scholarly journals Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee

2019 ◽  
Vol 8 (6) ◽  
pp. e549-e554 ◽  
Author(s):  
Man Soo Kim ◽  
In Jun Koh ◽  
Yong In
Keyword(s):  
Medial Collateral Ligament ◽  
Ligament Reconstruction ◽  
Collateral Ligament ◽  
Medial Collateral Ligament Reconstruction

scholarly journals Quantifying the Center of Elbow Rotation: Implications for Medial Collateral Ligament Reconstruction

Hand ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 402-407 ◽  
Author(s):  
Kraig S. Graham ◽  
Sara Golla ◽  
Sebastian V. Gehrmann ◽  
Robert A. Kaufmann
Keyword(s):  
Medial Collateral Ligament ◽  
Ligament Reconstruction ◽  
Drill Hole ◽  
Joint Line ◽  
Collateral Ligament ◽  
Rotation Center ◽  
Computed Tomography Scans ◽  
Medial Collateral Ligament Reconstruction ◽  
Consistent Location

Background: Medial collateral ligament (MCL) reconstruction of the elbow mandates precise characterization of where the centerline of elbow rotation projects onto the medial epicondyle (ME). A muscle-splitting approach allows the flexor-pronator muscles to remain attached to the ME and facilitates visualization of the MCL remnant, the sublime tubercle, and the ulnohumeral joint line. Knowledge of where the centerline of rotation intersects the ME relative to the ulnohumeral joint line may assist the surgeon during placement of the proximal drill hole. Methods: Models were created from the computed tomography scans of 29 normal elbows. The centerline of rotation, center of the trochlea, sublime tubercle, and ulnohumeral joint line were identified. Measurements were taken from the ulnohumeral joint line to the center of the trochlea and to the centerline of rotation in the sagittal view and along the course of the MCL. Results: The centerline of rotation intersected the ME in a consistent location. With the elbow flexed 90°, the trochlea center and the centerline of rotation are essentially in line with each other. There are significant differences between the distances from the ulnohumeral joint line to the center of the trochlea and to the centerline of rotation in both the sagittal view and along the course of the MCL. Conclusions: The centerline of rotation is located 14.31 mm (1.70) from the ulnohumeral joint line in the sagittal view and 16.54 mm (2.09) from the ulnohumeral joint line along the course of the MCL.

Medial Collateral Ligament Reconstruction

2009 ◽  
Vol 19 (4) ◽  
pp. 243-250 ◽  
Author(s):  
R. Michael Greiwe ◽  
Benjamin Bjerke-Kroll ◽  
Christopher S. Ahmad
Keyword(s):  
Medial Collateral Ligament ◽  
Ligament Reconstruction ◽  
Collateral Ligament ◽  
Medial Collateral Ligament Reconstruction
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