THE CLASSIFICATION, TREATMENT AND FOLLOW-UP EVALUATION OF MEDIAL COLLATERAL LIGAMENT INJURIES OF THE KNEE

1975 ◽  
Vol 7 (1) ◽  
pp. 73
Author(s):  
Ft. W. Godshall
Keyword(s):  
Medial Collateral Ligament ◽  
Ligament Injuries ◽  
Collateral Ligament

scholarly journals Treatment of Medial Collateral Ligament Injuries of the Knee with Focused Extracorporeal Shockwave Therapy: A Case Report

2021 ◽  
Vol 12 (1) ◽  
pp. 234
Author(s):  
Lucrezia Tognolo ◽  
Daniele Coraci ◽  
Andrea Bernini ◽  
Stefano Masiero
Keyword(s):  
Medial Collateral Ligament ◽  
Extracorporeal Shock Wave Therapy ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
The Us ◽  
Effect Of Treatment ◽  
Initial Deposition

Medial collateral ligament (MCL) injuries are the most frequent ligamentous injuries of the knee. Focused extracorporeal shock wave therapy (f-ESWT) is progressively expanding its field of application to many musculoskeletal pathologies. Although there is evidence surrounding the efficacy of f-ESWT in tendinopathies, no studies have described the usefulness of ultrasound (US)-guided f-ESWT in the treatment of ligament injuries. Herein, we report a case of a MCL injury treated with f-ESWT. Moreover, our case shows the importance of using ultrasonography in determining the effect of treatment. A 60-year-old man with a focal area of lesion in the deep fibers underwent 4 weekly sessions of US-guided f-ESWT to the injured ligament area. His pain decreased to a visual analog scale (VAS) of 3 at the end of the treatment and was completely resolved at the 1-month follow-up visit, with these results being maintained at 4-month follow-up. The US examination showed an initial deposition of “newly formed tissue” at the site of previous injury of the proximal MCL insertion, and a reduction in MCL thickness together with an improvement in echostructure. Based on this result, we speculate that non-surgical ligament injuries could be a new indication for f-ESWT. However, further investigation on the effects of f-ESWT for ligament injuries is needed.

Knee Medial Collateral Ligament Injuries

2015 ◽  
pp. 127-134
Author(s):  
Luis Pedro Duarte Silva ◽  
C. Desai ◽  
N. Loureiro ◽  
H. Pereira ◽  
J. Espregueira-Mendes
Keyword(s):  
Medial Collateral Ligament ◽  
Ligament Injuries ◽  
Collateral Ligament

Elbow Dislocation and Articular Fracture of the Distal Humerus

2010 ◽  
Vol 2 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Thierry G. Guitton ◽  
Andrew D. Duckworth ◽  
Margaret M. Mcqueen ◽  
Peter Kloen ◽  
David Ring
Keyword(s):  
Medial Collateral Ligament ◽  
Articular Surface ◽  
Present Report ◽  
Elbow Dislocation ◽  
Distal Humerus ◽  
Fracture Dislocation ◽  
Elbow Fracture ◽  
Collateral Ligament ◽  
Articular Fracture

Background The present report describes subluxation and dislocation of the elbow with articular fracture of the distal humerus and injury to the medial collateral ligament, a type of elbow fracture-dislocation about which little is available in the literature. Methods Twenty-two patients with subluxation or dislocation of the elbow (with injury to the medial collateral ligament) and a fracture of the distal humerus articular surface (capitellum/trochlea) were identified. Seventeen patients had a minimum of 12 months follow-up and eight patients returned for a long-term follow-up at a median of 36 months (range 12 months to 154 months) after injury. Results Nine patients had one or more subsequent surgeries. Seven patients had surgery to address complications and two had a planned implant removal. The final median arc of elbow flexion was 120° (range 100° to 145°) and the median arc of forearm rotation was 175° (range 150° to 180°). The median Broberg and Morrey score was 88 points (range 63 points to 100 points) and the median Disabilities of the Arm Shoulder and Hand score was 9 points (range 1 point to 43 points). Discussion Some elbow dislocations and subluxations are associated with osteochondral fractures of the distal humeral articular surface.

scholarly journals Medial collateral ligament injuries of the knee: current treatment concepts

2007 ◽  
Vol 1 (2) ◽  
pp. 108-113 ◽  
Author(s):  
Lan Chen ◽  
Paul D. Kim ◽  
Christopher S. Ahmad ◽  
William N. Levine
Keyword(s):  
Medial Collateral Ligament ◽  
Current Treatment ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Treatment Concepts

Combined Anterior Cruciate Ligament and Medial Collateral Ligament Injuries in Adolescents

2006 ◽  
Vol 26 (6) ◽  
pp. 733-736 ◽  
Author(s):  
Wudbhav N. Sankar ◽  
Lawrence Wells ◽  
Brian J. Sennett ◽  
Brent B. Wiesel ◽  
Theodore J. Ganley
Keyword(s):  
Anterior Cruciate Ligament ◽  
Medial Collateral Ligament ◽  
Cruciate Ligament ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Anterior Cruciate

Medial Collateral Ligament Reconstruction of the Elbow using the Docking Technique

2002 ◽  
Vol 30 (4) ◽  
pp. 541-548 ◽  
Author(s):  
Joel T. Rohrbough ◽  
David W. Altchek ◽  
Jon Hyman ◽  
Riley J. Williams ◽  
Jonathan D. Botts
Keyword(s):  
Medial Collateral Ligament ◽  
Collegiate Athletes ◽  
Tendon Graft ◽  
Collateral Ligament ◽  
Associated Lesions ◽  
Competition Level ◽  
Medial Collateral Ligament Reconstruction ◽  
Valgus Instability ◽  
Graft Reconstruction

Background Medial collateral ligament insufficiency of the elbow with resultant valgus instability in throwing athletes is typically treated with free tendon graft reconstruction as described by Jobe. Hypothesis Improved results could be obtained with the use of the docking technique. Study Design Uncontrolled retrospective review. Methods The study group consisted of 36 athletes who had symptomatic insufficiency of the medial collateral ligament confirmed by magnetic resonance imaging and by surgical findings. Average follow-up was 3.3 years. Key elements of the docking technique included a muscle-splitting approach without routine transposition of the ulnar nerve, routine arthroscopic assessment, treatment of associated lesions, and docking the two ends of the tendon graft into a single humeral tunnel. Results Thirty-three of 36 patients (92%) returned to or exceeded their previous level of competition for at least 1 year, meeting the Conway-Jobe classification criteria of “excellent.” All 22 professional or collegiate athletes returned to or exceeded their previous competition level. Conclusions The docking technique allowed simplified graft tensioning and improved graft fixation.

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