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Vet Comp Orthop Traumatol 2019; 32(03): 182-191
DOI: 10.1055/s-0039-1678711
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Functional Anatomy of the Craniomedial and Caudolateral Bundles of the Cranial Cruciate Ligament in Beagle Dogs

Koji Tanegashima
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Kazuya Edamura
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Yuki Akita
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Atsushi Yamazaki
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Shinji Yasukawa
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Mamiko Seki
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Kazushi Asano
1   Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Tomohiro Nakayama
2   Laboratory of Veterinary Radiology, Department of Veterinary Medicine, College of Bioresource and Sciences, Nihon University, Fujisawa, Kanagawa, Japan
,
Taro Katsura
3   Katsura Veterinary Hospital, Sapporo, Hokkaido, Japan
,
Kei Hayashi
4   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
› Author Affiliations
Further Information

Publication History

09 March 2018

11 December 2018

Publication Date:
14 March 2019 (online)

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Abstract

Objective The aim of this study was to investigate detailed functional anatomy of the craniomedial bundle (CrMB) and caudolateral bundle (CdLB) of cranial cruciate ligament (CrCL) for application of intra-articular anatomical reconstruction in dogs.

Materials and Methods Twelve stifle joint of 12 Beagle cadavers were used. Anatomical characteristics of femoral attachment regions of the CrCL were determined. Then, the location and area of the footprints of the CrMB and CdLB were objectively measured. Each bundle was equally divided into four fibre bundles, and changes in the fibre arrangement were recorded during stifle range of motion. Additionally, the tension of each fibre bundle at various stifle joint angles was objectively measured.

Results The attachment region of the CrCL clearly differed from that reported in humans. The centre of the CdLB attachment site was located craniodistal to that of the CrMB on the femur and slightly caudal to that of the CrMB on the tibia. The area of the CrMB on the femoral and tibial attachment sites was larger than that of the CdLB. During stifle range of motion, each divided fibre bundle in the CrMB and CdLB was twisted intricately. The tension of the CrMB was higher than that of CdLB. The central part of the CrMB was always tense during stifle range of motion.

Clinical Significance These results may contribute to the application of anatomical reconstruction surgery for CrCL deficient stifle in dogs.

Keywords

caudolateral bundle - craniomedial bundle - cranial cruciate ligament - dog - functional anatomy

Author Contribution

Koji Tanegashima, Kazuya Edamura, Kei Hayashi and Yuki Akita contributed to conception of study, study design, acquisition of data, data analysis and interpretation. Atsushi Yamazaki, Tomohiro Nakayama and Taro Katsura contributed to conception of study, study design and data analysis and interpretation. Mamiko Seki and Kazushi Asano contributed to conception of study, study design and acquisition of data. Shinji Yasukawa contributed to conception of study, acquisition of data, and data analysis and interpretation All authors drafted, revised and approved the submitted manuscript.


 

  • References

  • 1 Kowaleski MP, Boudrieau RJ. Stifle joint. In: Johnston SA, Tobias KM. , eds. Veterinary Surgery: Small Animal. 2nd ed. St Louis: Elsevier; 2017: 1071-1176
    Google Scholar
  • 2 Krotscheck U, Nelson SA, Todhunter RJ, Stone M, Zhang Z. Long term functional outcome of tibial tuberosity advancement vs. tibial plateau leveling osteotomy and extracapsular repair in a heterogeneous population of dogs. Vet Surg 2016; 45 (02) 261-268
    CrossrefPubMedGoogle Scholar
  • 3 Biskup JJ, Balogh DG, Scott RM, Conzemius MG. Long-term outcome of an intra-articular allograft technique for treatment of spontaneous cranial cruciate ligament rupture in the dog. Vet Surg 2017; 46 (05) 691-699
    CrossrefPubMedGoogle Scholar
  • 4 Ho-Eckart LK, Seki M, Luizza LM, Kearney MT, Lopez MJ. Joint stability after canine cranial cruciate ligament graft reconstruction varies among femoral fixation sites. Vet Surg 2017; 46 (02) 213-225
    CrossrefPubMedGoogle Scholar
  • 5 Biskup JJ, Balogh DG, Haynes KH, Freeman AL, Conzemius MG. Mechanical strength of four allograft fixation techniques for ruptured cranial cruciate ligament repair in dogs. Am J Vet Res 2015; 76 (05) 411-419
    CrossrefPubMedGoogle Scholar
  • 6 Cook JL, Smith PA, Stannard JP. , et al. A canine hybrid double-bundle model for study of arthroscopic ACL reconstruction. J Orthop Res 2015; 33 (08) 1171-1179
    CrossrefPubMedGoogle Scholar
  • 7 Yasuda K, Kondo E, Ichiyama H. , et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 2004; 20 (10) 1015-1025
    CrossrefPubMedGoogle Scholar
  • 8 Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 2002; 30 (05) 660-666
    CrossrefPubMedGoogle Scholar
  • 9 Sakane M, Fox RJ, Woo SL, Livesay GA, Li G, Fu FH. In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 1997; 15 (02) 285-293
    CrossrefPubMedGoogle Scholar
  • 10 Järvelä S, Kiekara T, Suomalainen P, Järvelä T. Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective randomized study with 10-year results. Am J Sports Med 2017; 45 (11) 2578-2585
    CrossrefPubMedGoogle Scholar
  • 11 El-Sherief FAH, Aldahshan WA, Wahd YE. , et al. Double-bundle anterior cruciate ligament reconstruction is better than single-bundle reconstruction in terms of objective assessment but not in terms of subjective score. Knee Surg Sports Traumatol Arthrosc 2018; 26 (08) 2395-2400
    CrossrefPubMedGoogle Scholar
  • 12 Suruga M, Horaguchi T, Iriuchishima T. , et al. Morphological size evaluation of the mid-substance insertion areas and the fan-like extension fibers in the femoral ACL footprint. Arch Orthop Trauma Surg 2017; 137 (08) 1107-1113
    CrossrefPubMedGoogle Scholar
  • 13 Hara K, Mochizuki T, Sekiya I, Yamaguchi K, Akita K, Muneta T. Anatomy of normal human anterior cruciate ligament attachments evaluated by divided small bundles. Am J Sports Med 2009; 37 (12) 2386-2391
    CrossrefPubMedGoogle Scholar
  • 14 Edwards A, Bull AM, Amis AA. The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament. Part 2: femoral attachment. Knee Surg Sports Traumatol Arthrosc 2008; 16 (01) 29-36
    CrossrefPubMedGoogle Scholar
  • 15 Tsukada H, Ishibashi Y, Tsuda E, Fukuda A, Toh S. Anatomical analysis of the anterior cruciate ligament femoral and tibial footprints. J Orthop Sci 2008; 13 (02) 122-129
    CrossrefPubMedGoogle Scholar
  • 16 Stouffer DC, Butler DL, Kim H. Tension-torsion characteristics of the canine anterior cruciate ligament--Part I: Theoretical framework. J Biomech Eng 1983; 105 (02) 154-159
    CrossrefPubMedGoogle Scholar
  • 17 Heffron LE, Campbell JR. Morphology, histology and functional anatomy of the canine cranial cruciate ligament. Vet Rec 1978; 102 (13) 280-283
    CrossrefPubMedGoogle Scholar
  • 18 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38 (11) 1807-1814
    Google Scholar
  • 19 Singleton WB. The diagnosis and surgical treatment of some abnormal stifle conditions in the dog. Vet Rec 1957; 69: 1387-1394
    PubMedGoogle Scholar
  • 20 Comerford EJ, Tarlton JF, Innes JF, Johnson KA, Amis AA, Bailey AJ. Metabolism and composition of the canine anterior cruciate ligament relate to differences in knee joint mechanics and predisposition to ligament rupture. J Orthop Res 2005; 23 (01) 61-66
    CrossrefPubMedGoogle Scholar
  • 21 Mochizuki T, Fujishiro H, Nimura A. , et al. Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion, with special reference to the femoral attachment. Knee Surg Sports Traumatol Arthrosc 2014; 22 (02) 336-344
    CrossrefPubMedGoogle Scholar
  • 22 Mochizuki T, Muneta T, Nagase T, Shirasawa S, Akita KI, Sekiya I. Cadaveric knee observation study for describing anatomic femoral tunnel placement for two-bundle anterior cruciate ligament reconstruction. Arthroscopy 2006; 22 (04) 356-361
    CrossrefPubMedGoogle Scholar
  • 23 Shino K, Suzuki T, Iwahashi T. , et al. The resident's ridge as an arthroscopic landmark for anatomical femoral tunnel drilling in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2010; 18 (09) 1164-1168
    CrossrefPubMedGoogle Scholar
  • 24 Kawaguchi Y, Kondo E, Onodera J. , et al. Tunnel enlargement and coalition after anatomic double-bundle anterior cruciate ligament reconstruction with hamstring tendon autografts: a computed tomography study. Orthop J Sports Med 2013; 1 (01) 2325967113486441
    Google Scholar
  • 25 Bernard M, Hertel P, Hornung H, Cierpinski T. Femoral insertion of the ACL. Radiographic quadrant method. Am J Knee Surg 1997; 10 (01) 14-21 , discussion 21–22
    PubMedGoogle Scholar
  • 26 Reichert EE, Kunkel KA, Suber JT, Basinger RR, Gerard PD. Radiographic localization and isometry of the origin and insertion of the canine cranial cruciate ligament. Vet Surg 2013; 42 (07) 860-866
    PubMedGoogle Scholar
  • 27 Kubo K, Koike T, Ueda T. , et al. Influence of mechanical properties of soft relining materials on retention of attachment for overdenture. Annals of Japan Prosthodontic Society 2017; 126: 333
    PubMedGoogle Scholar
  • 28 Fujii M, Furumatsu T, Xue H. , et al. Tensile strength of the pullout repair technique for the medial meniscus posterior root tear: a porcine study. Int Orthop 2017; 41 (10) 2113-2118
    CrossrefPubMedGoogle Scholar
  • 29 Proffen BL, McElfresh M, Fleming BC, Murray MM. A comparative anatomical study of the human knee and six animal species. Knee 2012; 19 (04) 493-499
    CrossrefPubMedGoogle Scholar
  • 30 Iwahashi T, Shino K, Nakata K. , et al. Direct anterior cruciate ligament insertion to the femur assessed by histology and 3-dimensional volume-rendered computed tomography. Arthroscopy 2010; 26 (9, Suppl): S13-S20
    CrossrefPubMedGoogle Scholar
  • 31 Snow LA, White R, Gustafson S. , et al. Ex vivo comparison of three surgical techniques to stabilize canine cranial cruciate ligament deficient stifles. Vet Surg 2010; 39 (02) 195-207
    CrossrefPubMedGoogle Scholar
  • 32 Bolia A, Winkels P, Böttcher P. Radiographic location of the femoral footprint of the cranial cruciate ligament in dogs. Tierarztl Prax Ausg K Klientiere Heimtiere 2015; 43 (01) 23-30
    Article in Thieme ConnectPubMedGoogle Scholar