Skip to main content
SpringerLink
Log in

Kombinierte proximale und distale Rupturen des medialen Kollateralbands bei komplexer posteromedialer Knieverletzung

Combined proximal and distal ruptures of the medial collateral ligament in a case of posteromedial injury of the knee

  • Kasuistiken
  • Published:
Knie Journal Aims and scope

Zusammenfassung

Die Kasuistik beschreibt den Fall einer kombinierten posteromedialen Ligamentverletzung des Kniegelenks eines 50-jährigen Patienten. In der Arthroskopie und der offenen Exploration zeigten sich proximale und distale Rupturen der verschiedenen Bandanteile des Innenbandkomplexes. Nach anatomischer Refixation der Ligamente war die Instabilität soweit reduziert, dass eine konservative Therapie der hinteren Kreuzbandverletzung durchgeführt werden konnte.

Abstract

This article describes the case of a combined posteromedial injury of the knee joint in a 50-year-old man. Arthroscopic and open exploration revealed a medial collateral ligament complex with complex proximal and distal injuries of the various anatomic parts. After anatomic refixation of the respective structures, the joint had gained sufficient stability to be eligible for a nonoperative treatment of the concomitant posterior cruciate ligament injury.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. DeLong JM, Waterman BR (2015) Surgical techniques for the reconstruction of medial collateral ligament and posteromedial corner injuries of the knee: a systematic review. Arthroscopy 31:2258–2272. https://doi.org/10.1016/j.arthro.2015.05.011

    Article  PubMed  Google Scholar 

  2. Domnick C, Garcia P, Raschke MJ et al (2017) Trends and incidences of ligament-surgeries and osteotomies of the knee: an analysis of German inpatient records 2005–2013. Arch Orthop Trauma Surg 137:989–995. https://doi.org/10.1007/s00402-017-2704-0

    Article  PubMed  Google Scholar 

  3. Forkel P, Seppel G, Imhoff A, Petersen W (2015) Suturing and refixation of the medial collateral ligament in severe acute medial instability of the knee. Oper Orthop Traumatol 27:155–171. https://doi.org/10.1007/s00064-015-0360-5

    Article  CAS  PubMed  Google Scholar 

  4. Haddad S, Sallent A, Minguell J, Castellet E (2017) Avulsion of the femoral attachment of the medial collateral ligament of the knee associated to complete tear of the posterior cruciate ligament: a case report. Surg J 3:e38–e41. https://doi.org/10.1055/s-0037-1599256

    Article  Google Scholar 

  5. Halinen J, Lindahl J, Hirvensalo E, Santavirta S (2006) Operative and nonoperative treatments of medial collateral ligament rupture with early anterior cruciate ligament reconstruction: a prospective randomized study. Am J Sports Med 34:1134–1140. https://doi.org/10.1177/0363546505284889

    Article  PubMed  Google Scholar 

  6. Heitmann M, Dratzidis A, Jagodzinski M et al (2014) Ligament bracing—augmented cruciate ligament sutures: biomechanical studies of a new treatment concept. Unfallchirurg 117:650–657. https://doi.org/10.1007/s00113-014-2563-x

    Article  CAS  PubMed  Google Scholar 

  7. Kittl C, Becker DK, Raschke MJ et al (2019) Dynamic restraints of the medial side of the knee: the semimembranosus corner revisited. Am J Sports Med 47:863–869. https://doi.org/10.1177/0363546519829384

    Article  PubMed  Google Scholar 

  8. Koga H, Muneta T, Yagishita K et al (2012) Surgical management of grade 3 medial knee injuries combined with cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc 20:88–94. https://doi.org/10.1007/s00167-011-1541-x

    Article  PubMed  Google Scholar 

  9. Laprade CM, Civitarese DM, Rasmussen MT, LaPrade RF (2015) Emerging updates on the posterior cruciate ligament: a review of the current literature. Am J Sports Med 43:3077–3092. https://doi.org/10.1177/0363546515572770

    Article  PubMed  Google Scholar 

  10. Lee DW, Kim JG (2019) Anatomic medial complex reconstruction in serious medial knee instability results in excellent mid-term outcomes. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05367-9

    Article  PubMed  Google Scholar 

  11. Lind M, Jakobsen BW, Lund B et al (2009) Anatomical reconstruction of the medial collateral ligament and posteromedial corner of the knee in patients with chronic medial collateral ligament instability. Am J Sports Med 37:1116–1122. https://doi.org/10.1177/0363546509332498

    Article  PubMed  Google Scholar 

  12. Marchant MH, Tibor LM, Sekiya JK et al (2011) Management of medial-sided knee injuries, part 1: medial collateral ligament. Am J Sports Med 39:1102–1113. https://doi.org/10.1177/0363546510385999

    Article  PubMed  Google Scholar 

  13. Michel P, Domnick C, Raschke MJ et al (2019) Soft tissue fixation strategies of human quadriceps tendon grafts: a biomechanical study. Arthroscopy. https://doi.org/10.1016/j.arthro.2019.05.025

    Article  PubMed  Google Scholar 

  14. Pache S, Aman ZS, Kennedy M et al (2018) Posterior cruciate ligament: current concepts review. Arch Bone Jt Surg 6:8–18

    PubMed Central  PubMed  Google Scholar 

  15. Petersen W, Achtnich A (2017) Reconstruction of the medial collateral ligament complex. Arthroskopie 30:38–43. https://doi.org/10.1007/s00142-016-0115-9

    Article  Google Scholar 

  16. Prince MR, Blackman AJ, King AH et al (2015) Open anatomic reconstruction of the medial collateral ligament and posteromedial corner. Arthrosc Tech 4:e885–e890. https://doi.org/10.1016/j.eats.2015.08.013

    Article  PubMed Central  PubMed  Google Scholar 

  17. Reider B, Sathy MR, Talkington J et al (1994) Treatment of isolated medial collateral ligament injuries in athletes with early functional rehabilitation. A five-year follow-up study. Am J Sports Med 22:470–477. https://doi.org/10.1177/036354659402200406

    Article  CAS  PubMed  Google Scholar 

  18. Weimann A, Schatka I, Herbort M et al (2012) Reconstruction of the posterior oblique ligament and the posterior cruciate ligament in knees with posteromedial instability. Arthroscopy 28:1283–1289. https://doi.org/10.1016/j.arthro.2012.02.003

    Article  PubMed  Google Scholar 

  19. Wijdicks CA, Griffith CJ, Johansen S et al (2010) Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Joint Surg Am 92:1266–1280. https://doi.org/10.2106/JBJS.I.01229

    Article  PubMed  Google Scholar 

  20. Zantop T, Strobel M (2017) Reconstruction of the posterior cruciate ligament. Arthroskopie 30:14–19. https://doi.org/10.1007/s00142-016-0116-8

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyer Straße 1, 48149, Münster, Deutschland

    Christoph Domnick, Michael J. Raschke, Josef Stolberg-Stolberg & Christoph Kittl

Authors
  1. Christoph Domnick
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael J. Raschke
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Josef Stolberg-Stolberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Christoph Kittl
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christoph Domnick.

Ethics declarations

Interessenkonflikt

C. Domnick, M.J. Raschke, J. Stolberg-Stolberg und C. Kittl geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Domnick, C., Raschke, M.J., Stolberg-Stolberg, J. et al. Kombinierte proximale und distale Rupturen des medialen Kollateralbands bei komplexer posteromedialer Knieverletzung. Knie J. 1, 68–72 (2019). https://doi.org/10.1007/s43205-019-00005-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43205-019-00005-3

Schlüsselwörter

Keywords

Search

Navigation