We report two occurrences of high-grade tears of the lateral collateral ligament complex (LCLC), consisting of the anterolateral ligament (ALL) and fibular collateral ligament (FCL). One injury occurred in a rock climber and the other in a martial artist. Increasing awareness of isolated injuries of the LCLC will allow for appropriate diagnosis and management. We review and discuss the anatomy of the LCLC, the unique mechanism of isolated injury, as well as physical and imaging examination findings.
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http://dx.doi.org/10.1007/s00256-015-2108-6 | DOI Listing |
Indian J Orthop
January 2025
Department of Orthopaedics and Spine Surgery, Ganga Medical Center & Hospital, Coimbatore, India.
[This corrects the article DOI: 10.1007/s43465-024-01256-7.].
View Article and Find Full Text PDFBackground: There is debate regarding nonoperative versus surgical treatment of thumb ulnar collateral ligament (UCL) tears with avulsion fractures. The aim of this study was to evaluate the fragment size in relation to the UCL footprint size in patients with an avulsion fracture injury and to find risk factors associated with surgical treatment.
Methods: In a cohort of avulsion fracture injury patients, the largest side of the fragment was divided by the average reported UCL footprint size (ff-ratio), and a logistic regression was performed to find variables associated with surgery.
JBJS Essent Surg Tech
December 2024
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Background: For complete disruption of the posterolateral corner (PLC) structures, operative treatment is most commonly advocated, as nonoperative treatment has higher rates of persistent lateral laxity and posttraumatic arthritis. Some studies have shown that acute direct repair results in revision rates upwards of 37% to 40% compared with 6% to 9% for initial reconstruction. In a recent study assessing the outcomes of acute repair of PLC avulsion injuries with 2 to 7 years of follow-up, patients with adequate tissue were shown to have a much lower failure rate than previously documented.
View Article and Find Full Text PDFClin J Sport Med
December 2024
Patriot Performance Laboratory, Frank Pettrone Center for Sports Performance, George Mason University, Fairfax, Virginia.
Objective: To retrospectively analyze publicly available elbow ulnar collateral ligament reconstruction (UCLR) injury data for professional baseball players.
Design: Descriptive epidemiology study.
Setting: A retrospective analysis using an open-source database was performed.
Arthrosc Tech
November 2024
JMVM Sports Injury Centre, Sitaram Bhartia Institute of Science and Research, New Delhi, India.
Collateral injuries are usually found in association with cruciate ligament tears. There are multiple techniques to reconstruct the collateral ligaments using autografts and allografts. Conventionally, interference screws are used to fix the graft on the femur, tibia, and fibula.
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