Summary: Truly isolated LCL injury, which most commonly affects soccer players, even with high grade lesions reported on MRI (80% grade 2 and 3), managed with non-operative treatment have excellent outcome: 100% return to play at pre-injury level or better, short recovery (median 76 days), no instability symptoms, and normal career longevity (84.4% playing at 5 years).

Background

Posterolateral corner (PLC) injuries with excess laxity are usually considered an absolute indication for repair or reconstruction, irrespective of which components of the PLC are injured. A spectrum from pure varus laxity, due to isolated LCL lesions, to pure posterolateral rotatory laxity from isolated popliteus complex (including popliteo-fibular ligament) lesions occur, but most are a combination.

Hypothesis/Purpose:
The aim of the present study is to illustrate the success of non-operative treatment of isolated LCL injuries, including complete lesions, in elite athletes as reflected by successful return to play, performance level, and rates of continued play at two- and five-years post injury. The largest consecutive case series of non-operatively managed isolated LCL injuries in any patient group is presented.

Material And Methods

A consecutive series of elite athletes with injuries to the posterolateral corner (PLC) of the knee treated by two sports knee surgeons between 2015 and 2022 was identified. Only those with isolated LCL injuries were included. The following data was collected: clinical examination findings, radiological findings, return to play times, performance levels, and subsequent career longevity.

Results

Fifty-five professional athletes (44 soccer players) with MRI confirmed isolated LCL lesions and a mean age of 24.3 years (± 4.5 years) were included. Clinical laxity excess was grade 3 in 1 athlete, grade 2 in 6 athletes, and grade 1 in 42 athletes and 0 in 7 athletes. All patients were treated with restricted activities and rehabilitation. MRI grading and clinical grading showed low correlation in our cohort (r = 0.37, p = 0.01). Return to play (RTP) was 100% at a mean of 103 days / median 76 days (0-422 days). At 2 years, 51 athletes (92.7%) were still playing elite sport. 84.4% (27 of 32 players) were still playing elite sport at 5 years. All played at pre-injury level. No athlete stopped elite sport due to the consequences of the LCL injury.

Conclusion

Truly isolated LCL injury, which most commonly affects soccer players, even with high grade lesions reported on MRI (80% grade 2 and 3), managed with non-operative treatment have excellent outcome: 100% return to play at pre-injury level or better, short recovery (median 76 days), no instability symptoms, and normal career longevity (84.4% playing at 5 years). These lesions should not be treated surgically.
Furthermore, the correlation of MRI grade of isolated LCL injury with clinical examination grading is low.

Low-Profile All-Suture Anchor Construct Demonstrates Non-Inferiority To Spiked Washer And Bone Staple In Medial Collateral Ligament Reconstruction: A Cadaveric Biomechanical Study ePoster Presentation Timothy Lording, MBBS, FRACS, AUSTRALIA Felipe Moreira Borim, MD, PhD, FEBOT, SPAIN Anna-Katharina Calek, MD, SWITZERLAND Dale Robinson, B Eng, B Sci, PhD, AUSTRALIA Lachlan Batty, FRACS, AUSTRALIA David Ackland, PhD, AUSTRALIA
Injury Mechanism is Related to Short-Term Treatment Failure After Primary Isolated PCL Reconstruction: A Study From the Swedish and Norwegian Knee Ligament Registries ePoster Presentation Bálint Zsidai, MD, SWEDEN Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA Eric Narup, SWEDEN Ebba Olsson, Medical Student, SWEDEN Alexandra Horvath , MD, MSc, SWEDEN Gilbert Moatshe, MD, PhD, NORWAY Martin Lind, MD, PhD, Prof., DENMARK Volker Musahl, MD, Prof., UNITED STATES Eric Hamrin Senorski, PT, PhD, Assoc. Prof., SWEDEN Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN
Clinico-Radiological Evaluation Of Posterior Cruciate Ligament Reconstruction Using Autologous Peroneus Longus Graft With All Inside Technique ePoster Presentation Vinod Kumar, MBBS, MS, DNB, MNAMS, INDIA Kunal Gautam, MBBS, MS (Orth), INDIA
The Posterolateral Corner and Mechanism of Injury; Are there important differences between Sporting injuries and Road Traffic Accidents? ePoster Presentation Jonathan Warnock, FRCS, UNITED KINGDOM George Jacob, MBBS, MS Ortho, FAOrthA, INDIA Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA Brett A. Fritsch, MBBS BSc(Med), FRACS, FAOrthA, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
A Flat Reconstruction Of The Medial Collateral Ligament And Anteromedial Structures Restores Native Knee Kinematics - A Biomechanical Robotic Investigation ePoster Presentation Adrian Deichsel, MD, GERMANY Christian Peez, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Alina Albert, M.Sc., GERMANY Mirco Herbort, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY Christian Fink, MD, Prof., AUSTRIA Elmar Herbst, MD, PhD, GERMANY
Clinical Outcome of Knee Medial Collateral Ligament Reconstruction With Allograft or Autograft : A Systematic Review ePoster Presentation Abbas See, MBBChir, MA, MRCS, PGCert (MedEd), UNITED KINGDOM Tawfiq Alqeisi, MBBS, UNITED KINGDOM Ross Sian, MBBS, MRCS, UNITED KINGDOM Peter D'Alessandro, MBBS (Hons), FAOrthA, FRACS, AUSTRALIA Tarek Boutefnouchet, MBChB MRCS PGCMed MSc FRCS (Tr&Orth) Dip. FIFA Med, UNITED KINGDOM Stephen Dalgleish, MBChB, MRCS, FRCS, UNITED KINGDOM Shahbaz S. Malik, BSc, MB BCh, MSc (Orth Engin), LLM, FRCS (Tr&Orth), UNITED KINGDOM Jimmy Ng, BMBS, FRCS, UNITED KINGDOM
Posterolateral Corner Reconstruction: Modification Of The Laprade Technique Using Autologous Hamstring Tendon Grafts: “The Popliteofibular Loop” ePoster Presentation Marcos Mestriner, MD, BRAZIL Ricardo P.L. Cury, MD, BRAZIL Luiz Gabriel B. Guglielmetti, MD, PhD, BRAZIL Leandro J. Aihara, MD, BRAZIL Viktor Nelson Mazzola Corrêa, MD, BRAZIL Victor M. Oliveira, MD, PhD, BRAZIL
A Flat Posterior Cruciate Ligament Reconstruction With A Rectangular Femoral Tunnel Restores Native Knee Kinematics - A Biomechanical Robotic Study ePoster Presentation Adrian Deichsel, MD, GERMANY Florian Gellhaus, MD, GERMANY Christian Peez, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Moritz Martinovic, M.Sc., GERMANY Elmar Herbst, MD, PhD, GERMANY Mirco Herbort, MD, Prof., GERMANY Christian Fink, MD, Prof., AUSTRIA Christoph Kittl, MD, MD(res), GERMANY
A Specific Area In The Femoral Footprint Of The Posterior Cruciate Ligament Acts As A Major Contributor In Resisting Posterior Tibial Displacement – A Biomechanical Robotic Investigation ePoster Presentation Adrian Deichsel, MD, GERMANY Thorben Briese, MD, GERMANY Wenke Liu, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Alina Albert, M.Sc., GERMANY Christian Peez, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Christoph Kittl, MD, MD(res), GERMANY
The Single-Stage Multiple-Ligament Knee Reconstructions Can Significantly Improve The Clinical And Radiological Outcomes ePoster Presentation Huan Sheu, MD, TAIWAN
Outcomes Of Multiligament Knee Reconstruction In High-Energy Trauma, Prospective Cohort Study Involving 78 Patients ePoster Presentation Frederico Pimenta, MD, PhD, BRAZIL Marco Antonio Percope De Andrade, MD, PhD, BRAZIL
Validation of a Scale to Assess Psychological Readiness for Return to Sport Following Surgical Treatment of Posterior Cruciate Ligament Injuries ePoster Presentation Svenja Höger, MD, GERMANY Maximilian Hinz, MD, GERMANY Phillip Schulz, Cand. med., GERMANY Tilman Bondzio, M.Sc., GERMANY Sebastian Siebenlist, MD, MHBA, Prof., GERMANY Julian Mehl, MD, GERMANY Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA
Knee Stability And Clinical Outcomes After Double-Bundle Posterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autografts: Comparison With Single-Bundle Reconstruction ePoster Presentation Eiji Kondo, MD, PhD, JAPAN Yoshio Nishida, MD, JAPAN Zenta Jotoku, MD, PhD, JAPAN Koji Iwasaki, MD, PhD, JAPAN Tomohiro Onodera, MD, PhD, JAPAN Tomonori Yagi, MD, PhD, JAPAN Norimasa Iwasaki, MD, PhD, JAPAN Kazunori Yasuda, MD, PhD, Prof., JAPAN
The Role Of Fiber Areas In The Tibial Footprint Of The Posterior Cruciate Ligament Changes Depending On Flexion Angle – A Biomechanical Robotic Investigation ePoster Presentation Adrian Deichsel, MD, GERMANY Thorben Briese, MD, GERMANY Wenke Liu, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Alina Albert, M.Sc., GERMANY Christian Peez, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Christoph Kittl, MD, MD(res), GERMANY
Medial Laxity is Restored Better In MCL Operated Patients than Non-Operated Patients In Single Stage ACL and PCL Reconstruction For Knee Dislocation Type 3 Medial (KD3M) Multi-Ligament Knee Injuries (MLKI) ePoster Presentation Rajagopalakrishnan Ramakanth, D.ortho, DNB(ortho), D.SICOT, INDIA Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA
Different Suture Fixation Techniques For Posterior Cruciate Ligament Avulsion Fractures: A Comparative Biomechanical Study In Cadaveric Knees ePoster Presentation Sorawut Thamyongkit , MD, THAILAND Pasit Komonsuwan, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND Panya Aroonjarattham, D.Eng, THAILAND
Anatomical Characterization Of The Distance Between Femoral Insertions Of The Lateral Collateral Ligament And Popliteal Tendon In The Chilean Population: Implications For The Treatment Of Posterolateral Corner Injuries ePoster Presentation Rodrigo Olivieri, MD, CHILE Jose Ignacio Laso, Md, CHILE Esteban Giannini, MD, CHILE Ernesto Donoso, MD, CHILE Nicolas Franulic, MD, CHILE Jaime Ignacio Ugarte Checura, MD, CHILE Nicolas Castro, MD, CHILE
Outcomes Of Multiligament Knee Reconstruction With Concomitant Patellar Tendon Repair In A One-Stage Procedure: Is The Patellar Tendon Ruptures The Limiting Factor? ePoster Presentation Frederico Pimenta, MD, PhD, BRAZIL Marco Antonio Percope De Andrade, MD, PhD, BRAZIL
Refixation Of Avulsion Fractures Of The Posterior Cruciate Ligament With Headless Compression Screws Provide Comparable Primary Biomechanical Properties ePoster Presentation Thorben Briese, MD, GERMANY Christian Peez, MD, GERMANY Alina Albert, M.Sc., GERMANY Adrian Deichsel, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Luise M. Hägerich, MD, GERMANY Ole Grunenberg, MD, GERMANY Lucas K. Palma Kries, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY
Tunnel Enlargement After Isolated Posterior Cruciate Ligament Reconstruction Is Correlated With Tunnel Angle, Posterior Tibial Slope And Functional Outcomes ePoster Presentation Kun-Han Lee, MD, TAIWAN Kun-Hui Chen, MD, TAIWAN En-Rung Chiang, MD, PhD, TAIWAN
Injuries of the posteromedial bundle of the posterior cruciate ligament after knee hyperextension trauma: A new clinical entity based on an original case series ePoster Presentation Caroline Mouton, PhD, LUXEMBOURG Maximiliano Ibañez, MD, SPAIN Felix Hoffmann, MD, LUXEMBOURG Joan Carles Monllau, MD, PhD, Prof., SPAIN Romain Seil, MD, Prof., LUXEMBOURG
Novel Classification System for Comprehensive Management of Complex Multi-Ligamentous Injuries(MLKI)-Knee Dislocation(KD) with Periarticular tibial plateau fracture (KD-V) Injuries ePoster Presentation Rajagopalakrishnan Ramakanth, D.ortho, DNB(ortho), D.SICOT, INDIA Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA
Evaluation Of Multiligament Knee Injuries: Correlation Between Magnetic Resonance Imaging, Physical Examination, Maximum Manual Varus And Valgus Stress Radiographs, Kneeling Posterior Stress Radiographs, And Digital Rollimeter Measurements ePoster Presentation Pedro Henrique Schmidt Alves Ferreira Galvão, MD, MsC, BRAZIL Enzo Salviato Mameri, MD, MSc, BRAZIL Felipe Conrado Schumacher, MD, BRAZIL Guilherme Mussato, MD, BRAZIL Marcelo De Toledo Petrilli, Md, BRAZIL Marcelo S. Kubota, BRAZIL Robert F. LaPrade, MD, PhD, UNITED STATES Carlos E. S. Franciozi, MD, PhD, Prof., BRAZIL

Menu

Search Filters

Isolated Lateral Collateral Ligament Injuries In Elite Athletes Do Not Need Surgery

Isolated Lateral Collateral Ligament Injuries In Elite Athletes Do Not Need Surgery

Background

Material And Methods

Results

Conclusion

Multi-Ligament Knee Injury ePosters

Sign-in to ISAKOS

Isolated Lateral Collateral Ligament Injuries In Elite Athletes Do Not Need Surgery

Isolated Lateral Collateral Ligament Injuries In Elite Athletes Do Not Need Surgery

Background

Material And Methods

Results

Conclusion