCL)

[@DrChristophAgten]

love it :D

[@gavin3935]

Very Interesting. Have you ever reported an ALL or AIML tear ? And if so, any response from your orthopaedic surgeons ?

[@DrChristophAgten]

No and also I haven't encountered segond fractures on MRI recently. But I am eagerly waiting to do so lol

[@boxster9817]

As long as it is not common knowledge to orthopeds and has no concrete clinical consequence it makes the report unnecessarily longer, more complex and less understandable, no? 🤔

[@DrChristophAgten]

@@boxster9817 we dont have to report every structure we know, i agree, but the ALL is sometimes repaired, so we as radiologist should know "something" about it :)

[@e.k.4553]

@@boxster9817 Orthopedic surgeons know the ALL. Sometimes it is enforced with a fibretape simultaneous with ACL repair!

[@helmaerlcheny9894]

@@DrChristophAgten Hello doctor. Do you know what other type of injured ligaments situated in this area can produce rotational pain and instability or apprehension? So far you presented ALL and AIML but are there any other ligaments once injured manifesting these symptoms?

[@taal_whisperer]

How is this different from the lateral maniscal struts?