Skip to main content
Top
Published in: Skeletal Radiology 8/2015

01-08-2015 | Case Report

Isolated lateral collateral ligament complex injury in rock climbing and Brazilian Jiu-jitsu

Authors: Bryan A. Davis, Lucas P. Hiller, Steven G. Imbesi, Eric Y. Chang

Published in: Skeletal Radiology | Issue 8/2015

Login to get access

Abstract

We report two occurrences of high-grade tears of the lateral collateral ligament complex (LCLC), consisting of the anterolateral ligament (ALL) and fibular collateral ligament (FCL). One injury occurred in a rock climber and the other in a martial artist. Increasing awareness of isolated injuries of the LCLC will allow for appropriate diagnosis and management. We review and discuss the anatomy of the LCLC, the unique mechanism of isolated injury, as well as physical and imaging examination findings.
Literature
3.
go back to reference Kreiswirth EM, Myer GD, Rauh MJ. Incidence of injury among male Brazilian jiujitsu fighters at the World Jiu-Jitsu No-Gi Championship 2009. J Athl Train. 2014;49(1):89–94.PubMedCentralPubMedCrossRef Kreiswirth EM, Myer GD, Rauh MJ. Incidence of injury among male Brazilian jiujitsu fighters at the World Jiu-Jitsu No-Gi Championship 2009. J Athl Train. 2014;49(1):89–94.PubMedCentralPubMedCrossRef
5.
go back to reference Thompson RN, Hanratty B, Corry IS. “Heel hook” rock-climbing maneuver: a specific pattern of knee injury. Clin J Sport Med Off J Can Acad Sport Med. 2011;21(4):365–8.CrossRef Thompson RN, Hanratty B, Corry IS. “Heel hook” rock-climbing maneuver: a specific pattern of knee injury. Clin J Sport Med Off J Can Acad Sport Med. 2011;21(4):365–8.CrossRef
6.
go back to reference Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J. Anatomy of the anterolateral ligament of the knee. J Anat. 2013;223(4):321–8.PubMedCrossRef Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J. Anatomy of the anterolateral ligament of the knee. J Anat. 2013;223(4):321–8.PubMedCrossRef
7.
go back to reference Segond P. Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. Prog Med (Paris). 1879;1–85. Segond P. Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. Prog Med (Paris). 1879;1–85.
8.
go back to reference Lubowitz JH, Provencher MT, Brand JC, Rossi MJ. The knee anterolateral ligament. Arthroscopy J Arthrosc Relat Surg Off Publ Arthroscopy Assoc North America Int Arthroscopy Assoc. 2014;30(11):1385–8.CrossRef Lubowitz JH, Provencher MT, Brand JC, Rossi MJ. The knee anterolateral ligament. Arthroscopy J Arthrosc Relat Surg Off Publ Arthroscopy Assoc North America Int Arthroscopy Assoc. 2014;30(11):1385–8.CrossRef
9.
go back to reference Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A. A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament [published online ahead of print June 15 2014]. Knee Surg Sports Traumatol Arthrosc. 2014. Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A. A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament [published online ahead of print June 15 2014]. Knee Surg Sports Traumatol Arthrosc. 2014.
10.
go back to reference Claes S, Luyckx T, Vereecke E, Bellemans J. The segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy J Arthroscopic Relat Surg Off Publ Arthroscopy Assoc North America Int Arthroscopy Assoc. 2014;30(11):1475–82.CrossRef Claes S, Luyckx T, Vereecke E, Bellemans J. The segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy J Arthroscopic Relat Surg Off Publ Arthroscopy Assoc North America Int Arthroscopy Assoc. 2014;30(11):1475–82.CrossRef
11.
go back to reference De Maeseneer M, Boulet C, Willekens I, Lenchik L, De Mey J, Cattrysse E, et al. Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. Skeletal Radiol. 2015;44(3):413-421. De Maeseneer M, Boulet C, Willekens I, Lenchik L, De Mey J, Cattrysse E, et al. Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. Skeletal Radiol. 2015;44(3):413-421.
12.
go back to reference Cianca J, John J, Pandit S, Chiou-Tan FY. Musculoskeletal ultrasound imaging of the recently described anterolateral ligament of the knee. Am J Phys Med Rehabil Assoc Acad Physiatrists. 2014;93(2):186.CrossRef Cianca J, John J, Pandit S, Chiou-Tan FY. Musculoskeletal ultrasound imaging of the recently described anterolateral ligament of the knee. Am J Phys Med Rehabil Assoc Acad Physiatrists. 2014;93(2):186.CrossRef
13.
go back to reference Claes S, Bartholomeeusen S, Bellemans J. High prevalence of anterolateral ligament abnormalities in magnetic resonance images of anterior cruciate ligament-injured knees. Acta Orthop Belg. 2014;80(1):45–9.PubMed Claes S, Bartholomeeusen S, Bellemans J. High prevalence of anterolateral ligament abnormalities in magnetic resonance images of anterior cruciate ligament-injured knees. Acta Orthop Belg. 2014;80(1):45–9.PubMed
14.
go back to reference Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA. The anterolateral ligament: Anatomy, length changes and association with the Segond fracture. Bone Joint J. 2014;96-B(3):325–31.PubMedCrossRef Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA. The anterolateral ligament: Anatomy, length changes and association with the Segond fracture. Bone Joint J. 2014;96-B(3):325–31.PubMedCrossRef
15.
go back to reference Helito CP, Demange MK, Bonadio MB, Tirico LE, Gobbi RG, Pecora JR, et al. Radiographic landmarks for locating the femoral origin and tibial insertion of the knee anterolateral ligament. Am J Sports Med. 2014;42(10):2356–62. Helito CP, Demange MK, Bonadio MB, Tirico LE, Gobbi RG, Pecora JR, et al. Radiographic landmarks for locating the femoral origin and tibial insertion of the knee anterolateral ligament. Am J Sports Med. 2014;42(10):2356–62.
16.
go back to reference Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, et al. MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol. 2014;43(10):1421–7.PubMedCrossRef Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, et al. MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol. 2014;43(10):1421–7.PubMedCrossRef
17.
go back to reference Rezansoff AJ, Caterine S, Spencer L, Tran MN, Litchfield RB, Getgood AM. Radiographic landmarks for surgical reconstruction of the anterolateral ligament of the knee [published online ahead of print June 17 2014]. Knee Surg Sports Traumatol Arthrosc. 2014. Rezansoff AJ, Caterine S, Spencer L, Tran MN, Litchfield RB, Getgood AM. Radiographic landmarks for surgical reconstruction of the anterolateral ligament of the knee [published online ahead of print June 17 2014]. Knee Surg Sports Traumatol Arthrosc. 2014.
18.
go back to reference Sonnery-Cottet B, Archbold P, Rezende FC, Neto AM, Fayard JM, Thaunat M. Arthroscopic identification of the anterolateral ligament of the knee. Arthroscopy Techniques. 2014;3(3):e389–92.PubMedCentralPubMedCrossRef Sonnery-Cottet B, Archbold P, Rezende FC, Neto AM, Fayard JM, Thaunat M. Arthroscopic identification of the anterolateral ligament of the knee. Arthroscopy Techniques. 2014;3(3):e389–92.PubMedCentralPubMedCrossRef
19.
go back to reference Vadala AP, Iorio R, De Carli A, Bonifazi A, Iorio C, Gatti A, et al. An extra-articular procedure improves the clinical outcome in anterior cruciate ligament reconstruction with hamstrings in female athletes. Int Orthop. 2013;37(2):187–92.PubMedCentralPubMedCrossRef Vadala AP, Iorio R, De Carli A, Bonifazi A, Iorio C, Gatti A, et al. An extra-articular procedure improves the clinical outcome in anterior cruciate ligament reconstruction with hamstrings in female athletes. Int Orthop. 2013;37(2):187–92.PubMedCentralPubMedCrossRef
20.
go back to reference Helito CP, Demange MK, Bonadio MB, Tírico LEP, Gobbi RG, Pécora JR, et al. Anatomy and Histology of the Knee Anterolateral Ligament. Orthopaedic Journal of Sports Medicine. 2013;1(7). Helito CP, Demange MK, Bonadio MB, Tírico LEP, Gobbi RG, Pécora JR, et al. Anatomy and Histology of the Knee Anterolateral Ligament. Orthopaedic Journal of Sports Medicine. 2013;1(7).
21.
go back to reference Monaco E, Ferretti A, Labianca L, Maestri B, Speranza A, Kelly MJ, et al. Navigated knee kinematics after cutting of the ACL and its secondary restraint. Knee Surg Sports Traumatol Arthrosc. 2012;20(5):870–7. Monaco E, Ferretti A, Labianca L, Maestri B, Speranza A, Kelly MJ, et al. Navigated knee kinematics after cutting of the ACL and its secondary restraint. Knee Surg Sports Traumatol Arthrosc. 2012;20(5):870–7.
22.
go back to reference Vincent JP, Magnussen RA, Gezmez F, Uguen A, Jacobi M, Weppe F, et al. The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc. 2012;20(1):147–52. Vincent JP, Magnussen RA, Gezmez F, Uguen A, Jacobi M, Weppe F, et al. The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc. 2012;20(1):147–52.
23.
go back to reference Oh YK, Lipps DB, Ashton-Miller JA, Wojtys EM. What strains the anterior cruciate ligament during a pivot landing? Am J Sport Med. 2012;40(3):574–83.CrossRef Oh YK, Lipps DB, Ashton-Miller JA, Wojtys EM. What strains the anterior cruciate ligament during a pivot landing? Am J Sport Med. 2012;40(3):574–83.CrossRef
24.
go back to reference Coobs BR, LaPrade RF, Griffith CJ, Nelson BJ. Biomechanical analysis of an isolated fibular (lateral) collateral ligament reconstruction using an autogenous semitendinosus graft. Am J Sports Med. 2007;35(9):1521–7.PubMedCrossRef Coobs BR, LaPrade RF, Griffith CJ, Nelson BJ. Biomechanical analysis of an isolated fibular (lateral) collateral ligament reconstruction using an autogenous semitendinosus graft. Am J Sports Med. 2007;35(9):1521–7.PubMedCrossRef
25.
go back to reference Latimer HA, Tibone JE, ElAttrache NS, McMahon PJ. Reconstruction of the lateral collateral ligament of the knee with patellar tendon allograft. Report of a new technique in combined ligament injuries. Am J Sports Med. 1998;26(5):656–62.PubMed Latimer HA, Tibone JE, ElAttrache NS, McMahon PJ. Reconstruction of the lateral collateral ligament of the knee with patellar tendon allograft. Report of a new technique in combined ligament injuries. Am J Sports Med. 1998;26(5):656–62.PubMed
27.
go back to reference Gerdes EM, Hafner JW, Aldag JC. Injury patterns and safety practices of rock climbers. J Trauma. 2006;61(6):1517–25.PubMedCrossRef Gerdes EM, Hafner JW, Aldag JC. Injury patterns and safety practices of rock climbers. J Trauma. 2006;61(6):1517–25.PubMedCrossRef
28.
go back to reference Jones G, Asghar A, Llewellyn DJ. The epidemiology of rock-climbing injuries. Br J Sports Med. 2008;42(9):773–8.PubMedCrossRef Jones G, Asghar A, Llewellyn DJ. The epidemiology of rock-climbing injuries. Br J Sports Med. 2008;42(9):773–8.PubMedCrossRef
29.
go back to reference Scoggin JF, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of Injuries During Brazilian Jiu-Jitsu Competition. Orthopaed J Sports Med. 2014;2(2). Scoggin JF, Brusovanik G, Izuka BH, Zandee van Rilland E, Geling O, Tokumura S. Assessment of Injuries During Brazilian Jiu-Jitsu Competition. Orthopaed J Sports Med. 2014;2(2).
Metadata
Title
Isolated lateral collateral ligament complex injury in rock climbing and Brazilian Jiu-jitsu
Authors
Bryan A. Davis
Lucas P. Hiller
Steven G. Imbesi
Eric Y. Chang
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 8/2015
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-015-2108-6

Other articles of this Issue 8/2015

Skeletal Radiology 8/2015 Go to the issue

Browser's Notes

Browser’s notes