{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T10:07:03Z","timestamp":1779444423255,"version":"3.53.1"},"reference-count":20,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Anterior cruciate ligament reconstruction, often combined with anterolateral ligament reconstruction, requires accurate anatomical positioning of bone tunnels, which is a key determinant of surgical success. In current clinical practice, postoperative radiographs are routinely performed for both medico-legal and clinical purposes. The objective of this study is to analyze the content of early postoperative radiology reports following ACL \u00b1 ALL reconstruction and assess their clinical relevance regarding tunnel positioning, as well as the terminology used to describe surgical findings. Methods: A retrospective bicentric descriptive study was conducted, including 100 consecutive postoperative radiographic reports performed within two weeks after ACL \u00b1 ALL reconstruction. The primary outcome was the mention of bone tunnel positioning. Secondary outcomes included the reporting of joint effusion, surgical complications, fixation devices, and terminology used. All radiographs were independently reviewed by two experienced orthopedic surgeons. Results: Among the 100 reports analyzed, interpretations were performed by 60 different radiologists. None of the reports included an assessment of bone tunnel positioning based on validated anatomical criteria. Joint effusion was reported in 83% of cases, without specification of its physiological nature. In 22% of reports, bone tunnels were not mentioned. Terms such as \u201csequelae\u201d or \u201cstigmata\u201d of ligament reconstruction were used in 50% of reports. No complications or surgical errors were identified upon independent radiographic review. Conclusions: Early postoperative radiology reports after ACL reconstruction appear standardized but often lack clinically relevant contextualization regarding tunnel-related technical aspects. Rather than advocating replacement of surgeon-led image review, our findings support clearer postoperative terminology and better contextualized reporting, including explicit acknowledgment when detailed tunnel assessment is not feasible on routine radiographs.<\/jats:p>","DOI":"10.3390\/jcm15113992","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T09:17:09Z","timestamp":1779441429000},"page":"3992","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Radiographic Reports After Anterior Cruciate Ligament Reconstruction: Are We Assessing What Really Matters?"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7605-3522","authenticated-orcid":false,"given":"Julien","family":"Behr","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, CHU de Nantes, 1 Place Alexandre Ricordeau, 44000 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2611-3938","authenticated-orcid":false,"given":"Mohamad","family":"Moussa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CH de Selestat, 23 Avenue Pasteur Pompidou, 67210 Selestat, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lefevre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Clinique du Sport, 36 Boulevard Saint Marcel, 75005 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Polyclinique de Bordeaux Nord, 15 rue Claude-Boucher, 33000 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Thomazi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Polyclinique de Bordeaux Nord, 15 rue Claude-Boucher, 33000 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1604-8194","authenticated-orcid":false,"given":"Alexandre","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CH de Selestat, 23 Avenue Pasteur Pompidou, 67210 Selestat, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thibaut","family":"Noailles","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Polyclinique de Bordeaux Nord, 15 rue Claude-Boucher, 33000 Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2325967116634074","DOI":"10.1177\/2325967116634074","article-title":"A Systematic Summary of Systematic Reviews on the Topic of the Anterior Cruciate Ligament","volume":"4","author":"Anderson","year":"2016","journal-title":"Orthop. J. Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1136\/bjsports-2018-099060","article-title":"2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries","volume":"52","author":"Ardern","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"3488","DOI":"10.1007\/s00167-022-06956-x","article-title":"Combined ACL and ALL reconstruction reduces the rate of reoperation for graft failure or secondary meniscal lesions in young athletes","volume":"30","author":"Laboudie","year":"2022","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1658S","DOI":"10.1177\/19476035211046041","article-title":"Anterior Cruciate Ligament Reconstruction versus Nonoperative Treatment: Better Function and Less Secondary Meniscectomies but No Difference in Knee Osteoarthritis\u2014A Meta-Analysis","volume":"13","author":"Cuzzolin","year":"2021","journal-title":"Cartilage"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s43465-021-00485-4","article-title":"How Important is the Tunnel Position in Outcomes Post-ACL Reconstruction: A 3D CT-Based Study","volume":"56","author":"Mhaskar","year":"2021","journal-title":"Indian J. Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1177\/0363546520906158","article-title":"Anterior Cruciate Ligament Femoral Tunnel Placement: An Analysis of the Intended Versus Achieved Position for 221 International High-Volume ACL Surgeons","volume":"48","author":"Robinson","year":"2020","journal-title":"Am. J. Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1016\/j.eats.2016.09.035","article-title":"Anatomic Femoral and Tibial Tunnel Placement During Anterior Cruciate Ligament Reconstruction: Anteromedial Portal All-Inside and Outside-In Techniques","volume":"6","author":"Burnham","year":"2017","journal-title":"Arthrosc. Tech."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3666","DOI":"10.1007\/s00167-020-06160-9","article-title":"Trauma and femoral tunnel position are the most common failure modes of anterior cruciate ligament reconstruction: A systematic review","volume":"28","author":"Vermeijden","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.arthro.2023.07.021","article-title":"Editorial Commentary: The Number One Cause of Anterior Cruciate Ligament Reconstruction Graft Failure Is a Misplaced Femoral Tunnel: Over-the-Top Technique Plus Lateral Extra-Articular Tenodesis Is Recommended","volume":"40","author":"Lucidi","year":"2024","journal-title":"Arthroscopy"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1007\/s13244-011-0118-z","article-title":"How do referring clinicians want radiologists to report? Suggestions from the COVER survey","volume":"2","author":"Bosmans","year":"2011","journal-title":"Insights Imaging"},{"key":"ref_11","first-page":"2954","article-title":"Survey on the radiology report at Chris Hani Baragwanath Academic Hospital: Clinician and radiologist perspectives","volume":"28","author":"Thormahlen","year":"2024","journal-title":"SA J. Radiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"112068","DOI":"10.1016\/j.ejrad.2025.112068","article-title":"Rethinking radiology reports: A survey of referring physicians\u2019 perspectives","volume":"187","author":"Reschke","year":"2025","journal-title":"Eur. J. Radiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1148\/radiol.10101045","article-title":"The radiology report as seen by radiologists and referring clinicians: Results of the COVER and ROVER surveys","volume":"259","author":"Bosmans","year":"2011","journal-title":"Radiology"},{"key":"ref_14","first-page":"2644","article-title":"The impact of different radiology report formats on patient information processing: A systematic review","volume":"35","author":"Ottenheijm","year":"2025","journal-title":"Eur. Radiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s10278-021-00439-0","article-title":"Radiology Reporting in the Era of Patient-Centered Care: How Can We Improve Readability?","volume":"34","author":"Patil","year":"2021","journal-title":"J. Digit. Imaging"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"140","DOI":"10.2214\/AJR.16.16633","article-title":"Differences in Perceptions Among Radiologists, Referring Physicians, and Patients Regarding Language for Incidental Findings Reporting","volume":"208","author":"Rosenkrantz","year":"2017","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1148\/radiol.2493080988","article-title":"Structured reporting: Patient care enhancement or productivity nightmare?","volume":"249","author":"Weiss","year":"2008","journal-title":"Radiology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e1145","DOI":"10.1016\/j.eats.2023.03.003","article-title":"Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction with Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel","volume":"12","author":"Noailles","year":"2023","journal-title":"Arthrosc. Tech."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1177\/0363546509347096","article-title":"Comparison between single-and double-bundle anterior cruciate ligament reconstruction: A prospective, randomized, single-blinded clinical trial","volume":"38","author":"Aglietti","year":"2010","journal-title":"Am. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1007\/s00167-022-07081-5","article-title":"Joint effusion at 3 months after anterior cruciate ligament reconstruction is associated with reinjury","volume":"31","author":"Kikuchi","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/11\/3992\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T09:45:49Z","timestamp":1779443149000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/11\/3992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":20,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["jcm15113992"],"URL":"https:\/\/doi.org\/10.3390\/jcm15113992","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,22]]}}}