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Anterolateral ligament

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https://www.readbyqxmd.com/read/29099891/paraskiing-crash-and-knee-dislocation-with-multiligament-reconstruction-and-iliotibial-band-repair
#1
Chase S Dean, Olivia Fernandes, Mark E Cinque, Jorge Chahla, Robert F LaPrade
We describe the diagnosis, treatment, rehabilitation, and complications of a 27-year-old male paraskiier who sustained a closed high-velocity knee dislocation after colliding with a tree at a speed of 45 mph and falling 40 feet to the ground. Extensive surgery to repair and reconstruct the knee included open lateral capsular repair, open anatomical posterolateral corner reconstruction with split Achilles tendon allograft, open iliotibial band reconstruction with Achilles tendon allograft, arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft, and double-bundle posterior cruciate ligament reconstruction with Achilles tendon allograft for the anterolateral bundle and tibialis anterior tendon allograft for the posteromedial bundle...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29095400/mri-arthroscopy-correlations-ligaments-of-the-knee
#2
Joseph J Ruzbarsky, Gabrielle Konin, Naaman Mehta, Robert G Marx
Magnetic resonance imaging and a thorough understanding of its interpretation in the diagnosis and management of injuries to the ligaments about the knee is an essential skill for orthopedists. The goal of this review is to provide a description of the native and injured anatomy through magnetic resonance imaging and its correlations, when appropriate, as seen through the arthroscope at the time of surgery. The ligaments of focus include the anterior cruciate ligament, the posterior cruciate ligament, the medial collateral ligament, the posterolateral corner, the anterolateral ligament, and the medial patellofemoral ligament...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29081860/arthroscopic-lateral-ligament-repair-through-two-portals-in-chronic-ankle-instability
#3
Jorge Pablo Batista, Jorge Javier Del Vecchio, Luciano Patthauer, Manuel Ocampo
OBJECTIVES: Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition. MATERIAL AND METHODS: Of the 22 patients who were treated; 18 males and 4 females, and aged from 17-42 years (mean 28 years)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29079261/lateral-extra-articular-tenodesis-has-no-effect-in-knees-with-isolated-anterior-cruciate-ligament-injury
#4
Elmar Herbst, Fabio V Arilla, Daniel Guenther, Carlos Yacuzzi, Ata A Rahnemai-Azar, Freddie H Fu, Richard E Debski, Volker Musahl
PURPOSE: To investigate knee kinematics in response to physical examinations to determine the effect of anterolateral capsular injury and lateral extra-articular tenodesis (LET) in anterior cruciate ligament (ACL)-deficient and -reconstructed knees. METHODS: Seven human lower limb cadavers were used in this study (mean age, 60 years; age range, 56-63 years). Physical examinations were performed, including the pivot-shift test, Lachman test, anterior drawer at 90°, and internal and external tibial rotation at 30°, 60°, and 90° of knee flexion...
October 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29064870/biomechanical-evaluation-of-pediatric-anterior-cruciate-ligament-acl-reconstruction-techniques-with-and-without-the-anterolateral-ligament-all
#5
Natasha Trentacosta, James L Pace, Melodie Metzger, Max Michalski, Trevor Nelson, Landon Polakof, Bert Mandelbaum
BACKGROUND: Two popular physeal-sparing procedures used in the management of anterior cruciate ligament (ACL) injuries in skeletally immature patients are the iliotibial band (ITB) ACL reconstruction (ACLR) and the all-epiphyseal (AE) ACLR. Although there has been concern for overconstraint of the lateral compartment of the knee with the ITB ACLR technique, rotational stability, as provided by the anterolateral ligament (ALL) and ACL, has not been assessed in the setting of pediatric ACLR techniques...
October 23, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29051903/the-anterolateral-complex-of-the-knee
#6
Elmar Herbst, Marcio Albers, Jeremy M Burnham, Freddie H Fu, Volker Musahl
BACKGROUND: Significant controversy exists regarding the anterolateral structures of the knee. PURPOSE: To determine the layer-by-layer anatomic structure of the anterolateral complex of the knee. STUDY DESIGN: Descriptive laboratory study. METHODS: Twenty fresh-frozen cadaveric knees (age range, 38-56 years) underwent a layer-by-layer dissection to systematically expose and identify the various structures of the anterolateral complex...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29051899/surgical-treatment-of-segond-fractures-in-acute-anterior-cruciate-ligament-reconstruction
#7
Andrea Ferretti, Edoardo Monaco, Megan Rianne Wolf, Matteo Guzzini, Angelo De Carli, Daniele Mazza
BACKGROUND: The Segond fracture is an avulsion-type fracture located on the anterolateral aspect of the tibia associated with a ligament recently termed the anterolateral ligament. This injury has been described as pathognomonic for an anterior cruciate ligament (ACL) tear and is associated with a higher grade pivot shift. PURPOSE: To present and report 2-year clinical outcomes of a surgical technique for acute ACL reconstruction with fixation of a concomitant Segond fracture...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29046046/three-dimensional-evaluation-of-similarity-of-right-and-left-knee-joints
#8
Ki-Mo Jang, Jong-Hoon Park, Minho Chang, Youngjun Kim, Deukhee Lee, Sehyung Park, Joon Ho Wang
Purpose: The purpose of this study was to evaluate the anatomical similarity of three-dimensional (3D) morphometric parameters between right and left knees. Materials and Methods: Ten fresh-frozen paired cadaveric knees were tested. Following dissection, footprint areas of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) were measured. Surface scanning was performed using a 3D scanner. Scanned data were reproduced and morphometric parameters were measured on specialized software...
October 19, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28989265/technical-considerations-in-revision-anterior-cruciate-ligament-acl-reconstruction-for-operative-techniques-in-orthopaedics
#9
Jeremy M Burnham, Elmar Herbst, Thierry Pauyo, Thomas Pfeiffer, Darren L Johnson, Freddie H Fu, Volker Musahl
As the incidence of anterior cruciate ligament (ACL) reconstruction continues to increase, the rate of revision surgery continues to climb. Revision surgery has inherent challenges that must be addressed in order to achieve successful results. The cause of the primary ACL reconstruction failure should be determined, and careful preoperative planning should be performed to address the cause(s) of failure. Each patient undergoing revision surgery should undergo a thorough history and physical examination, receive full length alignment radiographs, lateral radiographs, 45-degree flexion weight-bearing postero-anterior radiographs, and patellofemoral radiographs...
March 2017: Operative Techniques in Orthopaedics
https://www.readbyqxmd.com/read/28976430/the-role-of-extra-articular-tenodesis-in-combined-acl-and-anterolateral-capsular-injury
#10
Daniel Guenther, Sebastián Irarrázaval, Kevin M Bell, Amir Ata Rahnemai-Azar, Freddie H Fu, Richard E Debski, Volker Musahl
BACKGROUND: The "gold standard" treatment of anterolateral capsular injuries in anterior cruciate ligament (ACL)-deficient knees has not been determined. The purpose of this study was to determine the effects of ACL reconstruction and extra-articular reconstruction on joint motion in the ACL-deficient knee and in the combined ACL and anterolateral capsule-deficient knee. METHODS: An anterior tibial load of 134 N and internal tibial torque of 7 Nm were applied to 7 fresh-frozen cadaveric knees using a robotic testing system continuously throughout the range of flexion...
October 4, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28952792/comparison-of-ankle-joint-visualization-between-the-70%C3%A2-and-30%C3%A2-arthroscopes-a-cadaveric-study
#11
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
Ankle arthroscopy is an important diagnostic and therapeutic tool. Arthroscopic ankle surgery for anterior ankle impingement or osteochondral lesions (OCLs) is mostly performed with a 30° arthroscope; however, visualization of lesions is sometimes difficult. This study sought to compare ankle joint visualization between 70° and 30° arthroscopes and clarify the effectiveness of 70° arthroscopy. Standard anterolateral and anteromedial portals were placed with 4-mm 70° or 30° angled arthroscopes in a fresh 77-year-old male cadaveric ankle...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28951882/elimination-of-the-pivot-shift-sign-after-repair-of-an-occult-anterolateral-ligament-injury-in-an-acl-deficient-knee
#12
Edoardo Monaco, Bertrand Sonnery-Cottet, Matt Daggett, Adnan Saithna, Camilo Partezani Helito, Andrea Ferretti
No abstract text is available yet for this article.
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28949245/segond-fractures-are-not-a-risk-factor-for-anterior-cruciate-ligament-reconstruction-failure
#13
Christopher L Gaunder, Tracey Bastrom, Andrew T Pennock
BACKGROUND: Segond fractures may be identified when an anterior cruciate ligament (ACL) tear is diagnosed and likely represent an avulsion of the anterolateral ligament. It is currently unclear whether these fractures can be ignored at the time of ACL reconstruction or if they should be addressed surgically. PURPOSE: To compare the incidence of Segond fractures in patients undergoing primary ACL reconstruction compared with those undergoing revision ACL reconstruction in an attempt to determine if the presence of a Segond fracture predisposes to ACL reconstruction failure...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28917521/midterm-results-of-combined-intra-and-extra-articular-acl-reconstruction-compared-to-historical-acl-reconstruction-data-multicenter-study-of-the-french-arthroscopy-society
#14
P Imbert, S Lustig, C Steltzlen, C Batailler, P Colombet, F Dalmay, S Bertiaux, P D'ingrado, F P Ehkirch, M L Louis, R Pailhé, J C Panisset, B Schlaterrer, B Sonnery-Cottet, L Sigwalt, D Saragaglia, C Lutz
INTRODUCTION: During anterior cruciate ligament (ACL) reconstruction procedures, anterolateral reconstruction (ALR) can also be performed to improve the knee's rotational stability. However, the effectiveness of this supplemental technique and its impact on the risk of retears and on the onset of secondary degenerative changesare controversial. HYPOTHESIS: ALR improves control over the pivot shift, reduces the retear risk and delays the appearance of secondary degenerative lesions...
September 13, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28898106/anterolateral-tenodesis-or-anterolateral-ligament-complex-reconstruction-effect-of-flexion-angle-at-graft-fixation-when-combined-with-acl-reconstruction
#15
Eivind Inderhaug, Joanna M Stephen, Andy Williams, Andrew A Amis
BACKGROUND: Despite numerous technical descriptions of anterolateral procedures, knowledge is limited regarding the effect of knee flexion angle during graft fixation. PURPOSE: To determine the effect of knee flexion angle during graft fixation on tibiofemoral joint kinematics for a modified Lemaire tenodesis or an anterolateral ligament (ALL) complex reconstruction combined with anterior cruciate ligament (ACL) reconstruction. STUDY DESIGN: Controlled laboratory study...
November 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28893388/the-imaging-findings-of-impingement-syndromes-of-the-lower-limb
#16
REVIEW
M De Maeseneer, S Wuertzer, J de Mey, M Shahabpour
In this article we provide an overview of impingement syndromes of the lower limb. At the level of the hip, femoroacetabular and ischiofemoral impingement are recognised. At the level of the knee, we discuss Hoffa's fat pad impingement, suprapatellar fat pad impingement, pericruciate impingement, and iliotibial band syndrome. The impingement syndromes associated with anterior cruciate ligament (ACL) repair and intercondylar osteophytes are also illustrated. Most impingement syndromes are described at the level of the ankle...
September 8, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28878834/combined-anatomic-anterior-cruciate-ligament-and-anterolateral-ligament-reconstruction
#17
Stefan Mogos, Bogdan Sendrea, Ioan Cristian Stoica
PURPOSE: The purpose of the current paper was to report the surgical technique of combined anatomic anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction as well as the short term clinical results after this surgical procedure. MATERIAL AND METHODS: The current prospective study included 32 patients (5 females and 27 males) with combined ACL and ALL reconstruction performed between December 2015 and July 2016. The patients were included in the study taking into consideration the following criteria: chronic ACL lesion, high grade rotational instability (pivot shift grade II and III) and participation in high grade pivoting sports...
January 2017: Mædica
https://www.readbyqxmd.com/read/28865578/proximal-tibiofibular-joint-instability-and-treatment-approaches-a-systematic-review-of-the-literature
#18
REVIEW
Bradley M Kruckeberg, Mark E Cinque, Gilbert Moatshe, Daniel Marchetti, Nicholas N DePhillipo, Jorge Chahla, Robert F LaPrade
PURPOSE: To evaluate the treatment options, outcomes, and complications associated with proximal tibiofibular joint (PTFJ) instability, which will aim to improve surgical treatment of PTFJ instability and aid surgeons in their decision making and treatment selection. METHODS: A systematic review was performed according to Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Inclusion criteria were as follows: PTFJ instability treatment techniques, PTFJ surgical outcomes, English language, and human studies...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28856482/hyperextension-injuries-of-the-knee-do-patterns-of-bone-bruising-predict-soft-tissue-injury
#19
A M Ali, J K Pillai, V Gulati, C E R Gibbons, B J Roberton
OBJECTIVE: To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. MATERIALS AND METHODS: Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. MRIs, plain radiographs and clinical details of these patients were reviewed. RESULTS: Twenty-five patients were identified (median time from injury to MRI = 24 days)...
August 31, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28800853/the-anterolateral-ligament-anatomic-implications-for-its-reconstruction
#20
Thomas Neri, Fabien Palpacuer, Rodolphe Testa, Florian Bergandi, Bertrand Boyer, Frederic Farizon, Remi Philippot
BACKGROUND: The purpose of this study was to define the best anatomic parameters with which to perform an accurate anterolateral ligament (ALL) reconstruction. These parameters were anatomical insertions, allowing favorable isometry, length variation during flexion, and anthropometric predictors of ALL lengths. METHODS: A total of 84 fresh-frozen cadaver knees were dissected to analyze the ALL, focusing on its femoral insertion. The ALL length was measured in different degrees of flexion (extension, 30°, 60°, and 90° of flexion) and rotation (neutral, internal or external rotation)...
August 8, 2017: Knee
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