injuries to the medial collateral ligament and associated medial structures of the knee by coen a....
TRANSCRIPT
Injuries to the Medial Collateral Ligament and Associated Medial Structures of the Knee
by Coen A. Wijdicks, Chad J. Griffith, Steinar Johansen, Lars Engebretsen, and Robert F. LaPrade
J Bone Joint Surg AmVolume 92(5):1266-1280
May 1, 2010
©2010 by The Journal of Bone and Joint Surgery, Inc.
A: Posteromedial view of the right knee, demonstrating the superficial medial collateral ligament (sMCL) and posterior oblique ligament (POL).
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Anteromedial view of the left knee, showing the injury grading scale established by the American Medical Association Standard Nomenclature of Athletic Injuries20.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Illustration of a medial knee reconstruction procedure (medial view of a left knee).
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
A: A valgus load is applied at 20° to 30° of knee flexion to detect medial joint opening.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Illustrations (A) and lateral knee radiographs (B) demonstrating the placement of the reference lines for correlating radiographs with the known anatomic attachment sites of the primary
structures of interest in a medial knee reconstruction.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Valgus stress radiographs demonstrating a grade-III injury of the left knee to the superficial medial collateral ligament and posterior oblique ligament.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Proton-density-weighted magnetic resonance image showing an acute avulsion of the superficial medial collateral ligament and the meniscotibial division of the deep medial collateral ligament
off their tibial attachments.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
A: Intraoperative photograph demonstrating a single anteromedial incision performed on a left knee to access the anatomic femoral and tibial attachment points of the superficial medial
collateral ligament (sMCL) and posterior oblique ligament (POL).
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Anteroposterior plain radiograph of a right knee, showing posttraumatic ossification known as the Pellegrini-Stieda syndrome.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.
Diagrammatic representation of the medial side of the knee and the course of the saphenous nerve and its sartorial and infrapatellar branches.
Coen A. Wijdicks et al. J Bone Joint Surg Am 2010;92:1266-1280
©2010 by The Journal of Bone and Joint Surgery, Inc.