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Die VKB-Ruptur stellt eine der h\u00e4ufigsten Sportverletzungen dar, mit einer hohen Inzidenz besonders bei Sportarten, die Drehbewegungen und abrupte Richtungswechsel erfordern. VKB-Verletzungen sind selten isoliert und oft von Meniskus- und anderen Kniebinnenverletzungen begleitet, die das Arthroserisiko erh\u00f6hen. Das Verletzungsspektrum des VKB umfasst Zerrungen, Teilrupturen und vollst\u00e4ndige Rupturen. Die Magnetresonanztomographie (MRT) spielt eine zentrale Rolle in der Diagnostik, da sie nicht nur das VKB, sondern auch begleitende Verletzungen pr\u00e4zise darstellen kann. Protonendichte- und T2-gewichtete Sequenzen eignen sich besonders zur Beurteilung des VKB, welches in der Regel in allen Ebenen gut sichtbar und bewertbar ist. Neben der Darstellung der Faserunterbrechung als direktem Zeichen und zentralem diagnostischem Indikator einer VKB-Ruptur gibt es zahlreiche weitere direkte und indirekte Anzeichen einer VKB-Verletzung in der MRT. Dazu geh\u00f6ren abnormale Faserorientierungen, Signalerh\u00f6hungen sowie eine anteriore Subluxation der Tibia im Verh\u00e4ltnis zum Femur. Die h\u00e4ufig mit VKB-Rupturen assoziierten Knochenmark\u00f6deme sind oft hinweisend auf den zugrundeliegenden Verletzungsmechanismus. Die Therapie der VKB-Rupturen kann konservativ oder operativ sein, abh\u00e4ngig von verschiedenen Faktoren wie dem Aktivit\u00e4tsniveau des Patienten und dem Vorhandensein von Begleitverletzungen. Die pr\u00e4zise und umfassende Beschreibung von VKB-Verletzungen durch die Radiologie ist entscheidend f\u00fcr die optimale Therapieplanung. Die anterolaterale Rotationsinstabilit\u00e4t (ALRI) des Kniegelenks kennzeichnet einen Zustand \u00fcberm\u00e4\u00dfiger lateraler und rotatorischer Beweglichkeit der Tibia im Verh\u00e4ltnis zum Femur im anterolateralen Kniebereich. Diese Instabilit\u00e4t wird prim\u00e4r durch eine Ruptur des VKB verursacht, wobei dem vor etwa 10\u00a0Jahren wiederentdeckten anterolateralen Ligament (ALL) ebenfalls eine Rolle bei der Stabilisierung des Knies zugeschrieben wird. Obwohl die ALRI in erster Linie durch klinische Untersuchungen diagnostiziert wird, ist die MRT unerl\u00e4sslich f\u00fcr das Erkennen von Verletzungen am VKB, ALL und anderen Kniebinnenstrukturen, was essenziell f\u00fcr die Entwicklung einer optimalen Behandlungsstrategie ist.<\/jats:p>","DOI":"10.1007\/s00117-024-01278-0","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T15:02:33Z","timestamp":1709650953000},"page":"261-270","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bildgebung des vorderen Kreuzbands und der anterolateralen Rotationsinstabilit\u00e4t\u00a0des\u00a0Kniegelenks","Imaging of the anterior cruciate ligament and anterolateral rotational instability of the knee joint"],"prefix":"10.1007","volume":"64","author":[{"given":"Benjamin","family":"Fritz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"1278_CR1","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1111\/joa.12087","volume":"223","author":"S Claes","year":"2013","unstructured":"Claes\u00a0S, Vereecke\u00a0E, Maes\u00a0M et\u00a0al (2013) Anatomy of the anterolateral ligament of the knee. 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