Surgical Management and Treatment of the Anterior Cruciate Ligament/Posterolateral Corner Injured Knee

Clin Sports Med. 2017 Jan;36(1):105-117. doi: 10.1016/j.csm.2016.08.011. Epub 2016 Oct 5.

Abstract

Posterolateral knee injuries occur more commonly than in the past. These injuries most commonly occur concurrent with cruciate ligament tears. The main stabilizers of the posterolateral knee are the fibular collateral ligament, the popliteus tendon, and the popliteofibular ligament. These static stabilizers function to prevent increased varus, external rotation, and coupled posterolateral rotation of the knee. The most important clinical tests to diagnose posterolateral knee injuries are the varus stress test, posterolateral drawer, and dial tests. Varus stress radiographs are key objective means to diagnose these injuries. Anatomic- based reconstructions have been validated to restore stability and improve outcomes.

Keywords: Anterior cruciate ligament (ACL); Multistaged; Peroneal nerve; Posterolateral corner (PLC); Single stage.

Publication types

  • Review

MeSH terms

  • Anterior Cruciate Ligament Injuries / surgery*
  • Anterior Cruciate Ligament Reconstruction / adverse effects
  • Anterior Cruciate Ligament Reconstruction / methods
  • Arthroscopy / adverse effects
  • Arthroscopy / methods
  • Athletic Injuries / surgery
  • Humans
  • Knee Injuries / surgery*
  • Patient Positioning
  • Postoperative Care
  • Postoperative Complications