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Anterolateral Complex Injuries Occur in the Majority of ‘Isolated’ Anterior Cruciate Ligament Ruptures by Ganesh Balendra; Lukas Willinger; Vishal Pai; Adam Mitchell; Justin Lee; Mary Jones; Andy Williams is a Medicine article available to read on EtoBox.

What is Anterolateral Complex Injuries Occur in the Majority of ‘Isolated’ Anterior Cruciate Ligament Ruptures about?

## Purpose The anterolateral soft tissue envelope of the knee is frequently injured at the time of ACL rupture. This study aims to investigate the MRI injury patterns to the Anterolateral complex and their associations in patients with acute 'isolated ligament' ACL ruptures. Methods Professional athletes who underwent ACL reconstruction for complete ACL rupture between 2015 and 2019 were included in this study. Patients' characteristics and intraoperative findings were retrieved from clinical and surgical documentation. Preoperative MRIs were evaluated and the injuries to respective structures of the Anterolateral complex and their associations were recorded. Results Anterolateral complex injuries were noted in 63% of cases. The majority of injuries were to Kaplan Fibre (39% isolated injury and 19% combined with Anterolateral ligament injury). There was a very low incidence of isolated Anterolateral ligament injuries (2%). Kaplan Fibre injuries are associated with the presence of lateral femoral condyle bone oedema, and injuries to the superficial MCL, deep MCL, and ramp lesions. High grade pivot shift test was not associated with the presence of Kaplan Fibre or Anterolateral ligam

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Author
Ganesh Balendra; Lukas Willinger; Vishal Pai; Adam Mitchell; Justin Lee; Mary Jones; Andy Williams
Publisher
Springer Science and Business Media LLC
Published
2021
Language
EN
Field
Medicine (Health Sciences)

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