A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament

Caterine, Scott; Litchfield, Robert; Johnson, Marjorie; Chronik, Blaine A.; Getgood, Alan

doi:10.1007/s00167-014-3117-z

Cited by 281 publications

(441 citation statements)

References 36 publications

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“…9,13 Placement for the femoral position is crucial to obtain appropriate isometry; however, the location of the femoral origin is debatable. Claes et al 1 reported an attachment anterior to the lateral collateral ligament (LCL); Helito et al 2 described an anterior and distal insertion to the LCL; Dodds et al 3 described a more proximal and posterior insertion to the LCL; and Caterine et al 4 reported significant variability in the femoral insertion, being posterior and proximal to anterior and distal to the LCL. A recent biomechanical study by Kittl et al 9 determined that for an extraarticular lateral reconstruction, the most isometric femoral insertion would be proximal to the lateral epicondyle.…”

Section: Discussionmentioning

confidence: 99%

“…R ecently, authors have reported the anatomic and functional characteristics of the anterolateral ligament (ALL), [1][2][3][4] describing a structure that originates near the lateral epicondyle on the femur and inserts broadly in a fan-like attachment on the tibia between the Gerdy tubercle and the fibular head. 5 Functionally, the ALL is an important stabilizer of the knee, serving as the primary restraint to internal rotation of the tibia throughout varying degrees of knee flexion.…”

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confidence: 99%

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Minimally Invasive Anterolateral Ligament Reconstruction in the Setting of Anterior Cruciate Ligament Injury

Sonnery‐Cottet

Barbosa

Tuteja

et al. 2016

Arthroscopy Techniques

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Recent evidence on the anatomy, function, and biomechanical properties of the anterolateral ligament has led to the recognition of the importance of this structure in the rotational control of the knee. This article describes a technique that allows for minimally invasive anterolateral ligament reconstruction as a complement to most techniques of anterior cruciate ligament reconstruction. A gracilis tendon autograft is harvested and prepared in a double-strand, inverted Veshaped graft. The graft is percutaneously placed through a femoral stab incision, and each strand is then passed deep to the iliotibial band, emerging through each tibial stab incision. After the femoral-end loop graft is fixed, the tibial fixation of each strand is performed in full extension for optimal isometry.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Minimally Invasive Anterolateral Ligament Reconstruction in the Setting of Anterior Cruciate Ligament Injury

Sonnery‐Cottet

Barbosa

Tuteja

et al. 2016

Arthroscopy Techniques

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“…21 Regarding the relationship to the lateral collateral ligament (LCL), the ALL is described as being superficial to the LCL. 22 Many ALL reconstruction techniques have used a graft passing deep to the LCL, which could explain the over-tightening and the sub-optimal results seen with these methods. 23 Other researchers consider that the ALL and the deep capsulo-osseous fibers of the iliotibial tract are in fact one and the same structure.…”

Section: Capsular Versus Extracapsularmentioning

confidence: 99%

Anterolateral Ligament (ALL) — Myth or Reality?

Roman

Russu

Prejbeanu

et al. 2017

Journal of Interdisciplinary Medicine

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Although the anterolateral ligament (ALL) was described a long time ago, recent research shows a lot of interest regarding this structure. There is a high variability concerning its anatomy, especially its capsular/extracapsular situation and insertion sites. There is also some controversy about its ligamentous structure. It seems that it has a biomechanical role in restricting anterior tibial translation and internal rotation. The ALL complex seems to have a clinical significance, and a relationship with the pivot shift has been described. Although there are promising results recently, the surgical techniques of ALL reconstruction, in addition to anterior cruciate ligament reconstruction, have to be further investigated. A precise indication algorithm and patient selection criteria need to be established.

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“…Recent publications advocating a newly discovered anterolateral ligament [97][98][99][100] have led to a re-examination of the anatomy and biomechanical function of the anterolateral complex of the knee (see Fig. 4).…”

Section: Associated Soft Tissue Injuriesmentioning

confidence: 99%

Kinematic outcomes following ACL reconstruction

Naendrup

Zlotnicki

Chao

et al. 2016

Curr Rev Musculoskelet Med

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Anterior cruciate ligament (ACL) reconstruction aims to restore the translational and rotational motion to the knee joint that is lost after injury. However, despite technical advancements, clinical outcomes are less than ideal, particularly in return to previous activity level. A major issue is the inability to standardize treatment protocols due to variations in materials and approaches used to accomplish ACL reconstruction. These include surgical techniques such as the transtibial and anteromedial portal methods that are currently under use and the wide availability of graft types that will be used to reconstruct the ACL. In addition, concomitant soft tissue injuries to the menisci and capsule are frequently present after ACL injury and, if left unaddressed, can lead to persistent instability even after the ACL has been reconstructed. Advances in the field of biomechanics that help to objectively measure motion of the knee joint may provide more precise data than current subjective clinical measurements. These technologies include extra-articular motion capture systems that measure the movement of the tibia in relation to the femur. With data gathered from these devices, a threshold for satisfactory knee stability may be established in order to correctly identify a successful reconstruction following ACL injury.

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A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament

Abstract: From this study, the ALL is an independent structure in the anterolateral compartment of the knee and may serve a proprioceptive role in knee mechanics.

Cited by 281 publications

References 36 publications

Minimally Invasive Anterolateral Ligament Reconstruction in the Setting of Anterior Cruciate Ligament Injury

Minimally Invasive Anterolateral Ligament Reconstruction in the Setting of Anterior Cruciate Ligament Injury

Anterolateral Ligament (ALL) — Myth or Reality?

Kinematic outcomes following ACL reconstruction

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