My Knee Is Falling Off

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My Knee Is Falling Off - Page #4

Working Diagnosis: ACL and MCL tear with POL and menisci injury Treatment: The patient underwent urgent repair of the lateral meniscus with internal bracing of the MCL. At 6 weeks, there was continued valgus laxity, likely due to the combined MCL and POL injury. Therefore, the MCL and POL were reconstructed with an allograft and the posterior medial corner was repaired in addition to the reconstruction of the ACL with hamstring autograft. Author's Comments: The MRI shows a displaced lateral meniscus root tear and the torn meniscal fibers flipped into the popliteal recess. MCL injury is typically allowed 6 weeks to scar before surgery for ACL reconstruction is recommended. However, the severity of the lateral meniscus tear in this case warranted urgent surgical repair. A staged surgery was done and the MCL, POL, and ACL were reconstructed later. This case highlights the importance of the posterior oblique ligament (POL) in understanding the severity of a multiligamentous knee injury. In isolation, a POL injury is rare. In a combined ACL and MCL injury, the POL injury also indicates significant instability if left untreated. Editor's Comments: Volleyball is generally a low-risk sport, and catastrophic injuries resulting in time loss from training are rare. Typical injuries are non-contact ACL injury, ankle sprain, and rotator cuff tendinitis. This case illustrates a very typical action (jumping and landing) resulting in a very atypical volleyball injury in a healthy young adult. Return To The Case Studies List.		Back
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