Arthroscopic Identification of the Anterolateral Ligament of the Knee

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Arthroscopic Identification of the Anterolateral Ligament of the Knee Bertrand Sonnery-Cottet, M.D., Pooler Archbold, M.D., Fernando C. Rezende, M.D., Ayrton M. Neto, M.D., Jean-Marie Fayard, M.D., Mathieu Thaunat, M.D.  Arthroscopy Techniques  Volume 3, Issue 3, Pages e389-e392 (June 2014) DOI: 10.1016/j.eats.2014.02.009 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Accessory portal placement in a right knee. The arthroscope is introduced through the anterolateral portal and positioned in the lateral gutter. (A) A needle is placed proximally and anteriorly to the LCL insertion in the lateral gutter under direct arthroscopic vision. (B) A stab incision is performed directly over the hole from the needle to create the superolateral accessory portal. (C) The shaver is introduced through the accessory portal, and the arthroscope is placed in the lateral gutter to perform synovial debridement. (FH, fibular head.) Arthroscopy Techniques 2014 3, e389-e392DOI: (10.1016/j.eats.2014.02.009) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Cadaveric study in a right knee. (A) Cadaveric dissection of ALL (asterisk). (B) Arthroscopic view of the 3 lateral structures with a 70° arthroscope (slack ALL). (C) Knee after anatomic dissection (tight ALL). From distally to proximally, the popliteus tendon (PT), ALL (asterisk), and LCL are clearly identified (B, C). (FH, Fibular Head; Gt, Gerdy's tubercle.) (Fig 2A reprinted with permission from Helito, C et al, Orthopedic Journal of Sports Medicine, Anatomy and Histology of the Knee Anterolateral Ligament (vol. 1, no. 7) pp. 1-5, copyright 2013, SAGE Publications, Inc.2) Arthroscopy Techniques 2014 3, e389-e392DOI: (10.1016/j.eats.2014.02.009) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions