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ACL Injury and Its Treatment pp 27–37Cite as

Discrepancy Between Macroscopic and Histological Observations

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Abstract

For better clinical results of anterior cruciate ligament (ACL) reconstruction, it is very important for surgeons to know the original femoral ACL insertion. Previously, many anatomical studies of the femoral ACL insertion have been performed. However, its position was described differently depending on the report and is still controversial. In this chapter, the position of the femoral ACL insertion is clarified from past reports and our study. Macroscopically, the femoral ACL insertion was located at the back of the lateral intercondylar ridge. The posterior margin of the femoral ACL insertion remained controversial. However, there was some distance between the posterior margin and the posterior cartilage border in microscopic observation. This difference between macroscopic and microscopic observation was considered to be due to the ACL attaching on the femoral lateral condyle in a fanlike manner. When making the femoral bone tunnel during ACL reconstruction, this information is very meaningful and of help to decide the position of the bone tunnel.

Keywords

  • Anatomical anterior cruciate ligament insertion
  • Macroscopic observation
  • Microscopic observation

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan

    Norihiro Sasaki M.D.

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  1. Norihiro Sasaki M.D.
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Correspondence to Norihiro Sasaki M.D. .

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Editors and Affiliations

  1. Hiroshima University, Hiroshima, Hiroshima, Japan

    Mitsuo Ochi

  2. Sports Orthopaedic Center, Yukioka Hospital, Osaka, Osaka, Japan

    Konsei Shino

  3. Graduate School of Medicine, Hokkaido University , Sapporo, Japan

    Kazunori Yasuda

  4. Graduate School of Medicine, Kobe University, Kobe, Japan

    Masahiro Kurosaka

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Sasaki, N. (2016). Discrepancy Between Macroscopic and Histological Observations. In: Ochi, M., Shino, K., Yasuda, K., Kurosaka, M. (eds) ACL Injury and Its Treatment. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55858-3_3

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  • DOI: https://doi.org/10.1007/978-4-431-55858-3_3

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55856-9

  • Online ISBN: 978-4-431-55858-3

  • eBook Packages: MedicineMedicine (R0)

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