Posterolateral Corner Injuries of the Knee – Not to be Missed!

Volume 6 | Issue 1 | Jan-April 2018 | Page 3-7 | Sandeep Vijayan, Mahesh Kulkarni, Sourab Shetty, Monappa Naik, Sharath K Rao


Authors: Sandeep Vijayan [1], Mahesh Kulkarni [1], Sourab Shetty [1], Monappa Naik [1], Sharath K Rao [1].

[1]Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

Address of Correspondence
Dr. Sandeep Vijayan
Department of Orthopaedics, Kasturba Medical College,
Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Email: sandeep_vijayan@yahoo.co.in


Abstract

Injuries of the posterolateral corner (PLC) usually occur in combination with other ligamentous injuries of the knee. Failure to recognize and address the PLC injury can lead to significant disability. Here, we give an overview about the clinical features and the principles involved in treating PLC injuries.
Keywords: Multiligament injury, posterior cruciate, dial test, posterolateral, collateral.


References

1. Covey CD. Injuries of the posterolateral corner of the knee. Current concepts review. J Bone Joint Surg Am 2001;83(1):106-118.
2. Crespo B, James EW, Metsavaht L, LaPrade RF. Injuries to poster lateral corner of the knee: A comprehensive review from anatomy to surgical treatment. Rev Bras Ortop 2014;50(4):363-370.
3. Stannard JP, Brown SL, Robinson JT, McGwin G Jr, Volgas DA. Reconstruction of the poster lateral corner of the knee. Arthroscopy 2005;21(9):1051-1059.
4. Frank JB, Youm T, Meislin RJ, Rokito AS. Poster lateral corner injuries of the knee. Bull NYU HospJt Dis 2007;65(2):106-114.
5. Pacheco RJ, Ayre CA, Bollen SR. Poster lateral corner injuries of the knee: A serious injury commonly missed. J Bone Joint Surg Br 2011;93(2):194-197.
6. McGuire DA, Wolchok JC. Poster lateral corner reconstruction. Arthroscopy 2003;19(7):790-793.
7. Djian P. Posterolateral knee reconstruction. Orthop Traumatol Surg Res 2015;101 1 Suppl:S159-S170.
8. Chahla J, Moatshe G, Dean CS, LaPrade RF. Poster lateral corner of the knee: Current concepts. Arch Bone Jt Surg 2016;4(2):97-103.
9. Geeslin AG, LaPrade RF. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined poster lateral knee injuries. Am J Sports Med 2010;38(12):2502-2508.
10. Geiger D, Chang E, Pathria M, Chung CB. Posterolateral and posteromedial corner injuries of the knee. Radiol Clin North Am 2013;51(13):413-432.
11. Harish S, O’Donnell P, Connell D, Saifuddin A. Imaging of the poster lateral corner of the knee. Clin Radiol 2006;61(6):457-466.
12. Huang GS, Yu JS, Munshi M, Chan WP, Lee CH, Chen CY, et al. Avulsion fracture of the head of the fibula (the “arcuate” sign): MR imaging findings predictive of injuries to the poster lateral ligaments and posterior cruciate ligament. AJR Am J Roentgenol 2003;180(2):381-387.
13. Yoo JH, Lee JH, Chang CB. Pure varus injury to the knee joint. Clin Orthop Surg 2015;7(2):269-274.
14. Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am 1976;58(2):173-179.
15. Pacholke DA, Helms CA. MRI of the poster lateral corner injury: A concise review. J Magn Reson Imaging 2007;26(2):250-255.
16. Yoon KH, Bae DK, Ha JH, Park SW. Anatomic reconstructive surgery for poster lateral instability of the knee. Arthroscopy 2006;22(2):159-165.
17. Shelbourne KD, Haro MS, Gray T. Knee dislocation with lateral side injury: Results of an en masse surgical repair technique of the lateral side. Am J Sports Med 2007;35(7):1105-1116.
18. McCarthy M, Camarda L, Wijdicks CA, Johansen S, Engebretsen L, LaPrade RF. Anatomic posterolateral knee reconstruction requires a popliteofibular ligament reconstruction through a tibia tunnel. Am J Sports Med 2010;38:1674-1681.
19. Larson RV. Isometry of the lateral collateral and popliteofibular ligaments and techniques for reconstruction using a free semitendinosus tendon graft. Oper Tech Sports Med 2001;9(2):84-90.
20. Fanelli GC, Larson RV. Practical management of poster lateral instability of the knee. Arthroscopy 2002;18 2 Suppl 1:1-8.
21. Arciero RA. Anatomic posterolateral corner reconstruction-technical note. Arthroscopy 2005;21:1147e1-1147e5.
22. Oliveira MG, Severino NR, Kawano CT. Reconstruction of chronic lesions in the posterolateral corner of the knee with autologous biceps femoralis and fascia late grafts. Clinics (Sao Paulo) 2012;67(2):597-602.
23. Moatshe G, Dean CS, Chahla J, Serra Cruz R, LaPrade RF. Anatomic fibular collateral ligament reconstruction. Arthrosc Tech 2016;5:e309-e314.
24. LaPrade RF, Johansen S, Agel J, Risberg MA, Moksnes H, Engebretsen L. Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am 2010;92(1):16-22.
25. Strobel MJ, Schulz MS, Petersen WJ, Eichhorn HJ. Combined anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner reconstruction with autogenous hamstring grafts in chronic instabilities. Arthroscopy 2006;22(2):182-192.
26. Stannard JP, Brown SL, Farris RC, McGwin G Jr, Volgas DA. The poster lateral corner of the knee: Repair versus reconstruction. Am J Sports Med 2005;33(6):881-888.
27. Bottomley N, Williams A, Birch R, Noorani A, Lewis A, Lavelle J. Displacement of the common personal nerve in poster lateral corner injuries of the knee. J Bone Joint Surg Br 2005;87(9):1225-1226.


How to Cite this article: Vijayan S, Kulkarni M, Shetty S, Naik M, Rao SK. Posterolateral Corner Injuries of the Knee – Not to be Missed! J Kar Orth Assoc. Jan-April 2018; 6(1): 3-7.

                                          (Abstract    Full Text HTML)      (Download PDF)


0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *