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Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.

Bonasia DE, D'Amelio A, Pellegrino P, Rosso F, Rossi R - Orthop Rev (Pavia) (2015)

Bottom Line: Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction.For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament.The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament. The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging. In addition, the most common anterolateral reconstruction/tenodesis techniques are described together with their respective clinical outcomes.

No MeSH data available.


Related in: MedlinePlus

Anatomy of the lateral aspect of the knee. ALL, anterolateral ligament; ITB, iliotibial band. LCL, lateral collateral ligament; LHG, lateral head of the gastrocnemius; PT, popliteus tendon; CPN, common peroneal nerve; BF, biceps femoris; GT, gerdy’s tubercle; FH, fibular head.
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fig001: Anatomy of the lateral aspect of the knee. ALL, anterolateral ligament; ITB, iliotibial band. LCL, lateral collateral ligament; LHG, lateral head of the gastrocnemius; PT, popliteus tendon; CPN, common peroneal nerve; BF, biceps femoris; GT, gerdy’s tubercle; FH, fibular head.

Mentions: In 1879, the French surgeon Paul Segond described a pearly, resistant, fibrous band inserting on the anterolateral aspect of the proximal tibia.8 This can be considered the first description of the ALL, which was referred to with different names in the subsequent years, including: anterior band of the lateral collateral ligament for Irvine et al. in 1987,12(mid-third) of the lateral capsular ligament for different authors,12-15anterior oblique band for Campos et al.16 and anterolateral ligament for Vieira et al. and Claes et al.10,17 Recently, different studies were performed on cadaveric knees in order to identify anatomical and histological features of the ALL (Figure 1).


Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.

Bonasia DE, D'Amelio A, Pellegrino P, Rosso F, Rossi R - Orthop Rev (Pavia) (2015)

Anatomy of the lateral aspect of the knee. ALL, anterolateral ligament; ITB, iliotibial band. LCL, lateral collateral ligament; LHG, lateral head of the gastrocnemius; PT, popliteus tendon; CPN, common peroneal nerve; BF, biceps femoris; GT, gerdy’s tubercle; FH, fibular head.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508556&req=5

fig001: Anatomy of the lateral aspect of the knee. ALL, anterolateral ligament; ITB, iliotibial band. LCL, lateral collateral ligament; LHG, lateral head of the gastrocnemius; PT, popliteus tendon; CPN, common peroneal nerve; BF, biceps femoris; GT, gerdy’s tubercle; FH, fibular head.
Mentions: In 1879, the French surgeon Paul Segond described a pearly, resistant, fibrous band inserting on the anterolateral aspect of the proximal tibia.8 This can be considered the first description of the ALL, which was referred to with different names in the subsequent years, including: anterior band of the lateral collateral ligament for Irvine et al. in 1987,12(mid-third) of the lateral capsular ligament for different authors,12-15anterior oblique band for Campos et al.16 and anterolateral ligament for Vieira et al. and Claes et al.10,17 Recently, different studies were performed on cadaveric knees in order to identify anatomical and histological features of the ALL (Figure 1).

Bottom Line: Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction.For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament.The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics and Traumatology, CTO Hospital, University of Turin , Italy.

ABSTRACT
Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament. The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging. In addition, the most common anterolateral reconstruction/tenodesis techniques are described together with their respective clinical outcomes.

No MeSH data available.


Related in: MedlinePlus