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Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability
The posterior oblique ligament (POL) is the main component of the posteromedial corner (PMC) of the knee and plays a crucial role in acting as a secondary restraint against translation, rotation, and valgus forces. Injuries to the PMC often occur in association with acute or chronic deficiency of th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984449/ https://www.ncbi.nlm.nih.gov/pubmed/29868433 http://dx.doi.org/10.1016/j.eats.2018.01.008 |
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author | Offerhaus, Christoph Balke, Maurice Arner, Justin W. Musahl, Volker Höher, Jürgen |
author_facet | Offerhaus, Christoph Balke, Maurice Arner, Justin W. Musahl, Volker Höher, Jürgen |
author_sort | Offerhaus, Christoph |
collection | PubMed |
description | The posterior oblique ligament (POL) is the main component of the posteromedial corner (PMC) of the knee and plays a crucial role in acting as a secondary restraint against translation, rotation, and valgus forces. Injuries to the PMC often occur in association with acute or chronic deficiency of the anterior cruciate ligament and may result in anteromedial rotatory instability. A surgical technique for treatment of acute and chronic injuries of the posteromedial structures was first established by Hughston in 1973. This procedure involves an advancement and reefing of the POL and adherent posterior capsule to the stout tissue of the intact medial collateral ligament, potentially using suture anchors if the POL tissue is detached from bone. Additionally, in cases of residual laxity, the semimembranosus tendon may be advanced anteriorly to improve dynamic stabilization. This procedure appears to be useful in cases of moderate posteromedial insufficiency and avoids retrieval of a medial tendon graft from the region of the medially stabilizing hamstrings or from the healthy contralateral side. |
format | Online Article Text |
id | pubmed-5984449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-59844492018-06-04 Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability Offerhaus, Christoph Balke, Maurice Arner, Justin W. Musahl, Volker Höher, Jürgen Arthrosc Tech Technical Note The posterior oblique ligament (POL) is the main component of the posteromedial corner (PMC) of the knee and plays a crucial role in acting as a secondary restraint against translation, rotation, and valgus forces. Injuries to the PMC often occur in association with acute or chronic deficiency of the anterior cruciate ligament and may result in anteromedial rotatory instability. A surgical technique for treatment of acute and chronic injuries of the posteromedial structures was first established by Hughston in 1973. This procedure involves an advancement and reefing of the POL and adherent posterior capsule to the stout tissue of the intact medial collateral ligament, potentially using suture anchors if the POL tissue is detached from bone. Additionally, in cases of residual laxity, the semimembranosus tendon may be advanced anteriorly to improve dynamic stabilization. This procedure appears to be useful in cases of moderate posteromedial insufficiency and avoids retrieval of a medial tendon graft from the region of the medially stabilizing hamstrings or from the healthy contralateral side. Elsevier 2018-04-30 /pmc/articles/PMC5984449/ /pubmed/29868433 http://dx.doi.org/10.1016/j.eats.2018.01.008 Text en © 2018 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Offerhaus, Christoph Balke, Maurice Arner, Justin W. Musahl, Volker Höher, Jürgen Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title | Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title_full | Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title_fullStr | Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title_full_unstemmed | Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title_short | Reefing of the Posteromedial Capsule in Anteromedial Rotatory Instability |
title_sort | reefing of the posteromedial capsule in anteromedial rotatory instability |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984449/ https://www.ncbi.nlm.nih.gov/pubmed/29868433 http://dx.doi.org/10.1016/j.eats.2018.01.008 |
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