Skip to main content
Log in

Magnetic resonance imagination of the peroneus longus tendon after anterior cruciate ligament reconstruction

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Several studies report that tendons can regenerate after harvesting. These studies have been performed especially in patellar and hamstring tendons. At our institution, 10 cm length of full thickness peroneus longus tendon has been harvested to reconstruct torn anterior cruciate ligament since 1997 as a different graft source. The aim of this study was to investigate whether the peroneus longus tendon used the anterior cruciate ligament reconstruction has a regeneration potential or not. Twelve patients, who had originally undergone harvesting of the peroneus longus tendon for the primary surgery of the anterior cruciate ligament reconstruction, underwent magnetic resonance imaging (MRI). Images of both legs were acquired simultaneously with the use of the scanner’s extremity coil, as we aimed to compare harvested peroneus longus tendon with the other leg’s peroneus longus tendon (healthy side) for evaluation of the regeneration potential. The average age of the patients was 31 years. There were eight right and four left legs. The average time interval was 52 months between ligament surgery and MRI. In all patients, a varying amount of the regeneration of the peroneus longus tendon was seen on the MRI images. Although the extent of PLT regeneration in proximal sections seemed better than in mid- and distal sections, there was no statistical difference between sections (P = 0.130). These data show that the peroneus longus tendon has a regeneration potential after harvesting for anterior cruciate ligament reconstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Beall DP, Ritchie ER, Campbell SE, Tran HN, Ingari JV, Sanders TG, Grayson DE, Mundis G, Lehman TP, Fish JR (2006) Magnetic resonance imaging appearance of the flexor carpi radialis tendon after harvest in ligamentous reconstruction tendon interposition arthroplasty. Skeletal Radiol 35:144–148

    Article  PubMed  Google Scholar 

  2. Carofino B, Fulkerson J (2005) Medial hamstring tendon regeneration following harvest for anterior cruciate ligament reconstruction: fact, myth, and clinical implication. Arthroscopy 21(10):1257–1264

    PubMed  Google Scholar 

  3. Cross MJ, Roger G, Kujawa P, Anderson IF (1992) Regeneration of the semitendinosus and gracilis tendons following their transection for repair of the anterior cruciate ligament. Am J Sports Med 20:221–223

    Article  PubMed  CAS  Google Scholar 

  4. Eriksson K, Kindblom LG, Hamberg P, Larsson H, Wredmark T (2001) The semitendinosus tendon regenerates after resection. A morphologic and MRI analysis in 6 patients after resection for anterior cruciate ligament reconstruction. Acta Orthop Scand 72(4):379–384

    Article  PubMed  CAS  Google Scholar 

  5. Eriksson K, Larsson H, Wredmark T, Hamberg P (1999) Semitendinosus tendon regeneration after harvesting for ACL reconstruction. A prospective MRI study. Knee Surg Sports Traumatol Arthrosc 7(4):220–225

    Article  PubMed  CAS  Google Scholar 

  6. Feller JA, Webster KE, Gavin B (2001) Early post-operative morbidity following anterior cruciate ligament reconstruction: patellar tendon versus hamstring graft. Knee Surg Sports Traumatol Arthrosc 9(5):260–266

    Article  PubMed  CAS  Google Scholar 

  7. Ferretti A, Conteduca F, Morelli F, Masi V (2002) Regeneration of the semitendinosus tendon after its use in anterior cruciate ligament reconstruction. A histologic study of three cases. Am J Sports Med 30(2):204–207

    PubMed  Google Scholar 

  8. Kartus J, Movin T, Karlsson J (2001) Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts. Arthroscopy 17(9):971–980

    Article  PubMed  CAS  Google Scholar 

  9. Kerimoglu S, Aynaci O, Saracoglu M, Aydin H, Turhan AU (2008) Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop Traumatol Turc 42(1):38–43

    Article  PubMed  Google Scholar 

  10. Marrale J, Morrissey MC, Haddad FS (2007) A literature review of autograft and allograft anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 15(6):690–704

    Article  PubMed  Google Scholar 

  11. More RC, Karras BT, Neiman R, Fritschy D, Woo SL, Daniel DM (1993) Hamstrings—an anterior cruciate ligament protagonist. An in vitro study. Am J Sports Med 21(2):231–237

    Article  PubMed  CAS  Google Scholar 

  12. Nikolaou VS, Efstathopoulos N, Wredmark T (2007) Hamstring tendons regeneration after ACL reconstruction: an overview. Knee Surg Sports Traumatol Arthrosc 15(2):153–160

    Article  PubMed  Google Scholar 

  13. Okahashi K, Kazuya S, Iwai M, Oshima M, Samma M, Fujisawa Y, Takakura Y (2006) Regeneration of the hamstring tendons after harvesting for arthroscopic anterior cruciate ligament reconstruction: a histological study in 11 patients. Knee Surg Sports Traumatol Arthrosc 14(6):542–545

    Article  PubMed  Google Scholar 

  14. Papandrea P, Vulpiani MC, Ferretti A, Conteduca F (2000) Regeneration of the semitendinosus tendon harvested for anterior cruciate ligament reconstruction. Evaluation using ultrasonography. Am J Sports Med 28(4):556–561

    PubMed  CAS  Google Scholar 

  15. Takeda Y, Kashiwaguchi S, Matsuura T, Higashida T, Minato A (2006) Hamstring muscle function after tendon harvest for anterior cruciate ligament reconstruction: evaluation with T2 relaxation time of magnetic resonance imaging. Am J Sports Med 34(2):281–288

    Article  PubMed  Google Scholar 

  16. Tashiro T, Kurosawa H, Kawakami A, Hikita A, Fukui N (2003) Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction. A detailed evaluation with comparison of single- and double-tendon harvest. Am J Sports Med 31(4):522–529

    Article  PubMed  Google Scholar 

  17. Turhan AU, Kerimoglu S, Dogru A, Aydın H, Yulug E (2004) Tendon regeneration: an anatomical and histological study in sheep. Knee Surg Sports Traumatol Arthrosc 12(5):406–410

    Article  PubMed  Google Scholar 

  18. Willams GN, Snyder-Mackler L, Barrance PJ, Axe MJ, Buchanan TS (2004) Muscle and tendon morphology after reconstruction of the anterior cruciate ligament with autologous semitendinosus-gracilis graft. J Bone Joint Surg Am 86-A(9):1936–1946

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Servet Kerimoğlu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kerimoğlu, S., Koşucu, P., Livaoğlu, M. et al. Magnetic resonance imagination of the peroneus longus tendon after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthr 17, 35–39 (2009). https://doi.org/10.1007/s00167-008-0626-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-008-0626-7

Keywords

Navigation