Primary Anterolateral Ligament Rupture in Patients Requiring Revision Anterior Cruciate Ligament Reconstruction: A Retrospective Case-Control Magnetic Resonance Imaging Review

Correlation Analysis of the Anterolateral Ligament Length with the Anterior Cruciate Ligament Length and Patient’s Height: An Anatomical Study

“…Tears of the ACL are one of the most common injuries among athletes 49,50 including ACL reconstruction being the most commonly performed knee ligament surgery 51 with reported satisfaction rates ranging from 75% to 97% 52 . However, despites advances in reconstruction technologies and the reported satisfactory outcomes, persistence of residual rotational instability following ACL reconstruction has been stated in up to 25% of all cases 53–55 including 10% to 15% of patients requiring revision surgery 52 . This persisting rotational instability has been discussed to be traced back to an ALL injury 50,52 .…”

“…However, despites advances in reconstruction technologies and the reported satisfactory outcomes, persistence of residual rotational instability following ACL reconstruction has been stated in up to 25% of all cases 53–55 including 10% to 15% of patients requiring revision surgery 52 . This persisting rotational instability has been discussed to be traced back to an ALL injury 50,52 . Carr et al .…”

“…Carr et al . 52 aimed to compare the initial prevalence of ALL injuries in patients with ACL reconstruction failure when compared to those without ACL graft failure. However, the incidence of ALL injuries as evaluated on post-trauma MRI scans did not differ between the groups (both groups had eight cases with a completely torn ALL).…”

Author Reply to “Regarding ‘Identification of Normal and Injured Anterolateral Ligaments of the Knee: A Systematic Review of Magnetic Resonance Imaging Studies’”

“…1 As noted in the Letter to the Editor, our search was performed up to the end of April 2018 (article submitted in June 2018), and unfortunately, it was not possible to include the many studies that have been published since then. [2][3][4][5][6][7][8][9][10][11][12][13][14] In our systematic review, 1 despite the wide range of anterolateral ligament (ALL) identification rates in magnetic resonance imaging (MRI) and inconsistent observer agreement, many papers identified ALL in nearly all knees assessed, and some showed good intraand interobserver agreement rates (ranging from 0.84 to 1.0). We commend Saithna and colleagues for their recent works on this topic.…”

Editorial Commentary: Lateral Extra-Articular Tenodesis Results in Better Stability After Anterior Cruciate Ligament Reconstruction for Patients With High-Grade Pivot Shifts

“…Tibial-sided ALL injures are more challenging than those on the femoral side. 4 This suggests that both the degree and the location of ALL tearing should be considered, and that they may impact subsequent ACL graft rupture and the need for lateral surgical intervention.…”