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. KostrubUkraine
Oleksandr O. Kostrub – D. Sc. (Med.), Professor, Head of the Department
27, Bul’varno-Kudryavskaya Str., 01601
Iu. V. Poliachenko
Ukraine
Iurii V. Poliachenko – D. Sc. (Med.), Professor, Acting Director
27, Bul’varno-Kudryavskaya Str., 01601
V. V. Кotiuk
Ukraine
Viktor V. Кotiuk – Ph. D. (Med.), Senior Researcher
27, Bul’varno-Kudryavskaya Str., 01601
M. A. Gerasimenko
Belarus
Mikhail A. Gerasimenko – D. Sc. (Med.), Professor, Director
60/4, Kizhevatov Str., 220024, Minsk
V. B. Mazevych
Ukraine
Vadym B. Mazevych – Orthopedic Traumatologist
27, Bul’varno-Kudryavskaya Str., 01601
I. M. Nikiforova
Ukraine
Iryna M. Nikiforova – Radiologist
13, Aviakonstructora Antonova Str., Kyiv
R. I. Blonskyi
Ukraine
Roman I. Blonskyi – D. Sc. (Med.), Leading Researcher
27, Bul’varno-Kudryavskaya Str., 01601
D. A. Smirnov
Ukraine
Dmitry A. Smirnov – Ph. D. (Med.), Orthopedic Traumatologist
27, Bul’varno-Kudryavskaya Str., 01601
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Review
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