Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 4 , Pages 494-499 , April 2010

Diagnostic Ultrasound Evaluation of Posterolateral Corner Knee Injuries

  • Jon K. Sekiya, M.D.

      Affiliations

    • MedSport, Division of Sports Medicine, Department of Orthopaedic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan
    • Corresponding Author InformationAddress correspondence and reprint requests to Jon K. Sekiya, M.D., MedSport, Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Dr, PO Box 0391, Ann Arbor, MI 48106-0391, U.S.A.
  • ,
  • Jennifer C. Swaringen, M.D.

      Affiliations

    • Orthopaedic Associates of West Florida, Clearwater, Florida, U.S.A.
  • ,
  • Edward M. Wojtys, M.D.

      Affiliations

    • MedSport, Division of Sports Medicine, Department of Orthopaedic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan
  • ,
  • Jon A. Jacobson, M.D.

      Affiliations

    • Division of Musculoskeletal Radiology, Department of Radiology, University of Michigan Medical Center, Ann Arbor, Michigan

Received 8 January 2009 ,Accepted 30 August 2009.

References 

  1. LaPrade RF, Wentorf F. Diagnosis and treatment of posterolateral knee injuries. Clin Orthop Relat Res. 2002;(402):110–121
  2. Ranawat A, Baker CL, Henry S, Harner CD. Posterolateral corner injury of the knee: Evaluation and management. J Am Acad Orthop Surg. 2008;16:506–518
  3. LaPrade RF, Terry GC. Injuries to the posterolateral aspect of the knee (Association of anatomic injury patterns with clinical instability). Am J Sports Med. 1997;25:433–438
  4. Kannus P. Nonoperative treatment of grade II and III sprains of the lateral ligament compartment of the knee. Am J Sports Med. 1989;17:83–88
  5. LaPrade RF, Hamilton DC, Engebretsen L. Treatment of acute and chronic combined anterior cruciate ligament and posterolateral knee ligament injuries. Sports Med Arthrosc Rev. 1997;5:91–99
  6. Veltri DM, Warren RF. Posterolateral instability of the knee. Instr Course Lect. 1995;44:441–453
  7. Harner CD, Vogrin TM, Hoher J, Ma CB, Woo SL. Biomechanical analysis of a posterior cruciate ligament reconstruction (Deficiency of the posterolateral structures as a cause of graft failure). Am J Sports Med. 2000;28:32–39
  8. LaPrade RF, Resig S, Wentorf F, Lewis JL. The effects of grade III posterolateral knee complex injuries on anterior cruciate ligament graft force (A biomechanical analysis). Am J Sports Med. 1999;27:469–475
  9. Markolf KL, Wascher DC, Finerman GA. Direct in vitro measurement of forces in the cruciate ligaments (Part II: The effect of section of the posterolateral structures). J Bone Joint Surg Am. 1993;75:387–394
  10. O'Brien SJ, Warren RF, Pavlov H, Panariello R, Wickiewicz TL. Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg Am. 1991;73:278–286
  11. LaPrade RF, Wentorf FA, Fritts H, Gundry C, Hightower CD. A prospective magnetic resonance imaging study of the incidence of posterolateral and multiple ligament injuries in acute knee injuries presenting with a hemarthrosis. Arthroscopy. 2007;23:1341–1347
  12. Pacholke DA, Helms CA. MRI of the posterolateral corner injury: A concise review. J Magn Reson Imaging. 2007;26:250–255
  13. Hassine D, Rougereau G, Feron JM, et al. MR imaging of posteromedial and posterolateral stabilisers of the knee: Anatomic basis and patterns of lesions in knee injuries. Surg Radiol Anat. 1994;16:293–301
  14. Ross G, Chapman AW, Newberg AR, Scheller AD. Magnetic resonance imaging for the evaluation of acute posterolateral complex injuries of the knee. Am J Sports Med. 1997;25:444–448
  15. Yu JS, Salonen DC, Hodler J, Haghighi P, Trudell D, Resnick D. Posterolateral aspect of the knee: Improved MR imaging with a coronal oblique technique. Radiology. 1996;198:199–204
  16. Aisen AM, McCune WJ, MacGuire A, et al. Sonographic evaluation of the cartilage of the knee. Radiology. 1984;153:781–784
  17. De Flaviis L, Nessi R, Leonardi M, Ulivi M. Dynamic ultrasonography of capsulo-ligamentous knee joint traumas. J Clin Ultrasound. 1988;16:487–492
  18. Disler DG, Raymond E, May DA, Wayne JS, McCauley TR. Articular cartilage defects: In vitro evaluation of accuracy and interobserver reliability for detection and grading with US. Radiology. 2000;215:846–851
  19. Gerngross H, Sohn C. Ultrasound scanning for the diagnosis of meniscal lesions of the knee joint. Arthroscopy. 1992;8:105–110
  20. King JB, Perry DJ, Mourad K, Kumar SJ. Lesions of the patellar ligament. J Bone Joint Surg Br. 1990;72:46–48
  21. Ptasznik R. Ultrasound in acute and chronic knee injury. Radiol Clin North Am. 1999;37:797–830x
  22. Richardson ML, Selby B, Montana MA, Mack LA. Ultrasonography of the knee. Radiol Clin North Am. 1988;26:63–75
  23. Suzuki S, Kasahara K, Futami T, Iwasaki R, Ueo T, Yamamuro T. Ultrasound diagnosis of pathology of the anterior and posterior cruciate ligaments of the knee joint. Arch Orthop Trauma Surg. 1991;110:200–203
  24. Sekiya JK, Jacobson JA, Wojtys EM. Sonographic imaging of the posterolateral structures of the knee: Findings in human cadavers. Arthroscopy. 2002;18:872–881
  25. Covey DC. Injuries of the posterolateral corner of the knee. J Bone Joint Surg Am. 2001;83:106–118
  26. Bae JH, Choi IC, Suh SW, et al. Evaluation of the reliability of the dial test for posterolateral rotatory instability: A cadaveric study using an isotonic rotation machine. Arthroscopy. 2008;24:593–598
  27. LaPrade RF. Arthroscopic evaluation of the lateral compartment of knees with grade 3 posterolateral knee complex injuries. Am J Sports Med. 1997;25:596–602
  28. Huang GS, Yu JS, Munshi M, et al. Avulsion fracture of the head of the fibula (the “arcuate” sign): MR imaging findings predictive of injuries to the posterolateral ligaments and posterior cruciate ligament. AJR Am J Roentgenol. 2003;180:381–387
  29. Vinson EN, Major NM, Helms CA. The posterolateral corner of the knee. AJR Am J Roentgenol. 2008;190:449–458
  30. Bolog N, Hodler J. MR imaging of the posterolateral corner of the knee. Skeletal Radiol. 2007;36:715–728
  31. LaPrade RF, Heikes C, Bakker AJ, Jakobsen RB. The reproducibility and repeatability of varus stress radiographs in the assessment of isolated fibular collateral ligament and grade-III posterolateral knee injuries (An in vitro biomechanical study). J Bone Joint Surg Am. 2008;90:2069–2076

 The authors report no conflict of interest.

PII: S0749-8063(09)00782-8

doi: 10.1016/j.arthro.2009.08.023

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 4 , Pages 494-499 , April 2010