Abstract
Knee dislocations were previously thought to be relatively uncommon injuries. However, the prevalence of multiligament knee injuries appears to be increasing. These numbers may be a factor of increased participation by the public in “extreme sports,” improved trauma assessment and care, or changes to air bags and auto design. They may also be due to an increased awareness of doctors to this diagnosis. Previously, the definition of knee dislocation was rather ambiguous. Combined with physical presentation of spontaneous reduction and a guarded clinical exam, knee dislocations are challenging to detect. MRI has improved our ability to diagnose these injuries.
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References
Levy BA, Dajani KA, Whelan DB, Stannard JP, Fanelli GC, Stuart MJ, Boyd JL, MacDonald PA, Marx RG (2009) Decision making in the multi-ligament injured knee: an evidence based systematic review. Arthroscopy 25(4):430–438
Meyers MH, Harvey P (1971) Traumatic dislocation of the knee joint: a study of eighteen cases. J Bone Joint Surg Am 53:16–29
Richter M, Bosch U, Wippermann B, Hofmann A, Krettek C (2002) Comparison of surgical repair or reconstruction of the cruciate ligaments versus nonsurgical treatment in patients with traumatic knee dislocations. Am J Sports Med 30(5):718–772
Wong CH, Tan JL, Chang HC, Khin LW, Low CO (2004) Knee dislocations-a retrospective study comparing operative versus closed immobilization treatment outcomes. Knee Surg Sports Traumatol Arthrosc 12(6):540–544
Liow RY, McNicholas MJ, Keating JF, Nutton RW (2003) Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br 85(6):845–851
Harner CD, Waltrip RL, Bennett CH, Francis KA, Cole B, Irrgana JJ (2004) Surgical management of knee dislocations. J Bone Joint Surg Am 86(2):262–273
Grood ES, Noyes FR, Butler DL, Suntay WJ (1981) Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact human cadaver knees. J Bone Joint Surg Am 63:1257–1269
La Prade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L (2007) The anatomy of the medial part of the knee. J Bone Joint Surg Am 89:2000–2010
Phisitkul P, Wolf BR, Amendola A (2006) Role of high tibial and distal femoral osteotomies in the treatment of lateral-posterolateral and medial instabilities of the knee. Sports Med Arthrosc Rev 14:96–104
Fanelli GC, Harris JD (2007) Late medial collateral ligament reconstruction. Tech Knee Surg 6:99–105
Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg Am 55:923–940
Wijdicks CA, Griffith CJ, Johansen S, Engebretsen L, La Prade RF (2010) Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Joint Surg Am 92:1266–1280
LaPrade RF, Bernhardson AS, Griffith CJ, Macalena JA, Wijdicks CA (2010) Correlation of valgus stress radiographs with medial knee ligament injuries: an in vitro biomechanical study. Am J Sports Med 38:330–338
Canata GL, Chiey A, Leoni T (2012) Surgical technique: does mini-invasive medial collateral ligament and posterior oblique ligament repair restore knee stability in combined chronic medial and ACL injuries? Clin Orthop Relat Res 470(3):791–797
Marx RG, Hetsroni I (2012) Surgical technique: medial collateral ligament reconstruction using Achilles allograft for combined knee ligament injury. Clin Orthop Relat Res 470(3):798–805
Azar FM (2006) Evaluation and treatment of chronic medial collateral ligament injuries of the knee. Sports Med Arthrosc Rev 14:84–90
Bosworth DM (1952) Transplantation of the semitendinosus for repair of laceration of medial collateral ligament of the knee. J Bone Joint Surg Am 34:196–202
Kim SJ, Lee DH, Kim TE, Choi NH (2008) Concomitant reconstruction of the medial collateral and posterior oblique ligaments for medial instability of the knee. J Bone Joint Surg Br 90:1323–1327
Lind M, Jakobsen BW, Lund B, Hansen MS, Abdallah O, Christiansen SE (2009) 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 37:1116–1122
Borden PS, Kantaras AT, Caborn DNM (2002) Medial collateral ligament reconstruction with allograft using a double-bundle technique. Arthroscopy 18:E19
Fanelli GC, Tomaszewski DJ (2007) Allograft use in the treatment of the multiple ligament injured knee. Sports Med Arthrosc Rev 15:139–148
Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD (2009) Biomechanical comparison of medial collateral ligament reconstructions using computer-assisted navigation. Am J Sports Med 37:1123–1130
Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD (2009) Isometry of medial collateral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 17:1078–1082
Mitsou A, Vallianatos P, Piskopakis N, Maheras S (1990) Anterior cruciate ligament reconstruction by over-the-top repair combined with popliteus tendon plasty. J Bone Joint Surg Br 72:398–404
Moller E, Weidenhielm L, Werner S (2009) Outcome and knee-related quality of life after anterior cruciate ligament reconstruction: a long term follow-up. Knee Surg Sports Traumatol Arthrosc 17:786–794
Odensten M, Lysholm J, Gillquist J (1983) Long-term follow-up study of a distal iliotibial band transfer (DIT) for anterolateral knee instability. Clin Orthop Relat Res 176:129–135
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Whelan, D., Hetsroni, I., Engebretsen, L., Marx, R.G. (2012). Multiple Ligament Injury Management. In: Menetrey, J., Zaffagnini, S., Fritschy, D., van Dijk, N. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29446-4_9
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