Journal article
Anterior cruciate ligament and medial collateral ligament injuries
The Journal of knee surgery, Vol.27(5), pp.359-368
10/2014
DOI: 10.1055/s-0034-1381961
PMID: 24949985
Abstract
The diagnosis and treatment of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have evolved over the past 30 years. A detailed physical examination along with careful review of the magnetic resonance imaging and stress radiographs will guide decision making. Early ACL reconstruction and acute MCL repair are recommended when there is increased medial joint space opening with valgus stress in extension, a significant meniscotibial deep MCL injury (high-riding medial meniscus), or a displaced tibial-sided superficial MCL avulsion (stener lesion of the knee). Delayed ACL reconstruction to allow for MCL healing is advised when increased valgus laxity is present only at 30 degrees of flexion and not at 0 degree. However, at the time of ACL surgery, medial stability has to be re-assessed after the reconstruction is completed. In patients with neutral alignment in the chronic setting, graft reconstruction of both the ACL and MCL is recommended.
Details
- Title: Subtitle
- Anterior cruciate ligament and medial collateral ligament injuries
- Creators
- Matthew Bollier - Department of Orthopaedic Surgery, University of Iowa Sports Medicine, Iowa City, IowaPatrick A Smith - Columbia Orthopaedic Group, Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
- Resource Type
- Journal article
- Publication Details
- The Journal of knee surgery, Vol.27(5), pp.359-368
- Publisher
- Germany
- DOI
- 10.1055/s-0034-1381961
- PMID
- 24949985
- ISSN
- 1538-8506
- eISSN
- 1938-2480
- Language
- English
- Date published
- 10/2014
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040444202771
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