The meniscal insertion of the knee anterolateral ligament

Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction

“…Extra-articular reconstructions are increasing in popularity again because of the rediscovery of the ALL. [4][5][6][7][8] Previous nonanatomic extra-articular techniques, despite having good rotational control, used to place excessive pressure on the lateral compartment and resulted in limited range of motion, degenerative arthritis, and poor clinical results. The significant difference in this technique compared with previously published extra-articular lateral tenodesis is positioning of the ALL femoral tunnel and securing the graft in full extension and neutral rotation.…”

“…9 The tibial landmark is constant, midway between the Gerdy tubercle and fibular head. [4][5][6][7][8] When the graft is placed using the described landmarks, fixation should be performed in full extension. This leads to a graft that is tight in extension and slack in flexion.…”

“…3 Recently, authors have reported the anatomic and functional characteristics of the anterolateral ligament (ALL), describing a structure that originates near the lateral epicondyle on the femur and inserts on the lateral meniscus and broadly in a fanlike attachment on the tibia between the Gerdy tubercle and the fibular head. [4][5][6][7][8] Although its function remains controversial, recent biomechanical studies have shown it is an important stabilizer against anterolateral tibial rotation and its reconstruction has shown excellent initial clinical results. [9][10][11] Several techniques have been developed to try to anatomically address this structure in the setting of an ACL reconstruction.…”

Assessment of the Anterolateral Ligament of the Knee by Magnetic Resonance Imaging in Acute Injuries of the Anterior Cruciate Ligament

“…[1][2][3] Detailed anatomical studies showed that the origin of the ALL is adjacent to the lateral epicondyle, and it has 2 insertions, a tibial insertion, just below the lateral plateau, and a meniscal insertion, between the anterior horn and the body of the lateral meniscus. [4][5][6][7][8][9] Studies to characterize the ALL by magnetic resonance imaging (MRI) were also performed. [4][5][6] Caterine et al 4 performed studies using cadavers, and Helito et al 5 and Porrino et al 6 studied the ALL in living individuals.…”

Absolute Isolated Avulsion of the Anterolateral Complex of the Knee: A Segond Fracture

“…This is the exact site of the Segond fracture according to a study by Claes et al 12 describing ACL injuries associated with this type of avulsion. [6][7][8][9][10][11] A retrospective MRI analysis of ACL injuries indicated changes in the ALL images in 78.8%. 12 The purpose of this case report is to demonstrate an isolated Segond fracture coursing with anterolateral knee instability without ACL neither other knee ligament injuries in an adult patient.…”