Display options
Cite
Golan EJ, Tisherman R, Byrne K, et al. Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?. Curr Rev Musculoskelet Med. 2019;12(4):472-478doi: 10.1007/s12178-019-09587-x.
Golan, E. J., Tisherman, R., Byrne, K., Diermeier, T., Vaswani, R., & Musahl, V. (2019). Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?. Current reviews in musculoskeletal medicine, 12(4), 472-478. https://doi.org/10.1007/s12178-019-09587-x
Golan, Elan J, et al. "Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?." Current reviews in musculoskeletal medicine vol. 12,4 (2019): 472-478. doi: https://doi.org/10.1007/s12178-019-09587-x
Golan EJ, Tisherman R, Byrne K, Diermeier T, Vaswani R, Musahl V. Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?. Curr Rev Musculoskelet Med. 2019 Dec;12(4):472-478. doi: 10.1007/s12178-019-09587-x. PMID: 31773476; PMCID: PMC6942070.
Copy Download .nbib Format: NLM
Share it on

Curr Rev Musculoskelet Med. 2019 Dec;12(4):472-478. doi: 10.1007/s12178-019-09587-x.

Anterior Cruciate Ligament Injury and the Anterolateral Complex of the Knee-Importance in Rotatory Knee Instability?.

Current reviews in musculoskeletal medicine

Elan J Golan, Robert Tisherman, Kevin Byrne, Theresa Diermeier, Ravi Vaswani, Volker Musahl

Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Freddie Fu Sports Medicine Building, 3200 South Water Street, Pittsburgh, PA, 15203, USA.
  2. Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA.
  3. Orthopaedic Sport Medicine, Technical University Munich, Munich, Germany.
  4. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Freddie Fu Sports Medicine Building, 3200 South Water Street, Pittsburgh, PA, 15203, USA. [email protected].
  5. Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA. [email protected].

PMID: 31773476 PMCID: PMC6942070 DOI: 10.1007/s12178-019-09587-x

Abstract

PURPOSE OF REVIEW: In the setting of rotatory knee instability following anterior cruciate ligament (ACL) reconstruction, there has been a resurgence of interest in knee's anterolateral complex (ALC). Reconstruction or augmentation of the ALC with procedures such as a lateral extra-articular tenodesis (LET) has been proposed to reduce rotatory knee instability in conjunction with ACL reconstruction. The current review investigates the recent literature surrounding the role of the ALC in preventing rotatory knee instability.

RECENT FINDINGS: The knee's anterolateral complex (ALC) is a complex structure composed of the superficial and deep portions of the iliotibial band, the capsulo-osseous layer, and the anterolateral capsule. Distally, these various layers merge to form a single functional unit which imparts stability to the lateral knee. While the iliotibial band and the capsule-osseous layer have been shown to be primary restraints to rotatory motion after ACL injury, the biomechanical role of the anterolateral capsule remains unclear. Biomechanical studies have shown that the anterolateral capsule and the anterolateral thickening of this capsule act as a sheet of fibrous tissue which does not resist motion around the knee as other longitudinally oriented ligaments do. Augmentation of the ALC, with LET, has been performed globally for over 30 years. This procedure can decrease rotatory knee instability, but long-term studies have found little difference in patient-reported outcomes, osteoarthritis, or ACL reconstruction failure with the addition of LET. Further research is needed to clarify indications for the clinical use of ALC-based procedures.

Keywords: ACL; Anterolateral capsule; Extra-articular tenodesis; Rotatory stability

References

  1. Orthop J Sports Med. 2018 Dec 18;6(12):2325967118812364 - PubMed
  2. Knee Surg Sports Traumatol Arthrosc. 2000;8(4):207-13 - PubMed
  3. Orthop J Sports Med. 2017 Oct 06;5(10):2325967117730805 - PubMed
  4. Arthroscopy. 2017 Mar;33(3):595-604 - PubMed
  5. Clin Orthop Relat Res. 2015 Aug;473(8):2609-18 - PubMed
  6. Arthroscopy. 2015 Oct;31(10):2022-34 - PubMed
  7. Orthop J Sports Med. 2016 Dec 22;4(12):2325967116675604 - PubMed
  8. J Bone Joint Surg Am. 1986 Feb;68(2):160-77 - PubMed
  9. Arthroscopy. 2016 Oct;32(10):2039-2047 - PubMed
  10. J Orthop Res. 2018 Mar;36(3):847-853 - PubMed
  11. Knee. 2017 Oct;24(5):1083-1089 - PubMed
  12. Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1170-1176 - PubMed
  13. J Bone Joint Surg Am. 2011 Jun 15;93(12):1159-65 - PubMed
  14. Arthroscopy. 2018 Apr;34(4):1009-1014 - PubMed
  15. Am J Sports Med. 2015 Jul;43(7):1583-90 - PubMed
  16. Arthroscopy. 2019 Mar;35(3):885-892 - PubMed
  17. Am J Sports Med. 2017 Feb;45(2):347-354 - PubMed
  18. Am J Sports Med. 2015 Sep;43(9):2189-97 - PubMed
  19. Am J Sports Med. 2011 Feb;39(2):366-73 - PubMed
  20. Knee Surg Sports Traumatol Arthrosc. 2016 Jul;24(7):2083-8 - PubMed
  21. J Orthop Traumatol. 2017 Jun;18(2):91-106 - PubMed
  22. Am J Sports Med. 2017 May;45(6):1383-1387 - PubMed
  23. Am J Sports Med. 2016 Feb;44(2):345-54 - PubMed
  24. Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1086-1092 - PubMed
  25. Curr Rev Musculoskelet Med. 2019 Mar;12(1):41-49 - PubMed
  26. Arthroscopy. 2018 Jan;34(1):251-260 - PubMed
  27. Am J Sports Med. 1996 Jul-Aug;24(4):492-7 - PubMed
  28. Knee. 2016 Jan;23(1):8-12 - PubMed
  29. Am J Sports Med. 2018 Mar;46(3):607-616 - PubMed
  30. Am J Sports Med. 2016 Feb;44(2):362-9 - PubMed
  31. Arthroscopy. 2016 May;32(5):898-905 - PubMed
  32. Am J Sports Med. 2017 Sep;45(11):2569-2577 - PubMed
  33. Am J Sports Med. 2016 May;44(5):1209-14 - PubMed
  34. Arch Orthop Trauma Surg. 2015 Dec;135(12):1701-6 - PubMed
  35. Rev Chir Orthop Reparatrice Appar Mot. 2002 Sep;88(5):508-13 - PubMed
  36. Am J Sports Med. 2014 Jul;42(7):1669-74 - PubMed
  37. Knee Surg Sports Traumatol Arthrosc. 2012 Jan;20(1):153-9 - PubMed
  38. Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1149-1160 - PubMed
  39. Am J Sports Med. 1986 Jan-Feb;14(1):39-45 - PubMed
  40. J Anat. 2013 Oct;223(4):321-8 - PubMed
  41. Am J Sports Med. 2017 Jun;45(7):1547-1557 - PubMed
  42. J Bone Joint Surg Am. 1991 Jul;73(6):882-92 - PubMed
  43. Arthroscopy. 2016 Dec;32(12):2592-2611 - PubMed
  44. Rev Chir Orthop Reparatrice Appar Mot. 1980 Nov-Dec;66(8):523-5 - PubMed
  45. J Bone Joint Surg Am. 2018 May 16;100(10):857-864 - PubMed
  46. J Bone Joint Surg Am. 2017 Feb 15;99(4):305-314 - PubMed
  47. Am J Sports Med. 2017 Jun;45(7):1558-1566 - PubMed
  48. Am J Sports Med. 2010 Jun;38(6):1094-102 - PubMed
  49. Am J Sports Med. 2015 Mar;43(3):669-74 - PubMed
  50. Am J Sports Med. 2016 Mar;44(3):585-92 - PubMed
  51. Knee Surg Sports Traumatol Arthrosc. 1998;6(2):68-75 - PubMed
  52. Am J Sports Med. 2015 Jul;43(7):1598-605 - PubMed
  53. J Bone Joint Surg Am. 2016 Jun 1;98(11):937-43 - PubMed
  54. Arthroscopy. 2013 May;29(5):913-9 - PubMed
  55. Am J Sports Med. 2017 Mar;45(4):849-855 - PubMed
  56. Am J Sports Med. 2016 Dec;44(12):3126-3131 - PubMed
  57. Knee Surg Sports Traumatol Arthrosc. 2019 Jan;27(1):166-176 - PubMed

Publication Types