386 results match your criteria Knee Collateral Ligament Injuries MRI


Nonoperative Treatment for Partial Ruptures of the Lateral Collateral Ligament Occurring in Combination With Complete Ruptures of the Anterolateral Ligament: A Common Injury Pattern in Brazilian Jiu-Jitsu Athletes With Acute Knee Injury.

Orthop J Sports Med 2019 Jan 24;7(1):2325967118822450. Epub 2019 Jan 24.

Centre Orthopedic Santy, FIFA Medical Center of Excellence, Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France.

Background: Combined partial lateral collateral and complete anterolateral ligament (PLCCALL) injuries are a specific injury pattern seen in Brazilian jiu-jitsu (BJJ) because of the knee varus-flexion mechanism that frequently occurs during grappling.

Purpose/hypothesis: The purpose of this study was to evaluate the incidence of this injury pattern in a series of BJJ athletes with an acute knee injury and to evaluate clinical and functional outcomes after nonoperative management at a minimum follow-up of 1 year. Our hypotheses were that PLCCALL injuries are common in BJJ and that nonoperative treatment is associated with excellent clinical outcomes and return to the preinjury level of sport. Read More

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http://dx.doi.org/10.1177/2325967118822450DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348520PMC
January 2019
1 Read

[Posteromedial corner of the knee].

Authors:
P M Jungmann

Radiologe 2019 Feb;59(2):155-168

Klinik für Radiologie, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland.

The posteromedial corner of the knee is increasingly being recognized in orthopedic surgery, traumatology and musculoskeletal radiology. The medial collateral ligament consists of a superficial part and a deep part. The posteromedial corner consists of the posterior oblique ligament (POL), the oblique popliteal ligament (OPL), the semimembranosus tendon and its arms, the posteromedial joint capsule and the posterior horn of the medial meniscus. Read More

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http://link.springer.com/10.1007/s00117-018-0488-z
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http://dx.doi.org/10.1007/s00117-018-0488-zDOI Listing
February 2019
5 Reads

Assessment of the Anterolateral Ligament of the Knee by Magnetic Resonance Imaging.

Joints 2018 Sep 2;6(3):153-156. Epub 2018 Nov 2.

Orthopaedic Unit and "Kirk Kilgour" Sports Injury, S. Andrea Hospital, University of Rome "Sapienza," Rome, Italy.

 The purpose of this study was to describe the anatomy of the anterolateral ligament (ALL) of the knee by the use of 1.5 Tesla (T) magnetic resonance imaging (MRI) in a series of young patients without knee injuries.  Subjects aged 18 years or older without an anterior cruciate ligament injury, as confirmed on MRI, were included. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675163
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http://dx.doi.org/10.1055/s-0038-1675163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301852PMC
September 2018
10 Reads

Anterolateral ligament injuries on magnetic resonance imaging and pivot-shift testing for rotational laxity.

J Clin Orthop Trauma 2018 Oct-Dec;9(4):312-316. Epub 2017 Oct 7.

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, United States.

Maintaining anterolateral rotational stability of the knee requires a complex set of structures, most notably the anterior cruciate ligament. However, lateral knee structures such as the anterolateral ligament (ALL) also play an important role. There has been controversy over the role the ALL plays in an ACL deficient knee to maintain rotational stability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09765662173038
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http://dx.doi.org/10.1016/j.jcot.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224696PMC
October 2017
8 Reads

The unhappy triad of the knee re-revisited.

Int Orthop 2019 Jan 1;43(1):223-228. Epub 2018 Oct 1.

"La Sapienza" University of Rome, Sant'Andrea Hospital, Traumatology Sports Center "Kilk Kilgour", Via Di Grottarossa, 1035-1039, Rome, RM, Italy.

Aim Of The Study: To describe the surgical findings of the anterolateral complex in patients with the "unhappy triad" lesion of the knee.

Method: One hundred and twenty-five consecutive patients presenting with acute anterior cruciate ligament (ACL) tears were selected for this study. Only cases, evaluated with a valgus stress test under fluoroscopy, with a medial opening more than 5 mm of the medial collateral ligament (MCL) were included in the study (11 patients). Read More

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http://dx.doi.org/10.1007/s00264-018-4181-7DOI Listing
January 2019
4 Reads

Magnetic Resonance Imaging-Based Prevalence of Anterolateral Ligament Abnormalities and Associated Injuries in Knees with Acute Anterior Cruciate Ligament Injury.

J Knee Surg 2018 Sep 6. Epub 2018 Sep 6.

Department of Orthopaedic Surgery, Hanyang University Seoul Hospital, Seongdong-gu, Seoul, Republic of Korea.

The purpose of this study was to determine and compare the prevalence of anterolateral ligament abnormality and associated injuries among patients with complete and partial anterior cruciate ligament tears. In addition, the prevalence of associated injuries with anterolateral ligament abnormality was further analyzed. Of the 158 patients diagnosed with acute anterior cruciate ligament tear, 82 patients were diagnosed with acute complete anterior cruciate ligament confirmed by magnetic resonance imaging (MRI) and arthroscopic procedures (Group C), and 74 patients were diagnosed with acute partial anterior cruciate ligament tears confirmed by MRI (Group P). Read More

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http://dx.doi.org/10.1055/s-0038-1669449DOI Listing
September 2018
25 Reads

Prediction of Meniscal and Ligamentous Injuries in Lateral Tibial Plateau Fractures Based on Measurements of Lateral Plateau Widening on Multidetector Computed Tomography Scans.

Biomed Res Int 2018 29;2018:5353820. Epub 2018 Jul 29.

Department of Pediatric Orthopaedic Surgery, Children's Hospital, Hamburg-Altona, Germany.

Background: The influence of increasing lateral plateau widening on the frequency of meniscal and ligamentous lesions in lateral tibial plateau fractures has been examined in very few studies using plain radiographs. Because the amount of this parameter cannot be measured accurately on plain radiographs, the purpose of this survey was to look for a possible correlation between the extent of lateral plateau widening, as measured on multidetector CT (MDCT) scans, and different soft-tissue injuries determined from magnetic resonance imaging (MRI).

Materials And Methods: 55 patients with a lateral tibial plateau fracture were included in this retrospective case series. Read More

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https://www.hindawi.com/journals/bmri/2018/5353820/
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http://dx.doi.org/10.1155/2018/5353820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087612PMC
January 2019
11 Reads

Medial Collateral Ligament Injuries Identified at the National Football League Scouting Combine: Assessment of Epidemiological Characteristics, Imaging Findings, and Initial Career Performance.

Orthop J Sports Med 2018 Jul 30;6(7):2325967118787182. Epub 2018 Jul 30.

The Steadman Clinic, Vail, Colorado, USA.

Background: The medial collateral ligament (MCL) is one of the most commonly injured structures in the knee, especially in young athletes. The impact of MCL injury on National Football League (NFL) performance in elite collegiate athletes has not yet been described in the literature.

Purpose: We aim to (1) describe the prevalence and severity of MCL injuries in NFL Combine participants, (2) detail injury management, and (3) analyze the impact of MCL injury on NFL performance in terms of draft position, games played, games started, and snap percentage. Read More

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http://dx.doi.org/10.1177/2325967118787182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066829PMC
July 2018
5 Reads

Gender Differences in Intra-articular and Extra-articular Injuries Associated with Acute Anterior Cruciate Ligament Ruptures.

J Knee Surg 2018 Aug 1. Epub 2018 Aug 1.

Department of Orthopaedic Surgery, National University Hospital Sports Centre, National University Health System, Singapore.

Females are well known to have a two to nine times increase in relative risk of anterior cruciate ligament (ACL) rupture as compared with males. However, there is limited literature available regarding the rates of associated intra-articular and extra-articular injuries associated with ACL ruptures. The purpose of this study was to investigate the gender differences in intra-articular and extra-articular injuries associated with ACL ruptures in an acute setting. Read More

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http://dx.doi.org/10.1055/s-0038-1666828DOI Listing
August 2018
4 Reads

Comparing Point-of-care-ultrasound (POCUS) to MRI for the Diagnosis of Medial Compartment Knee Injuries.

J Med Ultrasound 2017 Jul-Sep;25(3):167-172. Epub 2017 Aug 17.

University of California-Irvine, Dept of Emergency Medicine, USA.

Background: Ultrasound has become an increasingly utilized tool for the imaging of the musculoskeletal system, especially for imaging the components of the knee. Even though MRI is touted as being the golden standard for identifying knee pathologies, the use of ultrasound has gained popularity in this field given its ability for rapid diagnosis. This study aims to investigate the efficacy of point-of-care ultrasound (POCUS) to diagnose injuries to the medial knee compartment when compared to magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1016/j.jmu.2017.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029305PMC
August 2017
11 Reads

THE USE OF SERIAL PLATELET RICH PLASMA INJECTIONS WITH EARLY REHABILITATION TO EXPEDITE GRADE III MEDIAL COLLATERAL LIGAMENT INJURY IN A PROFESSIONAL ATHLETE: A CASE REPORT.

Int J Sports Phys Ther 2018 Jun;13(3):520-525

Orthopaedic Surgeon, Andrews Sports Medicine & Orthopaedic Center, Birmingham, AL.

Background: Medial collateral ligament (MCL) injuries are one of the most commonly treated knee pathologies in sports medicine. The MCL serves as the primary restraint to valgus force. The large majority of these injuries do not require surgical intervention. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044600PMC
June 2018
9 Reads

Imaging Diagnosis of Injury to the Anterolateral Ligament in Patients With Anterior Cruciate Ligaments: Association of Anterolateral Ligament Injury With Other Types of Knee Pathology and Grade of Pivot-Shift Examination: A Systematic Review.

Arthroscopy 2018 Sep 20;34(9):2728-2738. Epub 2018 Jul 20.

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: The purpose of this study is to systematically review the literature to evaluate the reliability, or the ability of a repeated measurement to yield consistent results, and validity of ultrasound (US) and magnetic resonance imaging (MRI) at evaluating anatomy and pathology of the anterolateral ligament of the knee (ALL) in the setting of anterior cruciate ligament (ACL) injuries. Furthermore, the incidence and association of ALL injury with the pivot-shift examination, and other structural injuries, will be reviewed for additional clinical relevance.

Methods: Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 2 reviewers independently searched the Medline, Embase, Cochrane, EBSCOhost, OVID, and Web of Science databases for all studies related to imaging of the ALL. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.04.025DOI Listing
September 2018
21 Reads

AGREEMENT IN DIAGNOSIS OF KNEE INJURIES BY ORTHOPEDISTS WITH CLINICAL EXPERIENCE IN KNEE TREATMENT.

Acta Ortop Bras 2018 Jan-Feb;26(1):16-18

. Department of Orthopedics and Traumatology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective: To analyze the level of agreement in diagnosing knee injury among orthopedists with clinical experience in knee treatment.

Method: An online questionnaire was used to analyze the ability of orthopedic knee surgeons to diagnose intra-articular knee injuries using MRI, the importance given to this test in their clinical practice, and the agreement between these diagnoses and the radiology report.

Results: The study participants considered MRI an important tool for clarifying inconclusive diagnoses and surgical planning. Read More

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http://dx.doi.org/10.1590/1413-785220182601182145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025493PMC
July 2018
3 Reads

Grade III Distal Medial Collateral Ligament Tear Missed by Magnetic Resonance Imaging: A Report of Two Cases.

Cureus 2018 Mar 1;10(3):e2251. Epub 2018 Mar 1.

Orthopaedics, Evangelisches Krankenhaus.

Medial collateral ligament (MCL) injuries are the most common knee ligament injuries. Magnetic resonance imaging (MRI) is the investigation of choice for detecting such injuries. We report two cases of acute grade 3 MCL tears in young adults in which the injury was suspected clinically and was later confirmed by surgical exploration. Read More

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http://dx.doi.org/10.7759/cureus.2251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930969PMC
March 2018
3 Reads

Acute posterior cruciate ligament injuries: effect of location, severity, and associated injuries on surgical management.

Skeletal Radiol 2018 Nov 1;47(11):1523-1532. Epub 2018 Jun 1.

Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA.

Objective: To correlate MRI findings of patients with posterior cruciate ligament (PCL) injury and surgical management.

Materials And Methods: A retrospective search yielded 79 acute PCL injuries (36 ± 16 years old, 21 F, 58 M). Two independent readers graded PCL tear location (proximal, middle, or distal third) and severity (low-grade or high-grade partial/complete) and evaluated injury of other knee structures. Read More

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http://dx.doi.org/10.1007/s00256-018-2977-6DOI Listing
November 2018
5 Reads

Editorial Commentary: Is the Anterolateral Ligament Always Injured in Knee Dislocations? Does It Matter?

Arthroscopy 2018 Jun;34(6):1898-1899

Vail, Colorado.

Anterolateral ligament injuries with knee dislocations appear to be very common. In particular, those that occur with fibular (lateral) collateral ligament injuries are very frequent. Although the majority of injuries in this magnetic resonance imaging study appear to be at the proximal attachment of the anterolateral ligament, caution is advised because there is still no clear agreement as to the anatomic attachment site of the anterolateral ligament on the femur. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.04.004DOI Listing
June 2018
4 Reads

Association of Compartmental Bone Bruise Distribution With Concomitant Intra-articular and Extra-articular Injuries in Acute Anterior Cruciate Ligament Tears After Noncontact Sports Trauma.

Orthop J Sports Med 2018 Apr 24;6(4):2325967118767625. Epub 2018 Apr 24.

Division of Sports Medicine and Surgery, Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore.

Background: Anterior cruciate ligament (ACL) injuries are frequently associated with bone bruises, and their presence may be associated with concomitant intra- and extra-articular injuries.

Purpose: To investigate the prevalence and pattern of distribution of bone bruises in patients with acute ACL tears from noncontact sports trauma and their association with specific intra- and extra-articular injuries.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967118767625DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954320PMC
April 2018
7 Reads

Non-operative management of an isolated lateral collateral ligament injury in an adolescent patient and review of the literature.

BMJ Case Rep 2018 May 15;2018. Epub 2018 May 15.

Department of Trauma & Orthopaedics, Princess Royal University Hospital, Orpington, UK.

We present a rare case of isolated traumatic pure ligamentous rupture of the lateral collateral ligament of the knee in an adolescent high-level footballer managed non-operatively with a good functional outcome and return to sport in 4 months. Read More

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http://dx.doi.org/10.1136/bcr-2017-223478DOI Listing
May 2018
6 Reads

The Meniscal Comma Sign: Characterization and Treatment of a Displaced Fragment in the Meniscotibial Recess.

Orthopedics 2018 May 9;41(3):e442-e444. Epub 2018 May 9.

Displaced parrot beak flap tears in the meniscotibial recess are complex tears of the meniscus that begin as central radial tears and progressively extend toward the periphery, creating a detached fragment. These tears have not been described in the literature, but the authors have described them as the "meniscal comma sign" based on their appearance on magnetic resonance imaging. Displaced fragments are clinically significant because of the pain and mechanical symptoms they can cause as a result of tenting of the deep medial collateral ligament. Read More

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http://dx.doi.org/10.3928/01477447-20180501-01DOI Listing
May 2018
24 Reads

[Analysis of the characteristics and clinical diagnosis and treatment of avulsion fracture of the lateral edge of tibial plateau].

Zhongguo Gu Shang 2018 Feb;31(2):155-159

Department of Orthopaedics, Ningbo Fourth Hospital, Xiangshan 315700, Zhejiang, China.

Objective: To investigate the characteristics and clinical treatment of avulsion fracture of the lateral edge of tibial plateau(segond fracture) in knee joint injuries.

Methods: From January 2011 and December 2015, 29 patients with Segond fracture were treated with minimally invasive arthroscopy technology in intra-articular injuries combined with double anchor nail fixation in avulsion fracture of the lateral edge of tibial plateau, including 17 males and 12 females with an average age of 41 years old ranging from 27 to 62 years old. Among them, there were 20 cases of anterior cruciate ligament rupture (ACL rupture) involving the anterior cruciate ligament tibial eminence avulsion fracture included, 3 cases of posterior cruciate ligament rupture (PCL rupture), 1 case of ACL rupture combined with PCL rupture, 3 cases of medial collateral ligament tear, and 2 cases combined fractures of tibial plateau (1 case of the medial platform fractures and 1 cases of lateral fracture). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.02.012DOI Listing
February 2018
19 Reads

Comparison of magnetic resonance imaging for patients with acute and chronic anterior cruciate ligament tears.

Medicine (Baltimore) 2018 Mar;97(10):e0001

Department of Sports Medicine and Arthroscopic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

To compare the direct and indirect signs on magnetic resonance imaging (MRI) for patients with acute and chronic anterior cruciate ligament (ACL) tears.Two independent reviewers retrospectively evaluated the MRI images of 377 patients with ACL tear confirmed by arthroscopy. There were 160 cases with acute ACL tear and 217 cases with chronic ACL tear. Read More

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http://dx.doi.org/10.1097/MD.0000000000010001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882460PMC
March 2018
18 Reads

Anterolateral Ligament Injury in Knee Dislocations.

Arthroscopy 2018 Jun 3;34(6):1891-1897. Epub 2018 Mar 3.

Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.

Purpose: The purpose of this study is to describe the prevalence and associated factors of anterolateral ligament (ALL) injury in knee dislocation (KD).

Methods: A retrospective review of charts and radiological images was done for patients who underwent multiligamentous knee reconstruction surgery for KD in the authors' institution from May 2008 to December 2016. The inclusion criteria were both genders, skeletally mature, and first dislocation. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.01.020DOI Listing
June 2018
18 Reads

Imaging of Ligamentous Structures within the Knee Includes Much More Than the ACL.

J Knee Surg 2018 Feb 10;31(2):130-140. Epub 2018 Jan 10.

Department of Radiology, University of Michigan, Ann Arbor, Michigan.

Ligamentous structures of the knee are numerous and complex, including the anterior and posterior cruciate ligaments, medial and lateral collateral ligaments, ligaments of the posteromedial and posterolateral corners, and the anterolateral ligament. Clinical assessment after a knee injury is paramount and can direct both the clinician's choice of imaging study and the radiologist's interpretation. Imaging is crucial in that it provides additional information for diagnosis, management, and surgical planning. Read More

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http://dx.doi.org/10.1055/s-0037-1620259DOI Listing
February 2018
7 Reads

Collateral Ligament Knee Injuries in Pediatric and Adolescent Athletes.

J Pediatr Orthop 2017 Dec 8. Epub 2017 Dec 8.

Boston Childrens Hospital, Harvard Medical School, Boston, MA.

Background: The majority of research on medial (MCL) and lateral (LCL) collateral ligament injuries has focused on adults and combined collateral/cruciate injuries. The purpose of this study was to determine characteristics associated with isolated collateral ligament injuries in adolescents, and assess timing for return to sports.

Methods: Electronic medical records were queried to identify patients aged below 17 years who sustained a magnetic resonance imaging-confirmed isolated MCL or LCL injury over an 8-year period. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001112DOI Listing
December 2017
5 Reads

Posterior Cruciate Ligament Injuries of the Knee at the National Football League Combine: An Imaging and Epidemiology Study.

Arthroscopy 2018 03 8;34(3):681-686. Epub 2017 Dec 8.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address:

Purpose: To determine the epidemiology by player position, examination, imaging findings, and associated injuries of posterior cruciate ligament (PCL) injuries in players participating in the National Football League (NFL) Combine.

Methods: All PCL injuries identified at the NFL Combine (2009-2015) were reviewed. Data were obtained from the database organized by the NFL medical personnel for the compilation of the medical and physical performance examination results of NFL Draftees participating in the NFL Combine from 2009 to 2015. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.08.304DOI Listing
March 2018
16 Reads

An Autologous Leukocyte-Reduced Platelet-Rich Plasma Therapy for Chronic Injury of the Medial Collateral Ligament in the Knee: A Report of 3 Successful Cases.

Clin J Sport Med 2019 Jan;29(1):e4-e6

Department of Orthopaedic Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Some patients complain of chronic persistent medial knee pain after isolated low-grade injuries of medial collateral ligaments (MCL). These injuries often respond to various conservative treatments but insufficient healing of ligaments is believed to be responsible for symptoms in this group of patients. We report on successful treatment of chronically symptomatic MCL injuries in 3 patients using autologous leukocyte-reduced platelet-rich plasma (PRP) injections. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000515DOI Listing
January 2019
10 Reads

Trans-articular Kirschner wire fixation in treating complex tibial plateau fractures complicated by multiple ligaments injuries: A case report and literature review.

Injury 2018 Feb 16;49(2):382-385. Epub 2017 Nov 16.

Department of Orthopedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xueyuan Western Road, Wenzhou, Zhejiang Province, PR China. Electronic address:

There is no guideline and consensus about when and how to treat accompanying multi-ligaments injuries, especially anterior and/or posterior cruciate ligaments, in tibial plateau fractures. We report one case of fracture and dislocation of tibial plateau, treated by open reduction and internal plates fixation, augmented by trans-articular Kirschner wire fixation to overcome instability and malrotation of the knee joints discovered intraoperatively. The Kirschner wire was removed about four weeks after the index operation, and the patient begun functional exercise from then on. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.015DOI Listing
February 2018
8 Reads

Knee Osteoarthritis after Reconstruction of Isolated Anterior Cruciate Ligament Injuries: A Systematic Literature Review.

Joints 2017 Mar 5;5(1):39-43. Epub 2017 Jun 5.

ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini - CTO, Milan, Italy.

 The aim of this review was to analyze the current literature on osteoarthritic evolution of knees without any combined meniscal or ligament lesions undergoing anterior cruciate ligament (ACL) reconstruction.  A PubMed/MEDLINE research was performed using the following keywords: "Anterior Cruciate Ligament Reconstruction" [Mesh] AND "Osteoarthritis, Knee" [Mesh]. Only English language literature and articles published after 2005 were included. Read More

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http://dx.doi.org/10.1055/s-0037-1601409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672858PMC
March 2017
11 Reads

MRI Arthroscopy Correlations: Ligaments of the Knee.

Sports Med Arthrosc Rev 2017 Dec;25(4):210-218

Hospital for Special Surgery, New York, NY.

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. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000167DOI Listing
December 2017
33 Reads

Contact Versus Noncontact Anterior Cruciate Ligament Injuries: Is Mechanism of Injury Predictive of Concomitant Knee Pathology?

Arthroscopy 2018 01 21;34(1):200-204. Epub 2017 Oct 21.

Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania, U.S.A.. Electronic address:

Purpose: To determine if mechanism of injury is predictive of concomitant knee pathology found at the time of anterior cruciate ligament (ACL) reconstruction.

Methods: All patients aged 16 to 35 who underwent ACL reconstruction at our institution between January 2009 and December 2015 were retrospectively reviewed. Mechanism of injury was determined from patient history. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.07.039DOI Listing
January 2018
40 Reads

The Effect of Soft Tissue Injuries on Clinical Outcomes After Tibial Plateau Fracture Fixation.

J Orthop Trauma 2018 Mar;32(3):141-147

Orthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY.

Objective: To determine if ligamentous and meniscal injuries as determined by initial magnetic resonance imaging altered clinical outcomes after the fixation of tibial plateau fractures.

Design: Comparative cohort study.

Setting: Academic level I trauma center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001042DOI Listing
March 2018
23 Reads

The Posteromedial Corner of the Knee: Anatomy, Pathology, and Management Strategies.

J Am Acad Orthop Surg 2017 Nov;25(11):752-761

From the Hospital for Joint Diseases, New York, NY.

The posteromedial corner of the knee encompasses five medial structures posterior to the medial collateral ligament. With modern MRI systems, these structures are readily identified and can be appreciated in the context of multiligamentous knee injuries. It is recognized that anteromedial rotatory instability results from an injury that involves both the medial collateral ligament and the posterior oblique ligament. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00020DOI Listing
November 2017
7 Reads

Review: Medial collateral ligament injuries.

J Orthop 2017 Dec 15;14(4):550-554. Epub 2017 Aug 15.

Department of Orthopaedics, University of Toledo Medical Center, Toledo, OH, United States.

The medial collateral ligament (MCL) is a major stabilizer of the knee joint. It is the most common ligament injured in the knee, particularly in athletes, and has been reported to be torn in 7.9% of all knee injuries. Read More

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http://dx.doi.org/10.1016/j.jor.2017.07.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5581380PMC
December 2017
7 Reads

Hyperextension injuries of the knee: do patterns of bone bruising predict soft tissue injury?

Skeletal Radiol 2018 Feb 31;47(2):173-179. Epub 2017 Aug 31.

Department of Radiology, Chelsea and Westminster Hospital, London, UK.

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. Read More

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http://dx.doi.org/10.1007/s00256-017-2754-yDOI Listing
February 2018
13 Reads

The Heel Height Test: A Novel Tool for the Detection of Combined Anterior Cruciate Ligament and Fibular Collateral Ligament Tears.

Arthroscopy 2017 Dec 16;33(12):2177-2181. Epub 2017 Aug 16.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address:

Purpose: To determine the exact value of side-to-side difference (SSD) in heel height that was associated with combined anterior cruciate ligament (ACL) and fibular collateral ligament (FCL) tears (compared with an isolated ACL tear) and determine the clinical utility of heel height SSD in the assessment of this injury pattern.

Methods: Two patient groups were identified: (1) patients with isolated ACL tears and (2) patients with combined ACL-FCL tears but without additional collateral or cruciate ligament injuries. Determination of the amount of the heel height SSD was determined during the outpatient clinic visit. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.06.028DOI Listing
December 2017
40 Reads

The Pellegrini-Stieda Lesion Dissected Historically.

J Knee Surg 2018 Jul 30;31(6):562-567. Epub 2017 Jul 30.

Department of Orthopedic Surgery, Amphia Ziekenhuis, Breda, North Brabant, The Netherlands.

The Pellegrini-Stieda lesion is a common finding on conventional X-rays. Whether it originates in the medial collateral ligament (MCL) of the knee or the medial head of the gastrocnemius muscle or another structure remains under debate. We discuss the difference in the articles by Pellegrini and Stieda and follow the vision on the origin of the lesion through time. Read More

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http://dx.doi.org/10.1055/s-0037-1604401DOI Listing
July 2018
38 Reads

Incarceration of the medial collateral ligament in the intercondylar notch following proximal avulsion.

Skeletal Radiol 2017 Nov 20;46(11):1575-1578. Epub 2017 Jul 20.

Bristol Knee Group, Avon Orthopaedic Centre, Bristol, UK.

Intra-articular entrapment of the medial collateral ligament (MCL) is a rare but recognised complication of traumatic injury to the posteromedial corner (PMC) of the knee. Considering the MCL is the most commonly injured ligament of the knee this complication is extremely rare with only a handful of cases describing MCL entrapment following distal avulsion of the MCL. We present the first known case of MCL entrapment following proximal avulsion of the MCL and posterior oblique ligament (POL) with the mid-substance of the MCL becoming entrapped in the joint, lying on the superior surface of the medial meniscus and extending up into the intercondylar notch. Read More

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http://dx.doi.org/10.1007/s00256-017-2723-5DOI Listing
November 2017
5 Reads

Treatment of talus osteochondral defects in chronic lateral unstable ankles: small-sized lateral chondral lesions had good clinical outcomes.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 2;26(7):2116-2122. Epub 2017 Jun 2.

Department of Sports Medicine, Huashan Hospital, No 12, Wulumuqi Zhong Road, Shanghai, 200040, People's Republic of China.

Purpose: To assess and compare the clinical and MRI outcomes of patients with talus osteochondral defect (OCD) and patients without OCD in a cohort with chronic lateral ankle instability.

Methods: All patients who underwent open or arthroscopic anterior talofibular ligament repair of the lateral ligament complex by a single surgeon were included in this study. Ankle arthroscopic surgery was initially performed to manage any intra-articular OCD, including debridement and microfracture. Read More

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http://dx.doi.org/10.1007/s00167-017-4591-xDOI Listing
July 2018
45 Reads

[A football player with an evident knee trauma].

Ned Tijdschr Geneeskd 2017 ;161:D1068

Orthopedisch Centrum Oost Nederland, Hengelo.

A 22-year-old male presented with medial sided instability of the right knee three days after shooting a blocked ball. Physical examination, which is usually feasible in the acute phase, showed grade 3 laxity of the superficial medial collateral ligament. MRI confirmed a distal rupture, which needs repair within 2 weeks after onset. Read More

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June 2018
7 Reads

Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 25;26(7):2095-2102. Epub 2017 Apr 25.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göthenburg, Sweden.

Purpose: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions.

Methods: A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. Read More

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http://dx.doi.org/10.1007/s00167-017-4556-0DOI Listing
July 2018
27 Reads
1 Citation
2.840 Impact Factor

The Role of Medial Patellofemoral Ligament Repair and Imbrication.

Am J Orthop (Belle Mead NJ) 2017 Mar/Apr;46(2):87-91

Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.

Repair, reefing, and advancement of the medial patellofemoral ligament (MPFL) and medial retinacular structures can be performed as an isolated procedure or in conjunction with distal realignment procedures for patients with patellar instability. Although various operative techniques have been described, understanding the appropriate clinical indications and MPFL injury patterns ultimately determines the success or failure of the procedure. MPFL repair is best indicated in the acute setting, particularly if there is a patella- or femoral-based avulsion. Read More

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January 2018
9 Reads

Incidence and MRI characterization of the spectrum of posterolateral corner injuries occurring in association with ACL rupture.

Skeletal Radiol 2017 Aug 20;46(8):1063-1070. Epub 2017 Apr 20.

Centre Orthopedic Santy, FIFA Medical Center of Excellence, Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France.

Objective: To determine the incidence and MRI characteristics of the spectrum of posterolateral corner (PLC) injuries occurring in association with anterior cruciate ligament (ACL) rupture.

Materials And Methods: We carried out a level IV, retrospective case series study. All patients clinically diagnosed with an ACL rupture between July 2015 and June 2016 who underwent MRI of the knee were included in the study. Read More

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http://dx.doi.org/10.1007/s00256-017-2649-yDOI Listing
August 2017
25 Reads

Activity Level and Function 2 Years After Anterior Talofibular Ligament Repair: A Comparison Between Arthroscopic Repair and Open Repair Procedures.

Am J Sports Med 2017 Jul 10;45(9):2044-2051. Epub 2017 Apr 10.

Department of Sports Medicine, Huashan Hospital, Shanghai, People's Republic of China.

Background: The open modified Broström anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. Despite recent increases in publications regarding arthroscopic repair of the anterior talofibular ligament (ATFL) for treatment of chronic ankle instability, research is lacking that compares the functional outcomes between arthroscopic repair and open repair procedures for chronic ankle instability.

Purpose: To compare function and activity level after arthroscopic repair versus open repair of the ATFL in patients with lateral ankle instability. Read More

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http://dx.doi.org/10.1177/0363546517698675DOI Listing
July 2017
8 Reads

Core curriculum case illustration: [Stieda fracture (avulsion fracture of the medial femoral condyle)].

Emerg Radiol 2018 Feb 4;25(1):103-105. Epub 2017 Apr 4.

Department of Radiology, Harborview Medical Center, University of Washington, 325, 9th Avenue, Harborview Medical Center, Seattle, WA, 98104, USA.

This is the 30th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online please visit the ASER Core Curriculum and Recommendations for Study online at: http://www. Read More

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http://dx.doi.org/10.1007/s10140-017-1500-zDOI Listing
February 2018
2 Reads

Ligamentous Reconstruction of the Knee: What Orthopaedic Surgeons Want Radiologists to Know.

Semin Musculoskelet Radiol 2017 Apr 29;21(2):75-88. Epub 2017 Mar 29.

Borgess Orthopedics, Kalamazoo, Michigan.

Knee ligament injuries are common, and treatment methods are continually evolving. Accurate clinical diagnosis with imaging confirmation is critical to support appropriate treatment. Several imaging pearls allow for improved recognition of injuries. Read More

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http://dx.doi.org/10.1055/s-0037-1599203DOI Listing
April 2017
10 Reads

Anterolateral ligament abnormalities are associated with peripheral ligament and osseous injuries in acute ruptures of the anterior cruciate ligament.

Knee Surg Sports Traumatol Arthrosc 2017 Apr 14;25(4):1140-1148. Epub 2017 Mar 14.

Hospital Sírio-Libanês, São Paulo, Brazil.

Purpose: Few studies have used MRI to identify the ALL. As it was shown that it is not possible to precisely characterize this ligament in all examination, it is important to identify concomitant lesions that can help in diagnosing ALL abnormalities. It is important to characterise this injury due to its association with anterolateral knee instability. Read More

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http://dx.doi.org/10.1007/s00167-017-4498-6DOI Listing
April 2017
26 Reads

Accuracy of 64-section MDCT in the diagnosis of cruciate ligament tears.

Clin Radiol 2017 Jul 16;72(7):611.e1-611.e8. Epub 2017 Feb 16.

Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.

Aim: To evaluate the accuracy of non-arthrographic 64-section multidetector computed tomography (CT) in the assessment of cruciate ligament tears. A secondary goal was to determine its accuracy in the diagnosis of additional soft-tissue injuries around the knee.

Materials And Methods: Forty consecutive outpatients underwent same-day magnetic resonance imaging (MRI) and 64-slice multidetector CT (MDCT) of the knee in this prospective study. Read More

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http://dx.doi.org/10.1016/j.crad.2017.01.006DOI Listing
July 2017
4 Reads

[Reconstruction of the medial patellofemoral ligament after lower-leg amputation].

Unfallchirurg 2017 Jul;120(7):611-615

sportklinik.ERFURT, Erfurt, Deutschland.

The reconstruction of the medial patellofemoral ligament has been an increasingly popular approach for patellar instability over the last ten years. It is a conglomeration of symptoms with varying degree of severity. For pinpointed surgery planning, magnetic resonance imaging is now the obligate diagnosic tool. Read More

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http://dx.doi.org/10.1007/s00113-017-0314-5DOI Listing
July 2017
2 Reads

Associated lateral/medial knee instability and its relevant factors in anterior cruciate ligament-injured knees.

J Orthop Sci 2017 Mar 19;22(2):300-305. Epub 2016 Nov 19.

Department of Joint Surgery and Sports Medicine, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima Bunkyoku, Tokyo 113-8519, Japan; Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. Electronic address:

Background: Associations of lateral/medial knee instability with anterior cruciate ligament (ACL) injury have not been thoroughly investigated. The purposes of this study were to investigate whether lateral/medial knee instability is associated with ACL injury, and to clarify relevant factors for lateral/medial knee instability in ACL-injured knees.

Methods: One hundred and nineteen patients with unilateral ACL-injured knees were included. Read More

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http://dx.doi.org/10.1016/j.jos.2016.10.009DOI Listing
March 2017
5 Reads

Surgical Management and Treatment of the Anterior Cruciate Ligament/Medial Collateral Ligament Injured Knee.

Clin Sports Med 2017 Jan 15;36(1):87-103. Epub 2016 Oct 15.

Department of Orthopaedics, Duke University Medical Center, Box 3639, Durham, NC 27710, USA.

The medial collateral ligament (MCL) is the most commonly injured ligament of the knee. The anterior cruciate ligament (ACL) is the most commonly injured ligament in conjunction with the MCL. Most MCL injuries can be treated nonoperatively, whereas the ACL often requires reconstruction. Read More

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http://dx.doi.org/10.1016/j.csm.2016.08.005DOI Listing
January 2017
10 Reads