PREVALENCE OF POSTEROLATERAL CORNER INJURIES IN MRI DETECTED ANTERIOR CRUCIATE LIGAMENT INJURIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 43
Abstract
BACKGROUND Anterior cruciate ligament injuries contribute to the major ligament injuries involving the knee. What we thought of isolated anterior cruciate ligament (ACL) injuries were not isolated injuries, there are associated posterolateral, posteromedial, anterolateral corner injuries and meniscal injuries. Identifying these injuries is of paramount importance to prevent the knee from developing arthritic changes in the future. Objectives- To know the spectrum of posterolateral corner injuries in ACL injured knee. MATERIALS AND METHODS Patients who came to Radiology Department of Government Medical College, Kozhikode with positive history and symptoms of ACL injury, of which there was MRI evidence of ACL injury, were taken for studying the prevalence of posterolateral corner injuries. The study period was from January 2015 to September 2016. Type of Study- Descriptive study. Inclusion Criteria- Positive history of ACL lesion. Positive one or two ACL lesion physical tests (the Lachman, anterior drawer test and pivot test). Exclusion Criteria- Patients <18 yrs. and >80 yrs. ACL injury with knee dislocation. RESULTS Posterolateral (PL) corner injuries showed prevalence of 5.1% and all the cases were in grade 3 ACL injured knees. Isolated lateral collateral ligament showed prevalence of 10%. CONCLUSION In cases of ACL injury undergoing MR imaging, posterolateral corner injuries have to be specifically looked and reported for better management of the patients.
Authors and Affiliations
Sunil Parackal Ramakrishnan, Saanida M. P, Rajendran V. R, Noufal Perumpalath, Jineesh Thottath, Juvaina P, Ipsit I Menon, Sibin Surendran
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