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Anatomy of ACL Insertion: Bundles

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Controversies in the Technical Aspects of ACL Reconstruction

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Abstract

Over the past years, the importance of the anterior cruciate ligament (ACL) anatomy has been increased due to surgical implications. The anatomy of the ACL has been better studied, and several anatomical ACL reconstruction techniques have been described. However, the anatomy of the ACL is still controversy. It is known that there is an important variation of the amount of ACL bundles in the literature. The description of the ACL as one unique bundle, also as a two-bundle ligament, with the anteromedial (AM) and posterolateral (PL) bundles, or even descriptions of three bundles in which there would be a third part called the intermediate (IM) bundle are found. Nevertheless, the concept of double-bundle ACL is most accepted. The understanding of ACL anatomy is crucial to achieve good outcomes after ACL reconstruction. This chapter describes the anatomy of the ACL regarding the number of bundles, its area, and insertion sites.

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Author information

Authors and Affiliations

  1. Hospital Israelita Albert Einstein, Sao Paulo, Brazil

    Daniel Hidalgo Gonçalez & Mario Ferretti

  2. Sapporo Medical University School of Medicine, Sapporo, Japan

    Tomoyuki Suzuki & Hidenori Otsubo

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

    Kazunori Yasuda

Authors
  1. Daniel Hidalgo Gonçalez
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  2. Mario Ferretti
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  3. Tomoyuki Suzuki
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  4. Hidenori Otsubo
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  5. Kazunori Yasuda
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Corresponding author

Correspondence to Mario Ferretti .

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Editors and Affiliations

  1. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura

  2. Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

  3. Hospital for Special Surgery, New York, New York, USA

    Robert G. Marx

  4. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA

    Volker Musahl

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Gonçalez, D.H., Ferretti, M., Suzuki, T., Otsubo, H., Yasuda, K. (2017). Anatomy of ACL Insertion: Bundles. In: Nakamura, N., Zaffagnini, S., Marx, R., Musahl, V. (eds) Controversies in the Technical Aspects of ACL Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52742-9_16

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  • DOI: https://doi.org/10.1007/978-3-662-52742-9_16

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