Fibular Collateral Ligament Anatomical Reconstructions

LaPrade, Robert F.; Spiridonov, Stanislav I.; Coobs, Benjamin R.; Ruckert, Paul R.; Griffith, Chad J.

doi:10.1177/0363546510370200

Cited by 91 publications

(79 citation statements)

References 35 publications

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“…While this discrepancy may reflect a difference between ultrasound and radiography, it highlights the value of multiple modalities in the decisionmaking process for PLC reconstruction, including MRI and physical examination. One study of 20 patients having FCL reconstruction assessed varus instability using the contralateral knee as a control and found an average side-to-side difference of 3.9 mm of lateral compartment opening on varus stress radiography [16]. Although our radiograph protocol did not routinely include the contralateral knee, obtaining comparison images could help correct for anatomic variability or physiologic laxity and provide more reliable information.…”

Section: Discussionmentioning

confidence: 99%

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Can Stress Radiography of the Knee Help Characterize Posterolateral Corner Injury?

Gwathmey

Tompkins

Gaskin

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Conventional MRI is limited for characterizing the posterolateral corner of the knee due to the region's anatomic variability and complexity; further, MRI is a static study and cannot demonstrate pathologic laxity. Stress radiography may provide additional information about instability. Questions/purposes We therefore (1) correlated varus stress radiography with MRI findings, (2) compared opening in patients who underwent surgical posterolateral corner stabilization versus those who did not, and (3) determined whether stress radiography findings could supplement MRI for making treatment decisions. Patients and Methods We retrospectively studied 26 patients (27 knee injuries) and correlated lateral compartment opening on varus stress radiography with severity of posterolateral corner injury on MRI. We compared radiographic findings in 18 patients with complete injuries who underwent posterolateral corner stabilization with five who did not. Results A complete posterolateral corner injury on MRI was associated with an average of 18.6 mm (10.0-36.5 mm) of varus opening versus 12.8 mm (7.5-17.0 mm) in partial injuries. Opening in operative cases that underwent stabilization was 16.5 mm (11.0-36.5 mm) versus 11.0 mm (7.5-13.5 mm) for those that did not. Ten of 15 partial injuries underwent stabilization, for which the varus opening was 13.6 mm (11.0-17.0 mm). Average varus opening in partial injuries that did not undergo stabilization was 11.0 mm (7.5-13.5 mm). Conclusions Varus stress radiography correlated to MRI findings for posterolateral corner injury. The injuries we treated with reconstruction were associated with increased varus opening. In patients with partial posterolateral corner injury on MRI, we used degree of opening on varus stress radiography to aid the decision for stabilization.

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Section: Discussionmentioning

confidence: 99%

“…Cadaver studies support the usefulness of a posterior drawer test [30] and varus stress radiography [13] for diagnosing PLC injuries, and some propose dynamic varus stress ultrasound [29] for making clinical decisions. Some authors have used stress radiography to follow patients who undergo PLC reconstruction [16,25,31].…”

Section: Introductionmentioning

confidence: 99%

Can Stress Radiography of the Knee Help Characterize Posterolateral Corner Injury?

Gwathmey

Tompkins

Gaskin

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…The lateral patellofemoral ligament, popliteus tendon, popliteofibular ligament, and fabellofibular ligament have all been described in detail [3,[9][10][11][12][13]], but to date descriptions of the attachments of the LCL remain incomplete in the published literature.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Reconsideration of the Lateral Collateral Ligament in the Human Knee: Anatomical Observation and Literature Review

Jing¹,

Takeda²,

Fujino³

et al. 2012

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In the published literature as well as in the most commonly used textbooks, the lateral collateral ligament (LCL) is described as having 1 attachment at the lateral epicondyle of the femur and another at the head of the fibula. In this article, we reconsider the attachments, the length of the LCL, and the tissues surrounding the LCL by presenting our anatomical observations and by reviewing the literature. Our results have shown that the LCL is not only attached to the lower part of the lateral epicondyle of the femur, but also extends to the upper part of the lateral epicondyle. The attachment of the LCL on the fibula is enclosed by 2 insertion points of the biceps femoris tendon. The average length of the LCL in 71 knees was 51.4 mm. There is an "incomplete gap" on the LCL that is interrupted under the tendon of the biceps femoris.

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“…Como alternativa à imobilização rígida foram desenvolvidos, baseados em órteses articuladas, protocolos de reabilitação que permitem realizar flexão do joelho mais precoce que, simultaneamente, possam impedir a posteriorização da tíbia (15,27,34,37,40) , embora não haja estudos que demonstrem essa proteção (41) . Mas mesmo os que defendem essa opção, frequentemente, mantêm o joelho com imobilização rígida quando há associação da reconstrução do LCP com o CPL e o LCM (36) .…”

Section: Listasunclassified

“…Esta lógica se faz evidente na tentativa incessante de procurar técnicas de reconstrução as mais anatômicas possíveis. Quase como se o objetivo dessa cirurgia tivesse se modificado, não seria apenas para evitar os falseios, mas para restaurar a anatomia (5,40,58,61) , restaurar o corpo, talvez, em última análise, rejuvenescer.…”

Section: Intervalo Em Meses Entre O Acidente Que Provocou a Lesão Ligunclassified

Uso do fixador externo articulado no tratamento cirúrgico da instabilidade multiligamentar crônica do joelho

Angelini¹

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Fibular Collateral Ligament Anatomical Reconstructions

Abstract: An anatomical fibular collateral ligament reconstruction using a semitendinosus graft results in improved patient outcomes and near-normal lateral compartment stability in patients with grade III injuries of the fibular collateral ligament.

Cited by 91 publications

References 35 publications

Can Stress Radiography of the Knee Help Characterize Posterolateral Corner Injury?

Can Stress Radiography of the Knee Help Characterize Posterolateral Corner Injury?

Anatomical Reconsideration of the Lateral Collateral Ligament in the Human Knee: Anatomical Observation and Literature Review

Uso do fixador externo articulado no tratamento cirúrgico da instabilidade multiligamentar crônica do joelho

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