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Contribution of anterolateral ligament injuries to the knee joint instability and modern methods of their diagnostics

https://doi.org/10.29235/1814-6023-2020-17-3-372-380

Abstract

Untreated damage to the anterolateral ligament of the knee is one of the residual rotational instability causes in patients with the ruptures of the anterior cruciate ligament after its perfect surgical reconstruction. The contribution of anterolateral ligament damage to rotational instability of the knee, its anatomical features, diagnostics and treatment have been widely discussed in the literature in recent decades. However, the insights in the fundamental issues of its anatomy and functional anatomy, and therefore the reconstruction methods and expediency are diametrically positive. Differences in the anatomy data lead to the uncertainty in diagnostic criteria and optimal treatment options. Anterolateral ligament in its nature is beyond the current-day diagnostic capabilities of magnetic resonance imaging. We have identified the reasons for disagreement among the researchers in the anatomy of an anterolateral ligament, the best ways to diagnose and treat its damage. We have suggested the ways to address these issues in this article.

About the Authors

O. O. Kostrub
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Oleksandr O. Kostrub – D. Sc. (Med.), Professor, Head of the Department

27, Bul’varno-Kudryavskaya Str., 01601



Iu. V. Poliachenko
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Iurii V. Poliachenko – D. Sc. (Med.), Professor, Acting Director

27, Bul’varno-Kudryavskaya Str., 01601



V. V. Кotiuk
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Viktor V. Кotiuk – Ph. D. (Med.), Senior Researcher

27, Bul’varno-Kudryavskaya Str., 01601



M. A. Gerasimenko
Republican Scientific-Practical Centre of Traumatology and Orthopedics
Belarus

Mikhail A. Gerasimenko – D. Sc. (Med.), Professor, Director

60/4, Kizhevatov Str., 220024, Minsk



V. B. Mazevych
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Vadym B. Mazevych – Orthopedic Traumatologist

27, Bul’varno-Kudryavskaya Str., 01601



I. M. Nikiforova
“M24” MRI and CT Diagnostic Centers
Ukraine

Iryna M. Nikiforova – Radiologist

13, Aviakonstructora Antonova Str., Kyiv



R. I. Blonskyi
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Roman I. Blonskyi – D. Sc. (Med.), Leading Researcher

27, Bul’varno-Kudryavskaya Str., 01601



D. A. Smirnov
Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine
Ukraine

Dmitry A. Smirnov – Ph. D. (Med.), Orthopedic Traumatologist

27, Bul’varno-Kudryavskaya Str., 01601



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For citations:


Kostrub O.O., Poliachenko I.V., Кotiuk V.V., Gerasimenko M.A., Mazevych V.B., Nikiforova I.M., Blonskyi R.I., Smirnov D.A. Contribution of anterolateral ligament injuries to the knee joint instability and modern methods of their diagnostics. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2020;17(3):372-380. (In Russ.) https://doi.org/10.29235/1814-6023-2020-17-3-372-380

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ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)