Assessment and management of posterolateral corner injuries of the knee

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Category: 2018, Club Recordings
Published on: 07.06.2018


Richard Norris
Physiotherapy Knee Specialist
MCSP, Honorary Liverpool University Lecturer

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About The Webinar

The posterolateral corner (PLC) consists of 28 individual static and dynamic structures that provide stability to the lateral aspect of the knee. The lateral collateral ligament (LCL), popliteus tendon and popliteofibular ligament are considered the most important stabilisers, and injury to these structures can result in lateral and/or postero-lateral rotatory instability, accelerated degenerative changes or increased risk of cruciate ligament graft failure.
Sixteen per cent of knee ligament injuries involve the PLC, with 27% occurring in isolation and the remainder in combination with cruciate ligament injury. The literature on conservative management of isolated PLC injury is sparse, but published evidence suggests outcomes for grade III LCL injuries are poor compared with grade I–II injuries. Current evidence, although limited, indicates superior outcomes when combined PLC-cruciate ligament injuries are managed with surgical intervention. Identifying injuries to the PLC is therefore important, but limited information exists on the diagnostic validity of clinical tests.
This webinar summaries the current evidence regarding the diagnosis and management of PLC injuries and introduces new evidence describing the diagnostic accuracy of the dial test used alone, or in combination with other clinical tests. To translate theory to practice, the webinar includes videos of a real-life case study demonstrating positive clinical findings and highlights the potential serious pathology associated with PLC injuries.

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