FREQUENCY OF THE KNEE POSTEROLATERAL CORNER INJURY IN COMBINATION WITH ANTERIOR CRUCIATE LIGAMENT INJURY

Riaz Muhammad, Syed Dil Bagh Shah
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Abstract

Objective: To determine the frequency of posterolateral corner injury in combination with an anterior cruciate ligament injury. Methodology: This Descriptive Cross-Sectional study was performed at Ortho Unit, MTI-Khyber Teaching Hospital Peshawar from 18 July 2020 to 18 January 2021. A detailed clinical history was taken followed by a general physical and systemic examination from all patients presenting with diagnosed anterior cruciate ligament tear on MRI. A plain radiograph of the involved knee was taken in sagittal and coronal planes to identify any fracture or dislocations and make necessary exclusions. The finally selected patients were enrolled and a specific data sheet purposely designed, was filled for each of them. A quick height, weight, and BMI (on Stadiometer and standard weighing scale) calculation were done and Beighton score was calculated for all patients. Results: Incidence of posterolateral corner (PLC) injuries was found in 36 (21.3%) patients combined with anterior cruciate ligament (ACL). Conclusion: It is of utmost importance to detect and treat the injury properly. As PLC injuries are not usually diagnosed in the first place, therefore, a thorough understanding of functional interactions of the PLC, specific history taking, and precise physical examination are required for the diagnosis and treatment. Keywords: Anterior Cruciate Ligament (ACL); Posterolateral Corner (PLC); Knee; Multiligamentous Injury
膝关节后外侧角损伤合并前十字韧带损伤的频率
目的:确定后外侧角损伤合并前十字韧带损伤的频率:确定后外侧角损伤合并前交叉韧带损伤的频率:这项描述性横断面研究于 2020 年 7 月 18 日至 2021 年 1 月 18 日在白沙瓦 MTI-Khyber 教学医院矫形科进行。所有经核磁共振检查确诊为前交叉韧带撕裂的患者均需详细询问临床病史,然后进行一般体格检查和全身检查。对受累膝关节进行矢状面和冠状面平片检查,以确定有无骨折或脱位,并进行必要的排除。最终选定的患者将被登记入册,并为每位患者填写一份专门设计的数据表。对所有患者的身高、体重和 BMI(使用 Stadiometer 和标准体重秤)进行快速计算,并计算 Beighton 评分:结果:36 例(21.3%)患者合并前交叉韧带(ACL)损伤,其中包括后外侧角(PLC)损伤:结论:发现并正确治疗损伤至关重要。由于 PLC 损伤通常不会在第一时间被诊断出来,因此在诊断和治疗时需要全面了解 PLC 的功能相互作用、具体的病史采集和精确的体格检查:前交叉韧带(ACL);后外侧角(PLC);膝关节;多韧带损伤
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