Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee
Objectives: The aim of this study was to validate an ultrasound protocol for evaluating the anterolateral ligament of the knee. Methods: A Thiel technique cadaveric specimen was used to validate an optimal scanning position and develop an ultrasound protocol to evaluate the anterolateral ligament. T...
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Format: | Article |
Language: | English |
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Sciendo
2019-09-01
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Series: | Journal of Ultrasonography |
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Online Access: | http://www.jultrason.pl/index.php/issues/volume-19-no-78/inter-rater-reliability-of-an-ultrasound-protocol-to-evaluate-the-anterolateral-ligament-of-the-knee?aid=740 |
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author | Michel Kandel Erik Cattrysse Michel De Maeseneer Leon Lenchik Marc Paantjens Marco Leeuw |
author_facet | Michel Kandel Erik Cattrysse Michel De Maeseneer Leon Lenchik Marc Paantjens Marco Leeuw |
author_sort | Michel Kandel |
collection | DOAJ |
description | Objectives: The aim of this study was to validate an ultrasound protocol for evaluating the anterolateral ligament of the knee. Methods: A Thiel technique cadaveric specimen was used to validate an optimal scanning position and develop an ultrasound protocol to evaluate the anterolateral ligament. Three musculoskeletal sonographers acquired short- and long-axis images of the anterolateral ligament in 36 knees from 18 healthy volunteers. Anterolateral ligament length, thickness, width, and distance between anterolateral ligament insertion and lateral tibia plateau were measured. Intraclass Correlation Coefficient (ICC) was calculated. Results: The inter-rater reliability for anterolateral ligament thickness was poor, ICC = 0.35 (95% CI: –0.06–0.63). The inter-rater reliability for anterolateral ligament length and width was good, ICC = 0.80 (95% CI 0.64–0.89), ICC = 0.88 (95% CI 0.79–0.94), respectively; and the inter-rater reliability for the distance between insertion and lateral tibia plateau was excellent, ICC = 0.96 (95% CI 0.93–0.98). Conclusions: Ultrasonography is a reliable method for evaluating the anterolateral ligament. There is an excellent reliability for the distal part of the anterolateral ligament. As injuries usually occur in this part of the ligament, this protocol may be used to evaluate the anterolateral ligament in patients with suspected anterior cruciate ligament tears in clinical practice. |
first_indexed | 2024-04-12T07:48:53Z |
format | Article |
id | doaj.art-43ef9971a3684c758225abe73dc94f98 |
institution | Directory Open Access Journal |
issn | 2084-8404 2451-070X |
language | English |
last_indexed | 2024-04-12T07:48:53Z |
publishDate | 2019-09-01 |
publisher | Sciendo |
record_format | Article |
series | Journal of Ultrasonography |
spelling | doaj.art-43ef9971a3684c758225abe73dc94f982022-12-22T03:41:38ZengSciendoJournal of Ultrasonography2084-84042451-070X2019-09-01197818118610.15557/JoU.2019.0027Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the kneeMichel Kandel0 Erik Cattrysse1Michel De Maeseneer2Leon Lenchik3Marc Paantjens4Marco Leeuw5Physical Therapy Practice, Oberriet, SwitzerlandDepartment of Experimental Anatomy, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Radiology, Universitair Ziekenhuis Brussel, Brussels, BelgiumDepartment of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USAMinistry of Defence, the NetherlandsMinistry of Defence, the NetherlandsObjectives: The aim of this study was to validate an ultrasound protocol for evaluating the anterolateral ligament of the knee. Methods: A Thiel technique cadaveric specimen was used to validate an optimal scanning position and develop an ultrasound protocol to evaluate the anterolateral ligament. Three musculoskeletal sonographers acquired short- and long-axis images of the anterolateral ligament in 36 knees from 18 healthy volunteers. Anterolateral ligament length, thickness, width, and distance between anterolateral ligament insertion and lateral tibia plateau were measured. Intraclass Correlation Coefficient (ICC) was calculated. Results: The inter-rater reliability for anterolateral ligament thickness was poor, ICC = 0.35 (95% CI: –0.06–0.63). The inter-rater reliability for anterolateral ligament length and width was good, ICC = 0.80 (95% CI 0.64–0.89), ICC = 0.88 (95% CI 0.79–0.94), respectively; and the inter-rater reliability for the distance between insertion and lateral tibia plateau was excellent, ICC = 0.96 (95% CI 0.93–0.98). Conclusions: Ultrasonography is a reliable method for evaluating the anterolateral ligament. There is an excellent reliability for the distal part of the anterolateral ligament. As injuries usually occur in this part of the ligament, this protocol may be used to evaluate the anterolateral ligament in patients with suspected anterior cruciate ligament tears in clinical practice.http://www.jultrason.pl/index.php/issues/volume-19-no-78/inter-rater-reliability-of-an-ultrasound-protocol-to-evaluate-the-anterolateral-ligament-of-the-knee?aid=740anterolateral ligamentmusculoskeletal ultrasoundknee instabilityanterior cruciate ligamentknee |
spellingShingle | Michel Kandel Erik Cattrysse Michel De Maeseneer Leon Lenchik Marc Paantjens Marco Leeuw Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee Journal of Ultrasonography anterolateral ligament musculoskeletal ultrasound knee instability anterior cruciate ligament knee |
title | Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
title_full | Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
title_fullStr | Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
title_full_unstemmed | Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
title_short | Inter-rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
title_sort | inter rater reliability of an ultrasound protocol to evaluate the anterolateral ligament of the knee |
topic | anterolateral ligament musculoskeletal ultrasound knee instability anterior cruciate ligament knee |
url | http://www.jultrason.pl/index.php/issues/volume-19-no-78/inter-rater-reliability-of-an-ultrasound-protocol-to-evaluate-the-anterolateral-ligament-of-the-knee?aid=740 |
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