2022
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IRepair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique
Moran J, Kahan J, Schneble C, McLaughlin W, Green J, Gillinov S, Cheng R, Patel R, Jimenez A, LaPrade R, Schenck R, Medvecky M. Repair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221131817. PMID: 36389620, PMCID: PMC9663643, DOI: 10.1177/23259671221131817.Peer-Reviewed Original ResearchInternational Knee Documentation CommitteePatient-reported outcome measuresMultiligament knee injuriesPeroneal nerve injuryAvulsion injuriesNerve injuryKrackow sutureLysholm scoreAcute repairKnee injuriesOutcome scoresMean International Knee Documentation CommitteePosterolateral cornerSubjective International Knee Documentation CommitteeSubjective outcome scoresAcute grade 3Level of evidenceFailure rateLower outcome scoresCruciate injuryTegner scoreCase seriesSurgical repairGraft augmentationSalvage procedure
2020
The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury
Kahan JB, Li D, Schneble CA, Huang P, Bullock J, Porrino J, Medvecky MJ. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury. The American Journal Of Sports Medicine 2020, 48: 3541-3548. PMID: 33074710, DOI: 10.1177/0363546520962503.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesPeroneal nerve injuryPeroneal nerve palsyLateral collateral ligamentLocation of injuryNerve palsyNerve injuryPLC injuriesFibular avulsionMidsubstance tearsNeurovascular injuryKnee injuriesInjury patternsVascular injuryAcute posterolateral corner injuriesLevel 1 trauma centerPosterolateral corner injuriesZone of injuryLevel of evidenceHigh rateFemoral avulsionKnee cohortComplete injuryDistal injuriesCase series