Isolated lesions of the deep medial collateral ligament of the knee

被引：0

作者：

Schroedter, Rene ^{[1
]}

Hoser, Christian ^{[2
,3
]}

Wierer, Guido ^{[3
,4
]}

机构：

[1] Med Univ Graz, Graz, Austria

[2] Gelenkpunkt Sport & Gelenkchirurg Innsbruck, Innsbruck, Austria

[3] UMIT, ISAG, Res Unit Orthopaed Sports Med & Injury Prevent OS, Hall In Tirol, Austria

[4] Paracelsus Med Privatuniv, Salzburg, Austria

来源：

ARTHROSKOPIE | 2021年 / 34卷 / 02期

关键词：

Knee injuries; Medial collateral ligament; knee; Magnetic resonance imaging; Conservative treatment; Differential diagnosis;

D O I：

10.1007/s00142-020-00430-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Isolated ruptures of the deep medial collateral ligament of the knee (dMCL) are mostly described in a chronic state or in combination with lesions of the superficial medial collateral ligament (sMCL). The case of a 15-year-old male patient who presented to the emergency department after an external rotatory trauma to the knee is reported. Imaging of the knee showed an isolated dMCL rupture. Primary treatment comprised rest, elevation, ointment dressings, oral intake of NSAIDs (nonsteroidal anti-inflammatory drugs) and a knee brace. Five weeks after the injury, the patient presented without any complaints during clinical examination. Based on the current literature, a treatment algorithm for patients with an acute or chronic injury to the dMCL is proposed.

引用

收藏

页码：151 / 155

页数：5

相关论文

共 24 条

[1] The medial ligaments and the ACL restrain anteromedial laxity of the knee [J].

Ball, S. ;

Stephen, J. M. ;

El-Daou, H. ;

Williams, A. ;

Amis, Andrew A. .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2020, 28 (12) :3700-3708

[2] The role of the deep medial collateral ligament in controlling rotational stability of the knee [J].

Cavaignac, Etienne ;

Carpentier, Karel ;

Pailhe, Regis ;

Luyckx, Thomas ;

Bellemans, Johan .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2015, 23 (10) :3101-3107

[3]

Chen L, 2008, CURR REV MUSCULOSKE, V1, P108, DOI 10.1007/s12178-007-9016-x

[4] Three layers of the medial capsular and supporting structures of the knee: MR imaging-anatomic correlation [J].

De Maeseneer, M ;

Van Roy, F ;

Lenchik, L ;

Barbaix, E ;

De Ridder, F ;

Osteaux, M .

RADIOGRAPHICS, 2000, 20 :S83-S89

[5] Conservative and postoperative rehabilitation of isolated and combined injuries of the medial collateral ligament [J].

Edson, Craig J. .

SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2006, 14 (02) :105-110

[6]

FETTO JF, 1978, CLIN ORTHOP RELAT R, P206

[7] THE IMPORTANCE OF THE POSTERIOR OBLIQUE LIGAMENT IN REPAIRS OF ACUTE TEARS OF THE MEDIAL LIGAMENTS IN KNEES WITH AND WITHOUT AN ASSOCIATED RUPTURE OF THE ANTERIOR CRUCIATE LIGAMENT - RESULTS OF LONG-TERM FOLLOW-UP [J].

HUGHSTON, JC .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (09) :1328-1344

[8] Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee [J].

Jacobson, Kurt E. ;

Chi, Frederic S. .

SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2006, 14 (02) :58-66

[9] Persistent symptoms following non operative management in low grade MCL injury of the knee - The role of the deep MCL [J].

Jones, Luke ;

Bismil, Quamar ;

Alyas, Faisal ;

Connell, David ;

Bell, Jonathan .

KNEE, 2009, 16 (01) :64-68

[10] MEDIAL AND ANTERIOR INSTABILITY OF KNEE - ANATOMICAL AND CLINICAL STUDY USING STRESS MACHINES [J].

KENNEDY, JC ;

FOWLER, PJ .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1971, A 53 (07) :1257-&