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Anatomy and Biomechanics of the Lateral and Medial Sides of the Knee and the Surgical Implications

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Abstract

Knowledge regarding the anatomy, biomechanics, and diagnosis of injuries to the lateral and medial sides of the knee has expanded greatly during the last few decades. In addition, the surgical techniques for addressing injuries to these structures have improved through biomechanical investigations of reconstruction methods. These topics are systematically addressed with a review and summary of the available literature.

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References

  1. Gianotti SM, Marshall SW, Hume PA, et al. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009;12(6):622–7.

    Article  PubMed  Google Scholar 

  2. Geeslin AG, LaPrade RF. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. Am J Sports Med. 2010;38(12):2502–8.

    Article  PubMed  Google Scholar 

  3. LaPrade RF, Terry GC. Injuries to the posterolateral aspect of the knee. Association of anatomic injury patterns with clinical instability. Am J Sports Med. 1997;25(4):433–8.

    Article  CAS  PubMed  Google Scholar 

  4. Moatshe G, Dornan GJ, Loken S, Ludvigsen TC, LaPrade RF, Engebretsen L. Demographics and injuries associated with knee dislocation: a prospective review of 303 patients. Orthop J Sports Med. 2017;5:2325967117706521.

    PubMed  PubMed Central  Google Scholar 

  5. Gollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg Am. 1987;69(2):233–42.

    Article  CAS  PubMed  Google Scholar 

  6. Grood ES, Stowers SF, Noyes FR. Limits of movement in the human knee. Effect of sectioning the posterior cruciate ligament and posterolateral structures. J Bone Joint Surg Am. 1988;70(1):88–97.

    Article  CAS  PubMed  Google Scholar 

  7. LaPrade RF, Ly TV, Wentorf FA, et al. The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med. 2003;31(6):854–60.

    Article  PubMed  Google Scholar 

  8. Seebacher JR, Inglis AE, Marshall JL, et al. The structure of the posterolateral aspect of the knee. J Bone Joint Surg Am. 1982;64(4):536–41.

    Article  CAS  PubMed  Google Scholar 

  9. Staubli HU, Birrer S. The popliteus tendon and its fascicles at the popliteal hiatus: gross anatomy and functional arthroscopic evaluation with and without anterior cruciate ligament deficiency. Arthroscopy. 1990;6(3):209–20.

    Article  CAS  PubMed  Google Scholar 

  10. Veltri DM, Deng XH, Torzilli PA, et al. The role of the popliteofibular ligament in stability of the human knee. A biomechanical study. Am J Sports Med. 1996;24(1):19–27.

    Article  CAS  PubMed  Google Scholar 

  11. Veltri DM, Warren RF. Anatomy, biomechanics, and physical findings in posterolateral knee instability. Clin Sports Med. 1994;13(3):599–614.

    CAS  PubMed  Google Scholar 

  12. Watanabe Y, Moriya H, Takahashi K, et al. Functional anatomy of the posterolateral structures of the knee. Arthroscopy. 1993;9(1):57–62.

    Article  CAS  PubMed  Google Scholar 

  13. Kennedy MI, Claes S, Fuso FA, Williams BT, Goldsmith MT, Turnbull TL, Wijdicks CA, LaPrade RF. The anterolateral ligament: an anatomic, radiographic, and biomechanical analysis. Am J Sports Med. 2015;43:1606–15.

    Article  PubMed  Google Scholar 

  14. Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A. A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. 2015;23:3186–95.

    Article  PubMed  Google Scholar 

  15. Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J. Anatomy of the anterolateral ligament of the knee. J Anat. 2013;223:321–8.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Grood ES, Noyes FR, Butler DL, et al. Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact human cadaver knees. J Bone Joint Surg Am. 1981;63(8):1257–69.

    Article  CAS  PubMed  Google Scholar 

  17. Hughston JC, Eilers AF. The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg Am. 1973;55(5):923–40.

    Article  CAS  PubMed  Google Scholar 

  18. Indelicato PA. Isolated medial collateral ligament injuries in the knee. J Am Acad Orthop Surg. 1995;3(1):9–14.

    Article  CAS  PubMed  Google Scholar 

  19. Robinson JR, Sanchez-Ballester J, Bull AM, et al. The posteromedial corner revisited. An anatomical description of the passive restraining structures of the medial aspect of the human knee. J Bone Joint Surg Br. 2004;86(5):674–81.

    Article  CAS  PubMed  Google Scholar 

  20. Warren LF, Marshall JL. The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am. 1979;61(1):56–62.

    Article  CAS  PubMed  Google Scholar 

  21. Warren LF, Marshall JL, Girgis F. The prime static stabilizer of the medial side of the knee. J Bone Joint Surg Am. 1974;56:665–74.

    Article  CAS  PubMed  Google Scholar 

  22. LaPrade RF, Engebretsen AH, Ly TV, et al. The anatomy of the medial part of the knee. J Bone Joint Surg Am. 2007;89(9):2000–10.

    PubMed  Google Scholar 

  23. Wijdicks CA, Griffith CJ, LaPrade RF, et al. Radiographic identification of the primary medial knee structures. J Bone Joint Surg Am. 2009;91(3):521–9.

    Article  PubMed  Google Scholar 

  24. Hughston JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg Am. 1994;76(9):1328–44.

    Article  CAS  PubMed  Google Scholar 

  25. Nielsen S, Rasmussen O, Ovesen J, et al. Rotatory instability of cadaver knees after transection of collateral ligaments and capsule. Arch Orthop Trauma Surg. 1984;103(3):165–9.

    Article  CAS  PubMed  Google Scholar 

  26. LaPrade RF, Tso A, Wentorf FA. Force measurements on the fibular collateral ligament, popliteofibular ligament, and popliteus tendon to applied loads. Am J Sports Med. 2004;32(7):1695–701.

    Article  PubMed  Google Scholar 

  27. Nielsen S, Helmig P. The static stabilizing function of the popliteal tendon in the knee. An experimental study. Arch Orthop Trauma Surg. 1986;104(6):357–62.

    Article  CAS  PubMed  Google Scholar 

  28. Ferrari DA, Wilson DR, Hayes WC. The effect of release of the popliteus and quadriceps force on rotation of the knee. Clin Orthop Relat Res. 2003;412:225–33.

    Article  Google Scholar 

  29. LaPrade RF, Wozniczka JK, Stellmaker MP, et al. Analysis of the static function of the popliteus tendon and evaluation of an anatomic reconstruction: the “fifth ligament” of the knee. Am J Sports Med. 2010;38(3):543–9.

    Article  PubMed  Google Scholar 

  30. LaPrade RF, Wozniczka JK, Stellmaker MP, Wijdicks CA. Analysis of the static function of the popliteus tendon and evaluation of an anatomic reconstruction: the “fifth ligament” of the knee. Am J Sports Med. 2010;38:543–9.

    Article  PubMed  Google Scholar 

  31. Harner CD, Hoher J, Vogrin TM, et al. The effects of a popliteus muscle load on in situ forces in the posterior cruciate ligament and on knee kinematics. A human cadaveric study. Am J Sports Med. 1998;26(5):669–73.

    Article  CAS  PubMed  Google Scholar 

  32. Maynard MJ, Deng X, Wickiewicz TL, et al. The popliteofibular ligament. Rediscovery of a key element in posterolateral stability. Am J Sports Med. 1996;24(3):311–6.

    Article  CAS  PubMed  Google Scholar 

  33. McCarthy M, Camarda L, Wijdicks CA, et al. Anatomic posterolateral knee reconstructions require a popliteofibular ligament reconstruction through a tibial tunnel. Am J Sports Med. 2010;38(8):1674–81.

    Article  PubMed  Google Scholar 

  34. Miller MD, Osborne JR, Gordon WT, et al. The natural history of bone bruises. A prospective study of magnetic resonance imaging-detected trabecular microfractures in patients with isolated medial collateral ligament injuries. Am J Sports Med. 1998;26(1):15–9.

    Article  CAS  PubMed  Google Scholar 

  35. Rasmussen MT, Nitri M, Williams BT, Moulton SG, Cruz RS, Dornan GJ, Goldsmith MT, LaPrade RF. An in vitro robotic assessment of the anterolateral ligament, part 1: secondary role of the anterolateral ligament in the setting of an anterior cruciate ligament injury. Am J Sports Med. 2016;44:585–92.

    Article  PubMed  Google Scholar 

  36. LaPrade RF, Resig S, Wentorf F, et al. The effects of grade III posterolateral knee complex injuries on anterior cruciate ligament graft force. A biomechanical analysis. Am J Sports Med. 1999;27(4):469–75.

    Article  CAS  PubMed  Google Scholar 

  37. Harner CD, Vogrin TM, Hoher J, et al. Biomechanical analysis of a posterior cruciate ligament reconstruction. Deficiency of the posterolateral structures as a cause of graft failure. Am J Sports Med. 2000;28(1):32–9.

    Article  CAS  PubMed  Google Scholar 

  38. LaPrade RF, Muench C, Wentorf F, et al. The effect of injury to the posterolateral structures of the knee on force in a posterior cruciate ligament graft: a biomechanical study. Am J Sports Med. 2002;30(2):233–8.

    Article  PubMed  Google Scholar 

  39. Kanamori A, Sakane M, Zeminski J, et al. In situ force in the medial and lateral structures of intact and ACL-deficient knees. J Orthop Sci. 2000;5(6):567–71.

    Article  CAS  PubMed  Google Scholar 

  40. Standard nomenclature of athletic injuries. American medical association committee on the medical aspects of sports. Chicago, IL: American Medical Association; 1966. p. 99–100.

    Google Scholar 

  41. LaPrade RF, Heikes C, Bakker AJ, et al. The reproducibility and repeatability of varus stress radiographs in the assessment of isolated fibular collateral ligament and grade-III posterolateral knee injuries. An in vitro biomechanical study. J Bone Joint Surg Am. 2008;90(10):2069–76.

    Article  PubMed  Google Scholar 

  42. Kennedy JC, Fowler PJ. Medial and anterior instability of the knee. An anatomical and clinical study using stress machines 1971. Clin Orthop Relat Res. 1995;321:3–9.

    Google Scholar 

  43. Palmer I. On the injuries to the ligaments of the knee joint: a clinical study. Clin Orthop Relat Res. 1938;454:17–22 (discussion 14, 2007).

    Article  Google Scholar 

  44. Wijdicks CA, Griffith CJ, Johansen S, et al. Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Joint Surg Am. 2010;92(5):1266–80.

    Article  PubMed  Google Scholar 

  45. Robinson JR, Bull AM, Thomas RR, et al. The role of the medial collateral ligament and posteromedial capsule in controlling knee laxity. Am J Sports Med. 2006;34(11):1815–23.

    Article  PubMed  Google Scholar 

  46. Griffith CJ, Wijdicks CA, LaPrade RF, et al. Force measurements on the posterior oblique ligament and superficial medial collateral ligament proximal and distal divisions to applied loads. Am J Sports Med. 2009;37(1):140–8.

    Article  PubMed  Google Scholar 

  47. Griffith CJ, LaPrade RF, Johansen S, et al. Medial knee injury: part 1, static function of the individual components of the main medial knee structures. Am J Sports Med. 2009;37(9):1762–70.

    Article  PubMed  Google Scholar 

  48. Wijdicks CA, Griffith CJ, LaPrade RF, et al. Medial knee injury: part 2, load sharing between the posterior oblique ligament and superficial medial collateral ligament. Am J Sports Med. 2009;37(9):1771–6.

    Article  PubMed  Google Scholar 

  49. Haimes JL, Wroble RR, Grood ES, et al. Role of the medial structures in the intact and anterior cruciate ligament-deficient knee. Limits of motion in the human knee. Am J Sports Med. 1994;22(3):402–9.

    Article  CAS  PubMed  Google Scholar 

  50. Ritchie JR, Bergfeld JA, Kambic H, et al. Isolated sectioning of the medial and posteromedial capsular ligaments in the posterior cruciate ligament-deficient knee. Influence on posterior tibial translation. Am J Sports Med. 1998;26(3):389–94.

    Article  CAS  PubMed  Google Scholar 

  51. Sullivan D, Levy IM, Sheskier S, et al. Medial restraints to anterior-posterior motion of the knee. J Bone Joint Surg Am. 1984;66(6):930–6.

    Article  CAS  PubMed  Google Scholar 

  52. Battaglia MJ 2nd, Lenhoff MW, Ehteshami JR, et al. Medial collateral ligament injuries and subsequent load on the anterior cruciate ligament: a biomechanical evaluation in a cadaveric model. Am J Sports Med. 2009;37(2):305–11.

    Article  PubMed  Google Scholar 

  53. Clancy WG Jr, Bergfeld J, O’Connor GA, et al. Symposium: functional rehabilitation of isolated medial collateral ligament sprains. First-, second-, and third-degree sprains. Am J Sports Med. 1979;7(3):206–13.

    Article  Google Scholar 

  54. LaPrade RF, Bernhardson AS, Griffith CJ, et al. Correlation of valgus stress radiographs with medial knee ligament injuries: an in vitro biomechanical study. Am J Sports Med. 2010;38(2):330–8.

    Article  PubMed  Google Scholar 

  55. Fanelli GC, Stannard JP, Stuart MJ, et al. Management of complex knee ligament injuries. J Bone Joint Surg Am. 2010;92(12):2235–46.

    PubMed  Google Scholar 

  56. LaPrade RF, Gilbert TJ, Bollom TS, et al. The magnetic resonance imaging appearance of individual structures of the posterolateral knee. A prospective study of normal knees and knees with surgically verified grade III injuries. Am J Sports Med. 2000;28(2):191–9.

    Article  CAS  PubMed  Google Scholar 

  57. Arthur A, LaPrade RF, Agel J. Proximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee: a prospective clinical study. Am J Sports Med. 2007;35(11):1844–50.

    Article  PubMed  Google Scholar 

  58. Noyes FR, Barber-Westin SD, Albright JC. An analysis of the causes of failure in 57 consecutive posterolateral operative procedures. Am J Sports Med. 2006;34(9):1419–30.

    Article  PubMed  Google Scholar 

  59. Kannus P. Long-term results of conservatively treated medial collateral ligament injuries of the knee joint. Clin Orthop Relat Res. 1988;226:103–12.

    Google Scholar 

  60. LaPrade RF, Johansen S, Agel J, et al. Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am. 2010;92(1):16–22.

    Article  PubMed  Google Scholar 

  61. Levy BA, Dajani KA, Morgan JA, et al. Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee. Am J Sports Med. 2010;38(4):804–9.

    Article  PubMed  Google Scholar 

  62. Stannard JP, Brown SL, Farris RC, et al. The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med. 2005;33(6):881–8.

    Article  PubMed  Google Scholar 

  63. Griffith CJ, Wijdicks CA, Goerke U, Michaeli S, Ellermann J, LaPrade RF. Outcomes of untreated posterolateral knee injuries: an in vivo canine model. Knee Surg Sports Traumatol Arthrosc. 2011;19(7):1192–7.

    Article  PubMed  Google Scholar 

  64. Baker CL Jr, Norwood LA, Hughston JC. Acute combined posterior cruciate and posterolateral instability of the knee. Am J Sports Med. 1984;12(3):204–8.

    Article  PubMed  Google Scholar 

  65. Baker CL Jr, Norwood LA, Hughston JC. Acute posterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1983;65(5):614–8.

    Article  PubMed  Google Scholar 

  66. DeLee JC, Riley MB, Rockwood CA Jr. Acute posterolateral rotatory instability of the knee. Am J Sports Med. 1983;11(4):199–207.

    Article  CAS  PubMed  Google Scholar 

  67. Schechinger SJ, Levy BA, Dajani KA, et al. Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner. Arthroscopy. 2009;25(3):232–42.

    Article  PubMed  Google Scholar 

  68. Albright JP, Brown AW. Management of chronic posterolateral rotatory instability of the knee: surgical technique for the posterolateral corner sling procedure. Instr Course Lect. 1998;47:369–78.

    CAS  PubMed  Google Scholar 

  69. Fleming RE Jr, Blatz DJ, McCarroll JR. Posterior problems in the knee. Posterior cruciate insufficiency and posterolateral rotatory insufficiency. Am J Sports Med. 1981;9(2):107–13.

    Article  PubMed  Google Scholar 

  70. Hughston JC, Jacobson KE. Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1985;67(3):351–9.

    Article  CAS  PubMed  Google Scholar 

  71. LaPrade RF, Hamilton CD, Engebretsen L. Treatment of acute and chronic combined anterior cruciate ligament and posterolateral knee ligament injuries. Sports Med Arthroscopy Rev. 1997;5(2):91–9.

    Article  Google Scholar 

  72. Veltri DM, Warren RF. Operative treatment of posterolateral instability of the knee. Clin Sports Med. 1994;13(3):615–27.

    CAS  PubMed  Google Scholar 

  73. Wascher DC, Grauer JD, Markoff KL. Biceps tendon tenodesis for posterolateral instability of the knee. An in vitro study. Am J Sports Med. 1993;21(3):400–6.

    Article  CAS  PubMed  Google Scholar 

  74. LaPrade RF, Johansen S, Wentorf FA, et al. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med. 2004;32(6):1405–14.

    Article  PubMed  Google Scholar 

  75. LaPrade RF, Spiridonov SI, Coobs BR, et al. Fibular collateral ligament anatomical reconstructions: a prospective outcomes study. Am J Sports Med. 2010;38(10):2005–11.

    Article  PubMed  Google Scholar 

  76. Geeslin AG, LaPrade RF. Outcomes of treatment of acute grade-III isolated and combined posterolateral knee injuries: a prospective case series and surgical technique. J Bone Joint Surg Am. 2011;93:1672–83.

    Article  PubMed  Google Scholar 

  77. Nitri M, Rasmussen MT, Williams BT, Moulton SG, Cruz RS, Dornan GJ, Goldsmith MT, LaPrade RF. An in vitro robotic assessment of the anterolateral ligament, part 2: anterolateral ligament reconstruction combined with anterior cruciate ligament reconstruction. Am J Sports Med. 2016;44:593–601.

    Article  PubMed  Google Scholar 

  78. Schon JM, Moatshe G, Brady AW, Serra Cruz R, Chahla J, Dornan GJ, Turnbull TL, Engebretsen L, LaPrade RF. Anatomic anterolateral ligament reconstruction of the knee leads to overconstraint at any fixation angle. Am J Sports Med. 2016;44:2546–56.

    Article  PubMed  Google Scholar 

  79. Terry GC, LaPrade RF. The posterolateral aspect of the knee. Am J Sports Med. 1996;24(6):732–9.

    Article  CAS  PubMed  Google Scholar 

  80. LaPrade RF. Arthroscopic evaluation of the lateral compartment of knees with grade 3 posterolateral knee complex injuries. Am J Sports Med. 1997;25(5):596–602.

    Article  CAS  PubMed  Google Scholar 

  81. Jakob RP, Warner JP. In: Jakob RP, Staubli HU, editors. The knee and the cruciate ligaments: anatomy, biomechanics, clinical aspects, reconstruction, complications, rehabilitation. New York, NY: Springer; 1992. p. 32.

    Chapter  Google Scholar 

  82. Coobs BR, LaPrade RF, Griffith CJ, et al. Biomechanical analysis of an isolated fibular (lateral) collateral ligament reconstruction using an autogenous semitendinosus graft. Am J Sports Med. 2007;35(9):1521–7.

    Article  PubMed  Google Scholar 

  83. LaPrade RF, Johansen S, Engebretsen L. Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am. 2011;93(4):e12.

    Article  Google Scholar 

  84. Segond P. Recherches cliniques et experimentales sur les epanchements sanguins du genou par entorse. In: Progres Medical, vol. VII, Paris; 1879. p. 1–84.

    Google Scholar 

  85. Shindell R, Walsh WM, Connolly JF. Avulsion fracture of the fibula: the ‘arcuate sign’ of posterolateral knee instability. Nebr Med J. 1984;69(11):369–71.

    CAS  PubMed  Google Scholar 

  86. Wentorf FA, LaPrade RF, Lewis JL, et al. The influence of the integrity of posterolateral structures on tibiofemoral orientation when an anterior cruciate ligament graft is tensioned. Am J Sports Med. 2002;30(6):796–9.

    Article  PubMed  Google Scholar 

  87. Higgins H. The popliteus muscle. J Anat Physiol. 1895;29(Pt 4):569–73.

    CAS  PubMed  PubMed Central  Google Scholar 

  88. Last RJ. Some anatomical details of the knee joint. J Bone Joint Surg Br. 1948;30B(4):683–8.

    Article  CAS  PubMed  Google Scholar 

  89. Woo SL, Young EP, Ohland KJ, et al. The effects of transection of the anterior cruciate ligament on healing of the medial collateral ligament. A biomechanical study of the knee in dogs. J Bone Joint Surg Am. 1990;72(3):382–92.

    Article  CAS  PubMed  Google Scholar 

  90. Wijdicks CA, Michalski MP, Rasmussen MT, Goldsmith MT, Kennedy NI, Lind M, Engebretsen L, LaPrade RF. Superficial medial collateral ligament anatomic augmented repair versus anatomic reconstruction: an in vitro biomechanical analysis. Am J Sports Med. 2013;41:2858–66.

    Article  PubMed  Google Scholar 

  91. Ballmer PM, Jakob RP. The non operative treatment of isolated complete tears of the medial collateral ligament of the knee. A prospective study. Arch Orthop Trauma Surg. 1988;107(5):273–6.

    Article  CAS  PubMed  Google Scholar 

  92. Ellsasser JC, Reynolds FC, Omohundro JR. The non-operative treatment of collateral ligament injuries of the knee in professional football players. An analysis of seventy-four injuries treated non-operatively and twenty-four injuries treated surgically. J Bone Joint Surg Am. 1974;56(6):1185–90.

    Article  CAS  PubMed  Google Scholar 

  93. Indelicato PA. Non-operative treatment of complete tears of the medial collateral ligament of the knee. J Bone Joint Surg Am. 1983;65(3):323–9.

    Article  CAS  PubMed  Google Scholar 

  94. Noyes FR, Barber-Westin SD. The treatment of acute combined ruptures of the anterior cruciate and medial ligaments of the knee. Am J Sports Med. 1995;23(4):380–9.

    Article  CAS  PubMed  Google Scholar 

  95. Petermann J, von Garrel T, Gotzen L. Non-operative treatment of acute medial collateral ligament lesions of the knee joint. Knee Surg Sports Traumatol Arthrosc. 1993;1(2):93–6.

    Article  CAS  PubMed  Google Scholar 

  96. Reider B, Sathy MR, Talkington J, et al. Treatment of isolated medial collateral ligament injuries in athletes with early functional rehabilitation. A five-year follow-up study. Am J Sports Med. 1994;22(4):470–7.

    Article  CAS  PubMed  Google Scholar 

  97. Coobs BR, Wijdicks CA, Armitage BM, et al. An in vitro analysis of an anatomical medial knee reconstruction. Am J Sports Med. 2010;38(2):339–47.

    Article  PubMed  Google Scholar 

  98. Moatshe G, Chahla J, LaPrade RF, Engebretsen L. Diagnosis and treatment of multiligament knee injury: state of the art. J ISAKOS Joint Disord Orthop Sports Med. 2017;2:152–61.

    Article  Google Scholar 

  99. Moatshe G, Slette EL, Engebretsen L, LaPrade RF. Intertunnel relationships in the tibia during reconstruction of multiple knee ligaments: how to avoid tunnel convergence. Am J Sports Med. 2016;44:2864–9.

    Article  PubMed  Google Scholar 

  100. Lunden JB, Bzdusek PJ, Monson JK, et al. Current concepts in the recognition and treatment of posterolateral corner injuries of the knee. J Orthop Sports Phys Ther. 2010;40(8):502–16.

    Article  PubMed  Google Scholar 

  101. Lind M, Jakobsen BW, Lund B, et al. Anatomical reconstruction of the medial collateral ligament and posteromedial corner of the knee in patients with chronic medial collateral ligament instability. Am J Sports Med. 2009;37(6):1116–22.

    Article  PubMed  Google Scholar 

  102. Steadman JR. Rehabilitation of first- and second-degree sprains of the medial collateral ligament. Am J Sports Med. 1979;7(5):300–2.

    Article  CAS  PubMed  Google Scholar 

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Kennedy, M.I., Geeslin, A.G., LaPrade, R.F. (2019). Anatomy and Biomechanics of the Lateral and Medial Sides of the Knee and the Surgical Implications. In: Fanelli, G. (eds) The Multiple Ligament Injured Knee. Springer, Cham. https://doi.org/10.1007/978-3-030-05396-3_3

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