Original Article

Is antero‑lateral complex of knee joint of critical importance in restoring rotational instability in patients with anterior cruciate ligament tear?

Abhishek K. Mishra, Sundip H. Charmode, Sudhir S. Kushwaha, Vishwa Chauhan, Simmi Mehra, Vivek Mishra
Journal of Public Health in Africa | Vol 14, No 10 | a73 | DOI: https://doi.org/10.4081/jphia.2023.2696 | © 2024 Abhishek K. Mishra, Sundip H. Charmode, Sudhir S. Kushwaha, Vishwa Chauhan, Simmi Mehra, Vivek Mishra | This work is licensed under CC Attribution 4.0
Submitted: 18 March 2024 | Published: 30 October 2023

About the author(s)

Abhishek K. Mishra, Department of Orthopedics, AIIMS Rajkot, Gujarat, India
Sundip H. Charmode, Department of Anatomy, AIIMS Rajkot, Gujarat, India
Sudhir S. Kushwaha, Department of Orthopedics, AIIMS Gorakhpur, Uttar Pradesh, India
Vishwa Chauhan, Department of Radiology, AIIMS Rajkot, Gujarat, India
Simmi Mehra, Department of Anatomy, AIIMS Rajkot, Gujarat, India
Vivek Mishra, Department of Anatomy, AIIMS Gorakhpur, Uttar Pradesh, India

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Abstract

Antero-lateral ligament complex (ALC) is a vital structure for maintaining rotational stability of the knee. Evaluation of ALC radiologically (MRI) is still unpopular in setting of anterior cruciate ligament injury. A dire necessity exists for the orthopedic surgeons in outdoor patient department settings to rule out involvement of ALC. So, that it can be addressed during operating for Anterior Cruciate Ligament injury. The authors have formulated an algorithm on a personal level and have implemented this screening program and initiated screening of young to middle aged patients reporting with rotational knee instability for ALC involvement before recommending final operative plan. This screening program which uses specifically devised physical tests have significantly reduced the number of underdiagnosed Antero Lateral Ligament tear.

Keywords

Antero-lateral ligament; anterior cruciate ligament; knee instability

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