Knee Dislocations in Sports Injuries

Abstract

Knee dislocations are devastating when they occur on the athletic field or secondary to motor sports. The complexity of presentation and spectrum of treatment options makes these injuries unique and extremely challenging to even the most experienced knee surgeons. An astute appreciation of the treatment algorithm is essential to plan individualized management since no two complex knee dislocations are ever the same. Moreover, attention to detail and finesse of surgical technique are required to obtain a good functional result and ensure return to play. Over the past 10 years, our service has treated 43 competitive sportsmen with knee dislocations, and this experience forms the basis for this narrative review.

Recent advances and future trends in knee arthroscopy

“…Although an individualized approach is recommended for these complex injuries, numerous studies have enabled a consensus and algorithm for management of these challenging injuries. [52,53]…”

Multiligamentäre Kniegelenkverletzungen – Epidemiologie, Diagnostik und Klassifikation

“…Am häufigsten präsentieren sich die anteriore mit 40 % und die posteriore Luxation mit ca. 30 % [27]. Bei der anterioren KL kommt es durch eine Hyperextension zu einer Ruptur des VKB und der dorsalen Kapsel [18].…”

“…Bei HV-KL steht zunächst nicht die Knieuntersuchung im Vordergrund, sondern eine Versorgung lebensbedrohender Verletzungen nach dem ATLS-Schema. Erst im zweiten Schritt, dem sogenannten "Secondary Survey", werden die Extremitäten untersucht [27].…”

Ipsilateral Hip Dislocation with Knee Fracture Dislocation: A Rare Combination

“…Knee dislocations are defined as clinical or radiological loss of tibiofemoral congruity representing less than 0.2% of orthopaedic injuries. Nearly 50% of knee dislocations occur due to road traffic accidents with sports injuries accounting for 33% of dislocations [5]. Knee dislocations can be classified according to Kennedy position classification system (based on the direction of tibial displacement relative to the femur) or Schenck anatomic classification system [5] (based on the ligaments disrupted in the process).…”