Multiple Ligament Knee Injuries

2018 ◽  
Vol 31 (05) ◽  
pp. 399-409 ◽  
Author(s):  
David Fanelli ◽  
Gregory Fanelli
Keyword(s):  
Knee Injury ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Organ System ◽  
Ligament Injury ◽  
Ligament Injuries ◽  
Knee Ligament ◽  
Functional Instability ◽  
Adolescent Population ◽  
Knee Ligament Injuries

AbstractThe posterior cruciate ligament (PCL)-based multiple ligament injury, or dislocated knee, is often part of a multisystem injury complex that not only includes the knee ligaments, but may also include blood vessels, skin, nerves, fractures, and other organ system trauma. These factors must be considered in the scope of treating this complex knee injury. These complex knee ligament injuries can result in significant functional instability for the affected individual. This article will discuss multiple ligament knee injuries evaluation, treatment, and special considerations in the pediatric and adolescent population.

The Prevalence of Cruciate Ligament and Meniscus Knee Injury in Young Adults and Associations with Gender, Body Mass Index, and Height a Large Cross-Sectional Study

2016 ◽  
Vol 30 (06) ◽  
pp. 565-570 ◽  
Author(s):  
Ran Thein ◽  
Barak Gordon ◽  
Gideon Burstein ◽  
Shay Tenenbaum ◽  
Estela Derazne ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Young Adults ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
Body Height ◽  
Knee Injuries ◽  
Meniscal Injury ◽  
Ligament Injuries ◽  
Cross Sectional ◽  
Knee Ligament

AbstractAnterior cruciate ligament and meniscal injuries are associated with secondary osteoarthrosis which may lead to functional impairment and economic burden. The prevalence of knee injury has not been studied in depth. Our purpose was to report the prevalence of knee ligament and meniscal injuries and their associations with gender, body mass index (BMI), and height in young adults and to characterize individuals with meniscal injuries who gained full recovery. A cross-sectional, population-based study was conducted. Information on the disability codes of knee ligament and meniscal injury according to the Regulations of Medical Fitness Determination was retrieved from a medical database containing records of young prerecruits into mandatory service. Logistic regression assessed the association between genders, BMI, and body height to knee injuries. A total of 825,187 subjects were included. Prevalence of knee injuries was 0.35%. Males had 2.2-fold more knee injuries than females. Increased BMI was associated with increased prevalence of knee injury in both genders, more significantly in females (overweight and obese females had an odds ratio of 1.406 and 1.519, respectively, to suffer from concomitant meniscal and ligamentous knee injury). Being underweight was associated with a lower prevalence of knee injury. An above normal BMI was more significantly associated with meniscal and/or ligament injuries that did not fully recover (females > males). Body height was associated with isolated meniscal injury in both genders. We found an association between BMI, body height, and knee injury in both males and females. Higher body height and higher BMI might be risk factors for knee injuries. Higher BMI was associated with greater probability of disability coding. Meniscal and ligament injuries are more common among males.

Evaluation and Treatment of Posterior Cruciate Ligament Injuries

1998 ◽  
Vol 26 (3) ◽  
pp. 471-482 ◽  
Author(s):  
Christopher D. Harner ◽  
Jürgen Höher
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Surgical Techniques ◽  
Magnetic Resonance Images ◽  
Surgical Reconstruction ◽  
Ligament Injury ◽  
Ligament Injuries ◽  
Science Data ◽  
Knee Ligament ◽  
Knee Ligament Injuries

Improved basic science data on the anatomy and bio-mechanics of the human posterior cruciate ligament have provided the orthopaedic surgeon with new information on which to base treatment decisions. Injuries to the posterior cruciate ligament are reported to comprise approximately 3% of all knee ligament injuries in the general population and as high as 37% in an emergency department setting. While the diagnosis of a posterior cruciate ligament injury can often be made with a physical examination, ancillary studies such as radiographs and magnetic resonance images can be very helpful in detecting associated ligament and bony injuries. In general, most partial (grades I and II) posterior cruciate ligament injuries can be treated nonoperatively. However, surgical reconstruction is usually recommended for those posterior cruciate ligament injuries that occur in combination with other structures. In this review, current surgical techniques of posterior cruciate ligament reconstruction based on anatomic and biomechanical studies will be discussed.

scholarly journals Treatment of Partial Posterior Cruciate Ligament Injuries with Platelet-Rich Plasma in Growth Factors (PRGF) Intraligamentous Infiltration and a Specific Knee Brace

2021 ◽  
Vol 07 (01) ◽  
pp. e30-e34
Author(s):  
David Barastegui ◽  
Eduard Alentorn-Geli ◽  
Dhaval Gotecha ◽  
Marta Rius ◽  
Jordi Navarro ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Platelet Rich Plasma ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Ligament Injuries ◽  
Level Of Evidence ◽  
Knee Ligament ◽  
Partial Tears ◽  
Knee Ligament Injuries ◽  
Multiligament Knee Injuries

AbstractPosterior cruciate ligament (PCL) injuries are not as common as other knee ligament injuries, but may present a challenging scenario for even skilled knee surgeons. Complete PCL tears are typically encountered in the setting of multiligament knee injuries and require surgical treatment. Isolated complete PCL injuries are uncommon and the best treatment is debated, and likely depends on the degree of symptoms and objective instability. However, many PCL injuries will be partial tears (grade I or II). The purpose of this chapter is to describe our treatment of choice for partial PCL injuries through a conservative approach. Level of evidence Level IV.

The Relationship Between the Use of Foot Orthoses and Knee Ligament Injury in Female Collegiate Basketball Players

2008 ◽  
Vol 98 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Walter L. Jenkins ◽  
Susanne G. Raedeke ◽  
D.S. Blaise Williams
Keyword(s):  
Anterior Cruciate Ligament ◽  
Treatment Group ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Injury Rate ◽  
Ligament Injury ◽  
Ligament Injuries ◽  
Knee Ligament ◽  
Knee Ligament Injury ◽  
Anterior Cruciate

Background: Anterior cruciate ligament injuries are more prevalent in female athletes than in male athletes. Basketball is a high-risk sport for anterior cruciate ligament injury in female athletes. This study was conducted to observe the effect of a foot orthosis on the knee ligament injury rate in female basketball players at one US university. Methods: One hundred fifty-five players on the women’s basketball team were observed for knee ligament injury from 1992 to 2005. Athletes in the 1992–1993 to 1995–1996 school years (July–June) did not receive a foot orthosis and served as the control group; the treatment group comprised the athletes during the 1996–1997 to 2004–2005 school years (July–June). Athletes in the treatment group received a foot orthosis before participating in basketball. Data analysis included knee ligament injury rates and a comparison of injury rates with an incidence density ratio. Results: Athletes in the control group had three collateral ligament injuries and three anterior cruciate ligament injuries, for an injury rate of 0.50 for both the anterior cruciate ligament and collateral ligaments. Athletes in the treatment group had four collateral ligament injuries and one anterior cruciate ligament injury, for an injury rate of 0.29 for the collateral ligaments and 0.07 for the anterior cruciate ligament. Athletes in the control group were 1.72 times more likely to sustain a collateral ligament injury and 7.14 times more likely to sustain an anterior cruciate ligament injury than the treatment group. Conclusions: Foot orthoses may contribute to a decreased knee ligament injury rate in female collegiate basketball players. (J Am Podiatr Med Assoc 98(3): 207–211, 2008)

scholarly journals Risk of knee osteoarthritis after different types of knee injuries in young adults: a population-based cohort study

2019 ◽  
Vol 54 (12) ◽  
pp. 725-730 ◽  
Author(s):  
Barbara Snoeker ◽  
Aleksandra Turkiewicz ◽  
Karin Magnusson ◽  
Richard Frobell ◽  
Dahai Yu ◽  
...  
Keyword(s):  
Young Adults ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
Meniscal Tear ◽  
Knee Injuries ◽  
Population Based ◽  
Ligament Injury ◽  
Knee Oa ◽  
Different Types

ObjectivesTo estimate the risk of clinically diagnosed knee osteoarthritis (OA) after different types of knee injuries in young adults.MethodsIn a longitudinal cohort study based on population-based healthcare data from Skåne, Sweden, we included all persons aged 25–34 years in 1998–2007 (n=149 288) with and without diagnoses of knee injuries according to International Classification of Diseases (ICD)-10. We estimated the HR of future diagnosed knee OA in injured and uninjured persons using Cox regression, adjusted for potential confounders. We also explored the impact of type of injury (contusion, fracture, dislocation, meniscal tear, cartilage tear/other injury, collateral ligament tear, cruciate ligament tear and injury to multiple structures) on diagnosed knee OA risk.ResultsWe identified 5247 persons (mean (SD) age 29.4 (2.9) years, 67% men) with a knee injury and 142 825 persons (mean (SD) age 30.2 (3.0) years, 45% men) without. We found an adjusted HR of 5.7 (95% CI 5.0 to 6.6) for diagnosed knee OA in injured compared with uninjured persons during the first 11 years of follow-up and 3.4 (95% CI 2.9 to 4.0) during the following 8 years. The corresponding risk difference (RD) after 19 years of follow-up was 8.1% (95% CI 6.7% to 9.4%). Cruciate ligament injury, meniscal tear and fracture of the tibia plateau/patella were associated with greatest increase in risk (RD of 19.6% (95% CI 13.2% to 25.9%), 10.5% (95% CI 6.4% to 14.7%) and 6.6% (95% CI 1.1% to 12.2%), respectively).ConclusionIn young adults, knee injury increases the risk of future diagnosed knee OA about sixfold with highest risks found after cruciate ligament injury, meniscal tear and intra-articular fracture.

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