Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach

Chahla, Jorge; Menge, Travis J.; Mitchell, Justin J.; Dean, Chase S.; LaPrade, Robert F.

doi:10.1016/j.eats.2016.01.032

Cited by 89 publications

(76 citation statements)

References 16 publications

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“…None of the previous studies have correlated the history and examination findings of the patients with the MRI findings of ALL clearly. Only two studies in the literature support the hypothesis that ALL is a rotational stabiliser of knee 6,16 . Zein 6 demonstrated the tightening of ALL during internal rotation of tibia arthroscopically.…”

Section: Discussionmentioning

confidence: 99%

“…Zein 6 demonstrated the tightening of ALL during internal rotation of tibia arthroscopically. Chahla et al 16 compared the rotational stability of knee with pivot shift test to pre-operative state after reconstruction of ALL and found significant improvement in stability. These two studies in the literature support the view that ALL has an important role in pivot shift phenomenon, and underline the importance of identifying injury to this structure.…”

Section: Discussionmentioning

confidence: 99%

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MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture

Hooda

Dhillon

Prabhakar

et al. 2019

Muscle Ligaments and Tendons J

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Introduction:To evaluate the incidence of anterolateral ligament (ALL) tear in acute knee injury and its association with anterior cruciate ligament tear (ACL). Methods: Forty patients with isolated early ACL tears were prospectively reviewed under 3T-MRI evaluation to identify ALL tears. This was correlated with trauma mechanisms and degree of knee instability. Patients less than 18, or more than 50 years of age, and those with posterolateral corner injury or LCL instability were excluded, which left 31 patients (30 males: 1 female; mean age: 28.6 years) for the final evaluation. Results: The ALL was visualized completely on the MRI in all 31 patients. ALL had mid substance tear in 19 knees (61.3%), proximal femoral attachment in eight knees (25.8%), at the tibial end in 6 knees (19.3%) and was seen torn at both proximal and distal ends in five knees (16.1%). Clinical correlation revealed higher number of giving way episodes, more functional loss of activities and higher grades of pivot shift test in cases with ALL tear along with ACL tear as compared with patients who had ACL deficiency without concomitant ALL tear (p value <0.05). Conclusion: The ALL can be identified in all cases with 3T-MRI. Tears are clearly seen and may be classified according to location. We found no correlation of ALL tears with injury mechanism; however ACL deficient knees with concomitant ALL tear on MRI had more functional impairment and instability. Level of evidence: II b.KEY WORDS: anterolateral ligament (ALL), knee injury, ACL deficient knee, 3T MRI, knee instability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture

Hooda

Dhillon

Prabhakar

et al. 2019

Muscle Ligaments and Tendons J

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“…A pesar de esto, en algunos casos persiste la inestabilidad rotacional, presentando los pacientes un pivot shift positivo tras la reconstrucción (99) , relacionán-dose con peores resultados (100) . Hoy en día, con el objetivo de controlar este pivot shift residual, se está asociando en algunos pacientes técnicas de reconstrucción de las estructuras anterolaterales asociadas al LCA, usando diferentes estructuras como son la fascia lata (34) , tendones de la pata de ganso (35) , aloinjertos (36) e incluso injertos artificiales (37) (Figura 5). Para conseguir una reconstrucción exitosa, la posición de la plastia es fundamental (23) (Figura 6).…”

Section: Tratamientounclassified

Revisión sistemática: ligamento anterolateral de la rodilla

Cáceres¹,

Vázquez²,

Espejo-Reina³

et al. 2018

REACA

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“…Hoy en día, con el objetivo de controlar este pivot shift residual, se está asociando en algunos pacientes técnicas de reconstrucción de las estructuras anterolaterales asociadas al LCA, usando diferentes estructuras como son la fascia lata (34) , tendones de la pata de ganso (35) , aloinjertos (36) e incluso injertos artificiales (37) (Figura 5).…”

Section: Tratamientounclassified

Pinzamiento blando de cadera. Manifestaciones clínicas de una deformidad subradiológica

Seijas¹,

Rivera²,

Barastegui³

et al. 2017

REACA

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RESUMENIntroducción: numerosos estudios han sido realizados en los últimos años con el objetivo de mejorar el conocimiento del ligamento anterolateral (LAL) de la rodilla. Debido a esto, se cree conveniente realizar esta revisión bibliográfica para definir la incidencia, la anatomía, la biomecánica, la clínica, las pruebas de imagen y el tratamiento del mismo. Material y métodos: se realiza una búsqueda en las bases de datos PubMed/Medline/Cochrane. Se incluyeron estudios descriptivos tanto clínicos como in vitro sobre las consideraciones anatómicas, biomecánicas, clínicas, estudios de imagen, manejo quirúrgico y resultados del LAL de la rodilla hasta abril de 2017. Se excluyen artículos no escritos en inglés, publicados en revistas no indexadas, no realizados en humanos o cadáveres humanos y aquellos no pertenecientes a la rodilla. Resultados: el origen femoral es el que más discusión nos ofrece, insertándose en la tibia entre el tubérculo de Gerdy y la cabeza del peroné. Biomecánicamente, parece influir en la estabilidad rotacional, con escaso control de la estabilidad anteroposterior. Para su diagnóstico, disponemos del pivot shift en la exploración, fractura de Segond en la radiología simple, ecografía y resonancia magnética. ABSTRACT Systematic review: anterolateral ligament of the kneeIntroduction: numerous studies have been performed in the last years with the aim of improving the knowledge on the anterolateral ligament (ALL) of the knee. It is therefor deemed necessary to perform this literature revision in order to define its incidence, anatomy, biomechanics, clinical, image studies and treatment of the same one. Material and methods: a PubMed/Medline/Cochrane data base search is performed. Descriptive studies, both clinical and in vitro, on anatomy, biomechanics, clinical presentation, imaging findings, surgical treatment and results of the ALL of the knee up to april 2017. Paper not written in English, published in non-indexed journals, not done on humans or human cadavers, or not referring to the knee were excluded. Results: the femoral origin is less clear than the tibial insertion occurring between Gerdy's tubercle and the fibular head. Biomechanicaly ALL controls rotational stability with little effect over antero-posterior translation. As diagnostic tools, we have the pivot-shift at clinical exploration, Segond's fracture in plain X-rays, ultrasonography

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Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach

Cited by 89 publications

References 16 publications

MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture

MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture

Revisión sistemática: ligamento anterolateral de la rodilla

Pinzamiento blando de cadera. Manifestaciones clínicas de una deformidad subradiológica

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