How to Test the Anterolateral Ligament With Ultrasound

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Presentation transcript:

How to Test the Anterolateral Ligament With Ultrasound Etienne Cavaignac, M.D., Gregoire Laumond, M.D., Nicolas Reina, M.D., Karine Wytrykowski, M.D., Jérôme Murgier, M.D., Marie Faruch, M.D., Ph.D., Philippe Chiron, M.D., Ph.D.  Arthroscopy Techniques  Volume 7, Issue 1, Pages e29-e31 (January 2018) DOI: 10.1016/j.eats.2017.08.046 Copyright © 2017 The Authors Terms and Conditions

Fig 1 Ultrasound is performed in the operating theatre. The patient is anesthetized and set up for surgery. The surgical assistant holds the foot to internally rotate the knee to test the anterolateral ligament. Arthroscopy Techniques 2018 7, e29-e31DOI: (10.1016/j.eats.2017.08.046) Copyright © 2017 The Authors Terms and Conditions

Fig 2 Doppler ultrasonography is used to view the blood flow in the lateral inferior genicular artery, which is in red here. This structure is located between the anterolateral ligament and the lateral meniscus (LM). For this right knee, distal is to the right and proximal is to the left. (LFC, lateral femoral condyle.) Arthroscopy Techniques 2018 7, e29-e31DOI: (10.1016/j.eats.2017.08.046) Copyright © 2017 The Authors Terms and Conditions

Fig 3 Ultrasound image of a right knee with an anterolateral ligament (ALL) injury at its tibial insertion. There is cortical damage (red circle), but the bone fragment is not detached. This appears to be bony avulsion. (LFC, lateral femoral condyle.) Arthroscopy Techniques 2018 7, e29-e31DOI: (10.1016/j.eats.2017.08.046) Copyright © 2017 The Authors Terms and Conditions