larson

Acute PLC Management

Scenarios

 

1.  Isolated LCL injury

2.  Isolated Posterolateral Corner

3.  PCL + posterolateral corner

4.  ACL / posterolateral corner

5.  ACL / PLC / posterolateral corner


Repair versus Reconstruction

 

Levy et al. Am J Sports Med 2010

- failure in 4/10 knees treated with acute primary repair

Sinding - Larson - Johanssen

Epidemiology

 

Active pre teen boy

- activity related pain

- common in high jumpers

 

Diagnosis

 

Fragmentation / calcification of inferior pole

- repetitive traction injury where PT inserts

- tender at this point

 

Stages 

 

I     Normal

II    Ca inferior pole irregularity

III   Coalesce Ca inferior pole