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Posterolateral instability of the knee: its diagnosis and management

✍ Scribed by M.S Falworth; R.L Allum


Publisher
Elsevier Science
Year
2003
Tongue
English
Weight
452 KB
Volume
17
Category
Article
ISSN
0268-0890

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✦ Synopsis


Posterolateral instability is defined as the instability that results from injuries tothe posterolateral stabilising structures ofthe knee.Thisinstabilityis posterior, varus and externalrotation.Isolated posterolateralligamentousinstabilityofthe knee is however uncommon. Instability usually occurs in association with other ligamentous injuries, in particular, injuries to either the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), or both.

The recognition and adequate management of this injury pattern is crucial, particularly as anycruciateligament reconstructionwillbe compromisedifthereis a combined injury and repair ofthe posterolateral corner is omitted.There should always therefore be a high degree of suspicion when examining the knee, particularly in those patients where the mechanism of injury and symptoms are suggestive of a complex knee injury.


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