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Non-operative treatment of acute medial collateral ligament lesions of the knee joint

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

From 1985 to 1990 102 patients with isolated lesions of the medial collateral ligament of the knee were managed non-operatively with early protected motion and physical therapy. Eighty-six returned to a follow-up examination. The mean follow-up time was 44.2 months. The knees were stable in all but two cases and showed good or excellent results. Ninety-seven percent of the patients returned to their earlier activity level.

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References

  1. American Medical Association (1966) Standard nomenclature of athletic injuries. American Medical Association Chicago

    Google Scholar 

  2. Burroughs P, Dahners LE (1990) The effect of enforced exercise on the healing of ligament injuries. Am J Sports Med 18: 376–378

    PubMed  Google Scholar 

  3. Dahners LE, Gilbert JA, Lester GE, Taft TN, Payne LZ (1988) The effect of a nonsteroidal antiflammatory drug on the healing of ligaments. Am J Sports Med 16:641–646

    PubMed  Google Scholar 

  4. Ellsasser JC, Reynolds FC, Omohundro CATL (1974) The non-operative treatment of collateral ligament injuries of the knee in professional football players. J Bone Joint Surg [Am] 56:1185–1190

    Google Scholar 

  5. Fetto JF, Marshall JL (1978) Medial collateral ligament injuries of the knee: a rationale for treatment. Clin Orthop 132:206–218

    PubMed  Google Scholar 

  6. Frank C, Amiel D, Akeson WH (1983) Healing of the medial collateral ligament of the knee. Acta Orthop Scand 54:917–923

    PubMed  Google Scholar 

  7. Hart DP, Dahners LE (1987) Healing of the medial collateral ligaments in rats. The effect of repair, motion, and secondary stabilizing ligaments. J Bone Joint Surg [Am] 69:1194–1199

    Google Scholar 

  8. Hastings DE (1980) The non-operative management of collateral ligament injuries of the knee joint. Clin Orthop 147:22–28

    PubMed  Google Scholar 

  9. Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial collateral ligament tears of the knee. J Bone Joint Surg [Am] 55:923–940

    Google Scholar 

  10. Indelicato PA (1983) Non-operative treatment of complete tears of the medial collateral ligament of the knee. J Bone Joint Surg [Am] 65:323–329

    Google Scholar 

  11. Indelicato PA, Hermansdorfer J, Huegel M (1990) Non-operative management of complete tears of the medial collateral ligament of the knee in intercollegiate football players. Clin Orthop 256:174–177

    PubMed  Google Scholar 

  12. Jones RE, Henley BM, Francis P (1986) Non-operative management of the isolated grade III collateral ligament injury in high school football players. Clin Orthop 213:137

    PubMed  Google Scholar 

  13. Kennedy JC, Fowler PJ (1971) Medial and anterior instability of the knee. An anatomical and clinical study using stress machines. J Bone Joint Surg [Am] 53:1257–1270

    Google Scholar 

  14. Lechner CT, Dahners LE (1991) Healing of the medial collateral ligament in unstable rat knees. Am J Sports Med 19:508–512

    PubMed  Google Scholar 

  15. Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on the use of a scoring scale. Am J Sports Med 10:150–154

    PubMed  Google Scholar 

  16. Marshall JL, Fetto JF, Botero PM (1977) Knee ligament injuries. A standardized evaluation method. Clin Orthop 123: 115

    PubMed  Google Scholar 

  17. O'Donoghue DII (1973). Reconstruction for medial instability of the knee. J Bone Joint Surg [Am] 55:941–955

    Google Scholar 

  18. Paar O, Boszotta H (1989) Therapie und Prognose der Innenbandverletzung am Kniegelenk. Unfallchirurg 92:291–295

    PubMed  Google Scholar 

  19. Petermann J, Schnabel M, Garrel T von, Gotzen L (1992) The EMG assisted measurement of the anterior knee instability. Abstract book of the First World Congress of Sports Trauma and Fifth Congress of the European Society of Knee Surgery and Arthroscopy, 25–29 May 1992. Palma de Mallorca, p 309

  20. Richman RM, Barnes KO (1946) Acute instability of the ligaments of the knee as a result of injuries to parachutists. J Bone Joint Surg 28:473–490

    Google Scholar 

  21. Sandberg R, Balkfors B, Nilson B, Westlin N (1987) Operative versus non-operative treatment of recent injuries to the ligaments of the knee. J Bone Joint Surg [Am] 69:1120–1126

    Google Scholar 

  22. Seiler H (1987) Funktionelle Therapie von Kapselbandläsionen bei intakten Kreuzbändern. CETS Symposium, 9 June 1987, Bopfingen, Germany

  23. Wagner UA, Gotzen L, Buhr T (1989) Behandlung isolierter medialer Bandläsionen des Kniegelenkes. Orthopäde 18:315–320

    Google Scholar 

  24. Warren LE, Marshall JL, Girgis F (1974) The prime static stabilizer of the medial side of the knee. J Bone Joint Surg [Am] 56:665–674

    Google Scholar 

  25. Woo SLY, Gomez MA, Woo YK, et al (1982) Mechanical properties of tendons and ligaments. II. The relationship of immobilization and exercise on tissue remodeling. Biorheology 19:397–408

    PubMed  Google Scholar 

  26. Woo SLY, Inoue M, McGurk-Burleson E, Gomez MA (1987) Treatment of the medial collateral injury. II. Am J Sports Med 15:22–29

    PubMed  Google Scholar 

  27. Woo SLY, Gomez MA, Sites TJ, et al (1987) The biomechanical and morphological changes in the medial collateral ligament of the rabbit after immobilization and remobilization. J Bone Joint Surg [Am] 69:1200–1211

    Google Scholar 

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Authors and Affiliations

  1. Department of Traumatology, Philipps-University, Baldingerstrasse, D-35034, Marburg/Lahn, Germany

    J. Petermann, T. von Garrel & L. Gotzen

Authors
  1. J. Petermann
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  2. T. von Garrel
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  3. L. Gotzen
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Petermann, J., von Garrel, T. & Gotzen, L. Non-operative treatment of acute medial collateral ligament lesions of the knee joint. Knee Surg, Sports traumatol, Arthroscopy 1, 93–96 (1993). https://doi.org/10.1007/BF01565459

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