Posterolateral Corner Ligament Complex Injuries
The posterolateral corner ligament is a complex consisting of three
components :
fibular collateral ligament, popliteus tendon and popliteo-fibular ligament.
It is
an important stabilizer to varus stress, i.e. side to side movement and
external
rotation in the knee.
Injury and Symptoms
This is most commonly seen in cases of direct traumatic blow, inward
force or
sudden hyperextension of the knee. It is seen commonly in car accidents
with
dashboard injuries and sports like football and kabaddi. It is commonly
associated with a posterior cruciate ligament injury. In the acute
phase, there
may be increased pain, swelling and difficulty in walking. In the more
chronic
phase, patients feel pain on the outside part of the knee and unstable
with a
sense of falling down. A thorough physical examination, stress X-rays
and MRI
are necessary to diagnose this injury.
Treatment
The posterolateral corner ligament complex has a very low propensity to heal by
itself. Minor injuries may heal without any long term disability if immediate
appropriate treatment is established. A strict bracing and rehabilitation
protocol is necessary to achieve a good outcome. In more severe injuries or when
associated with other ligament injuries, a posterolateral corner complex repair
or reconstruction of the injured structures becomes necessary. There are a
variety of procedures with different grafts that are available. The
individualized repair or reconstruction technique depends on the patient
anatomy, age, number of structures injured, concomitant injuries and activity
levels.
Consult your doctor to formulate a treatment plan for your personalized needs.