Anterolateral ligament injuries in knees with an anterior cruciate ligament tear: Contribution of ultrasonography and MRI

Objective: despite the fact that anterior cruciate ligament injuries are the most common ligament injuries, the problem of making a quick and accurate diagnosis still exists. in our paper, we hypothesized that a modification of the Lachman test — BK21 (Kacprzak test), in comparison to the Lachman test and Drop Leg test will allow for a significant reduction of pain during the test, and thus for less muscular defense, more relaxation, and more reliable test results, whose sensitivity and specificity will be confirmed by magnetic resonance imaging.Materials and methods: using the patient’s subjective pain rating scale, the Numerical Rating Scale (NRS), we were able to easily assess which way of performing the test was less traumatic for the patient. a physical examination in the form of a comparison of those two visits was performed at the private medical office Orto Med Sport in 203 patients with suspected anterior cruciate ligament tear.Results: the BK21 modification (Kacprzak) test was on average 3 points less painful on the NRS scale than the classic Lachman test and 1 point less painful than the Drop Leg test, while the same principle of operation and analogous endpoints in both tests allow for high sensitivity and specificity of the test.Conclusion: the BK21 test was a less traumatic and painful alternative to the Lachman test.

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Magnetic Resonance Imaging-Based Prevalence of Anterolateral Ligament Abnormalities and Associated Injuries in Knees with Acute Anterior Cruciate Ligament Injury

The Journal of Knee Surgery ◽

10.1055/s-0038-1669449 ◽

2018 ◽

Vol 32 (09) ◽

pp. 866-871 ◽

Cited By ~ 2

Author(s):

Yoonah Song ◽

Jae-Hyuk Yang ◽

Won Rak Choi ◽

Jin Kyu Lee

Keyword(s):

Anterior Cruciate Ligament ◽

Tibial Plateau ◽

Cruciate Ligament ◽

Anterolateral Ligament ◽

Anterior Cruciate Ligament Tear ◽

Associated Injuries ◽

Medial Tibial Plateau ◽

Ligament Tear ◽

Osseous Lesion ◽

Anterior Cruciate

AbstractThe purpose of this study was to determine and compare the prevalence of anterolateral ligament abnormality and associated injuries among patients with complete and partial anterior cruciate ligament tears. In addition, the prevalence of associated injuries with anterolateral ligament abnormality was further analyzed. Of the 158 patients diagnosed with acute anterior cruciate ligament tear, 82 patients were diagnosed with acute complete anterior cruciate ligament confirmed by magnetic resonance imaging (MRI) and arthroscopic procedures (Group C), and 74 patients were diagnosed with acute partial anterior cruciate ligament tears confirmed by MRI (Group P). The status of the anterolateral ligament, collateral ligaments, menisci, and osseous lesions was assessed. There was a significantly higher prevalence of anterolateral ligament abnormalities in Group C than Group P (36.6 vs. 4.1%, p < 0.001). Medial collateral ligament, lateral collateral ligament, Segond fracture, osseous lesion at the fibular head, lateral tibial plateau, lateral femoral condyle, and medial tibial plateau were significantly associated with anterolateral ligament abnormality. Furthermore, severity of osseous lesion at the lateral tibial plateau, lateral femoral condyle, and medial tibial plateau was significantly associated (with linear correlation) with anterolateral ligament abnormality. The prevalence of anterolateral ligament abnormality was significantly higher in patients with complete anterior cruciate ligament tear (36.6%) than those with partial anterior cruciate ligament tear (4.1%), but with noticeable prevalence of anterolateral ligament abnormality in the partial anterior cruciate ligament tear group. Associated lesions significant to anterolateral ligament abnormality were tears in both collateral ligaments, lateral-sided osseous lesions, and osseous lesion of the medial tibial plateau.

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