Classifications in Brief: The Schenck Classification of Knee Dislocations

Goebel, Collin P.; Domes, Christopher M.

doi:10.1097/corr.0000000000001186

Cited by 38 publications

(37 citation statements)

References 27 publications

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“…via Müeller charts), which could potentially aid surgical planning [ 11 ] and add prognostic value for clinical outcome [ 16 ]. The positional Kennedy classification and other energy-based classification systems have been found inadequate for communication or guiding management as they are limited in describing the severity and pattern of ligamentous injury – especially in cases of spontaneous reduction [ 17 ].…”

Section: Classificationmentioning

confidence: 99%

Current concepts in the assessment and management of multiligament injuries of the knee

Scheepers

Khanduja

Held

2021

SICOT-J

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Multiligament knee injuries (MLKIs), though rare, pose significant challenges to the patient and surgeon. They often occur in the setting of high-velocity trauma and are frequently associated with concomitant intra- and extra-articular injuries, the most immediately devastating of which is vascular compromise. A detailed evaluation is required when acute or chronic MLKIs are suspected, and stress radiography, MRI and angiography are valuable adjuncts to a thorough clinical examination. Surgical treatment is widely regarded as superior to non-surgical management and has been demonstrated to improve functional outcome scores, return to work, and return to sport rates, though the incidence of post-traumatic osteoarthritis remains high in affected knees. However, acceptable results have been obtained with conservative management in populations where surgical intervention is not feasible. Early arthroscopic single-stage reconstruction is currently the mainstay of treatment for these injuries, but some recent comparative studies have found no significant differences in outcomes. Recent trends in the literature on MLKIs seem to favour early surgery over delayed surgery, though both methods have distinct advantages and disadvantages. Due to the heterogeneity of the injury and the diversity of patient factors, treatment needs to be individualised, and a single best approach with regards to the timing of surgery, repair versus reconstruction, surgical technique and surgical principles cannot be advocated. There is much controversy in the literature surrounding these topics. Early post-operative rehabilitation remains one of the most important positive prognostic factors in surgical management and requires a dedicated team-based approach. Though outcomes of MLKIs are generally favourable, complications are abundant and precautionary measures should be implemented where possible. Low resource settings are faced with unique challenges, necessitating adaptability and pragmatism in tailoring a management strategy capable of achieving comparable outcomes.

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Section: Classificationmentioning

confidence: 99%

Current concepts in the assessment and management of multiligament injuries of the knee

Scheepers

Khanduja

Held

2021

SICOT-J

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“…Concerning the Schenck system, it classifies knee dislocations based on the affected ligament structures. Due to its greater precision, this classification system has more advantages in the decision to treat and in assessing the severity of the injury [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Schenck Classification SystemACL: anterior cruciate ligament; C: Vascular injury; KD: Knee dislocation; L: Lateral; LCL: Lateral collateral ligament; M: Medial; MCL: Medial Collateral Ligament; N: Nerve injury; PCL: Posterior cruciate ligament[6].…”

mentioning

confidence: 99%

Knee Dislocation With Vascular and Nerve Injury in a Professional Football Player: Return to Play

Moreno¹,

Vaz²,

Melo³

et al. 2022

Cureus

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Traumatic knee dislocations are serious and complex injuries, defined as clinical and/or radiological loss of tibiofemoral congruence, which may represent real emergencies to the integrity of the affected limb. This lesion is responsible for multi-ligament tears but the most serious possible complications are related to vascular and peripheral nerve injuries. Recent studies show that surgical treatment has better functional results and higher return rates to sports practice compared to conservative treatment. However, there is still no consensus on the ideal surgical technique and the timing of surgery. After conservative management or surgical treatment, rehabilitation treatment plays a key role in the recovery process. There are few studies evaluating the return to competition after traumatic knee dislocation and those athletes who return have difficulty reaching the pre-injury level. Here, we report the case of a professional football player who suffered a traumatic knee dislocation, with multiple ligament tears associated with vascular and neurological damage. Three hours after the initial lesion a double interposition bypass was done with the great saphenous vein, returning flow distally. It was decided not to perform ligament surgery. Two years after a long and intense rehabilitation program the athlete successfully returned to competition.

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“…Up to 50% of these injuries may present as a spontaneously reduced knee dislocation and can be grouped under knee dislocation V injury according to Schenck classification. [2][3][4] Adequate tibial condylar reduction and restoration of the proximal tibial geometry is important before ligament reconstruction; hence, a staged approach is generally recommended for these injuries. With improvements in arthroscopic instrumentation and availability of innovative techniques, there is a paradigm shift in approaching these injuries, and a single-stage reconstruction can be adopted for ligament injuries with minimally displaced/depressed tibial rim fractures.…”

mentioning

confidence: 99%

“…Up to 50% of these injuries may present as a spontaneously reduced knee dislocation and can be grouped under knee dislocation V injury according to Schenck classification. 2 , 3 , 4 …”

mentioning

confidence: 99%

Single-Stage Arthroscopy-Assisted Reduction and Internal Fixation (ARIF) of Tibial Rim Fracture With Posterior Cruciate Ligament Reconstruction and Repair of Posterolateral Complex and Meniscal Injury

Sundararajan

D’souza

Ramakanth

et al. 2021

Arthroscopy Techniques

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Multiligament knee injury with periarticular fractures are high-velocity injuries and generally require a staged treatment approach that involves multiple hospitalizations and results in delayed return to activity. We report a singlestage management technique for these injuries with arthroscopy-assisted reduction and internal fixation of a depressed tibial rim fracture with concomitant posterolateral complex repair, medial meniscal repair, and posterior cruciate ligament reconstruction.

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Classifications in Brief: The Schenck Classification of Knee Dislocations

Cited by 38 publications

References 27 publications

Current concepts in the assessment and management of multiligament injuries of the knee

Current concepts in the assessment and management of multiligament injuries of the knee

Knee Dislocation With Vascular and Nerve Injury in a Professional Football Player: Return to Play

Single-Stage Arthroscopy-Assisted Reduction and Internal Fixation (ARIF) of Tibial Rim Fracture With Posterior Cruciate Ligament Reconstruction and Repair of Posterolateral Complex and Meniscal Injury

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