The Comparative Role of the Anterior Cruciate Ligament and Anterolateral Structures in Controlling Passive Internal Rotation of the Knee: A Biomechanical Study

Ruiz, Nicolás; Filippi, German J.; Gagnière, Bertrand; Bowen, Mark K.; Robert, H.

doi:10.1016/j.arthro.2016.02.017

Cited by 45 publications

(49 citation statements)

References 41 publications

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“…This would make it the agonist of the anterior cruciate ligament (ACL). It is well known that a patient with an intact or surgically reconstructed ACL can still have a positive pivot-shift sign (Parsons et al, 2015;Rezansoff et al, 2015;Smith et al, 2015;Ruiz et al, 2016). Furthermore, injuries to the lateral compartment of the knee joint can cause a positive pivot shift sign in knees that have no injury to the ACL (Norwood et al, 1979;Tanaka et al, 2012;Parsons et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

The Anterolateral Ligament of the Knee: A Proposed Classification System

et al. 2018

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The anterolateral ligament (ALL) is a potential stabilizer of the knee and cooperates with the anterior cruciate ligament (ACL). It originates on the lateral epicondyle of the femur, to which it is mainly posterior and proximal; insertion is posterior to Gerdy's tubercle. Its anatomical characteristics vary. Recent publications have focused on morphological variations concerning mainly the femoral and tibial attachments, and on morphometric measurements. Histological and cystochemical examinations have also been performed. Classical anatomical dissection was performed on 111 lower limbs (25 isolated and 86 paired) fixed in 10% formalin. The knee region was dissected using traditional techniques and the morphological features of the ALL were assessed: morphometric measurements and the types of ALL. The ALL was present in 70 individuals (37 woman and 33 men). In 30 cases, it was absent symmetrically, and in 11, it was present on just one side (P = 0.0011). The ALL was morphologically very variable. In type I (the most common form - 64.3%), a single band traveled parallel to the fibular collateral ligament (FCL); in type II the band crossed it. In type III, the origin was located on the lateral epicondyle of the femur and also on the lateral-posterior surface of the joint capsule, and the insertion was in the deep fascia of the leg: this type could be called a capsule. Type IV was characterized by a double ALL, type IIb by ligaments that bifurcated, and type V by the ALL starting directly from the FCL rather than the femoral epicondyle. The ALL is characterized by high morphological variability, both in its femoral and in its tibial attachments and in its course. Clin. Anat. 31:966-973, 2018. © 2018 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

The Anterolateral Ligament of the Knee: A Proposed Classification System

et al. 2018

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“…Clási-camente, se pensaba que limitaba la rotación interna en grados cercanos a la extensión (8)(9)(10)16,17) ; sin embargo, otros estudios ponen de manifiesto una limitación rotacional a grados altos de flexión de la rodilla (15,19,21,49) . Dada la importancia del LAL en el control del pivot shift (62)(63)(64)66) , se ha retomado el interés en las reconstrucciones de estas estructuras asociadas a la cirugía del LCA en un intento de disminuir el pivot shift residual y mejorar la estabilidad.…”

Section: Discussionunclassified

“…Los estudios biomecánicos sobre el LAL más recientes ponen de manifiesto el control de la estabilidad rotacional a grandes ángulos de flexión (9,18,20,21,24,(47)(48)(49) , donde no existiría un pivot shift significativo (se explora a unos 30° de flexión), mientras que otros defienden el control del mismo en extensión y escasos ángulos de flexión (1,(8)(9)(10)13,16,17) , con posibilidad de ser apreciado en el pivot shift, siendo un restrictor secundario en la estabilidad anteroposterior.…”

Section: Clínicaunclassified

“…Parece ser que presenta mayor tensión en grados cercanos a la extensión (1,(8)(9)(10)13,16,17) , pero estudios recientes defienden su control a mayor flexión de rodilla (15,(18)(19)(20)(21) . Para el diagnóstico de esta lesión se ha puesto de manifiesto ser el causante del pivot shift en la exploración, aunque este concepto es controvertido (22)(23)(24)(25)(26) .…”

Section: Introductionunclassified

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Revisión sistemática: ligamento anterolateral de la rodilla

Cáceres¹,

Vázquez²,

Espejo-Reina³

et al. 2018

REACA

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“…Los estudios biomecánicos ponen de manifiesto el papel de esta estructura en el control de la estabilidad rotacional, existiendo debate sobre la posición donde se produce mejor función biomecánica por la misma. Parece ser que presenta mayor tensión en grados cercanos a la extensión (1,(8)(9)(10)13,16,17) , pero estudios recientes defienden su control a mayor flexión de rodilla (15,(18)(19)(20)(21) .…”

Section: Introductionunclassified

Pinzamiento blando de cadera. Manifestaciones clínicas de una deformidad subradiológica

Seijas¹,

Rivera²,

Barastegui³

et al. 2017

REACA

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RESUMENIntroducción: numerosos estudios han sido realizados en los últimos años con el objetivo de mejorar el conocimiento del ligamento anterolateral (LAL) de la rodilla. Debido a esto, se cree conveniente realizar esta revisión bibliográfica para definir la incidencia, la anatomía, la biomecánica, la clínica, las pruebas de imagen y el tratamiento del mismo. Material y métodos: se realiza una búsqueda en las bases de datos PubMed/Medline/Cochrane. Se incluyeron estudios descriptivos tanto clínicos como in vitro sobre las consideraciones anatómicas, biomecánicas, clínicas, estudios de imagen, manejo quirúrgico y resultados del LAL de la rodilla hasta abril de 2017. Se excluyen artículos no escritos en inglés, publicados en revistas no indexadas, no realizados en humanos o cadáveres humanos y aquellos no pertenecientes a la rodilla. Resultados: el origen femoral es el que más discusión nos ofrece, insertándose en la tibia entre el tubérculo de Gerdy y la cabeza del peroné. Biomecánicamente, parece influir en la estabilidad rotacional, con escaso control de la estabilidad anteroposterior. Para su diagnóstico, disponemos del pivot shift en la exploración, fractura de Segond en la radiología simple, ecografía y resonancia magnética. ABSTRACT Systematic review: anterolateral ligament of the kneeIntroduction: numerous studies have been performed in the last years with the aim of improving the knowledge on the anterolateral ligament (ALL) of the knee. It is therefor deemed necessary to perform this literature revision in order to define its incidence, anatomy, biomechanics, clinical, image studies and treatment of the same one. Material and methods: a PubMed/Medline/Cochrane data base search is performed. Descriptive studies, both clinical and in vitro, on anatomy, biomechanics, clinical presentation, imaging findings, surgical treatment and results of the ALL of the knee up to april 2017. Paper not written in English, published in non-indexed journals, not done on humans or human cadavers, or not referring to the knee were excluded. Results: the femoral origin is less clear than the tibial insertion occurring between Gerdy's tubercle and the fibular head. Biomechanicaly ALL controls rotational stability with little effect over antero-posterior translation. As diagnostic tools, we have the pivot-shift at clinical exploration, Segond's fracture in plain X-rays, ultrasonography

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The Comparative Role of the Anterior Cruciate Ligament and Anterolateral Structures in Controlling Passive Internal Rotation of the Knee: A Biomechanical Study

Cited by 45 publications

References 41 publications

The Anterolateral Ligament of the Knee: A Proposed Classification System

The Anterolateral Ligament of the Knee: A Proposed Classification System

Revisión sistemática: ligamento anterolateral de la rodilla

Pinzamiento blando de cadera. Manifestaciones clínicas de una deformidad subradiológica

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