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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2021, Number 3

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Acta Ortop Mex 2021; 35 (3)

Prevalence of injury of the medial collateral ligament of the knee assessed by magnetic resonance

Aguirre-Rodríguez V, Valdés-Montor J, Valero-González F, Santa-María-Gasca N, Gómez-Pérez M, Sánchez-Silva M, Zúñiga-Isaac C, Pérez-Mora H, Mejía-Terrazas G
Full text How to cite this article 10.35366/102366

DOI

DOI: 10.35366/102366
URL: https://dx.doi.org/10.35366/102366

Language: Spanish
References: 12
Page: 271-275
PDF size: 164.71 Kb.


Key words:

Medial collateral ligament, posteromedial corner, prevalence, injury.

ABSTRACT

Introduction: The medial collateral ligament (MCL) is one of the main stabilizers of the knee, but its injury occurs in conjunction with other ligaments. Objective: To determine the prevalence of MCL lesions by magnetic resonance imaging, their degrees and associated lesions in our institution. Material and Methods: Retrospective study from January to April 2018 where KNEE MRIs were evaluated where the MCL lesion was presented to evaluate the degree and type of associated injuries. Results: We included 368 studies, prevalence of isolated MCL lesion of 3.07%, grade I and grade II, prevalence of concomitant MCL lesions was 17.66% grade I (75%), grade II (15%) and grade III (3%). Associated injuries were medial meniscus injury (46.15%), anterior cruciate ligament injury (30.7%), isolated bone contusion (18.46%), chodral injuries (37.58%), medial vastus injury (14.51%), patellar medial retinacular injury (14.51%), vastus lateral injury (9.23%), posterior cruciate ligament injury (6.15%), lateral meniscus injury (4.61%), iliotibial band tenosynovitis (4.61%), medial facet avulsion fracture (3.07%), Pes Anserine tenosynovitis (3.07%). Conclusion: Prevalence of 17.66% of the MCL injuries in our hospital by magnetic resonance, the first 2 degrees predominate, with a wide spectrum of associated knee injuries.


REFERENCES

  1. Wijdicks CA, Griffith CJ, Johansen S, Engebretsen L, LaPrade RF. Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Jt Surg Ser A. 2010; 92(5): 1266-80. doi: 10.2106/JBJS.I.01229.

  2. Smyth MP, Koh JL. Review article a review of surgical and nonsurgical outcomes of medial knee injuries. Sports Med Arthrosc Rev. 2015; 23(2): e15-22.

  3. Menzer H, Treme G, Wascher D. Surgical treatment of medial instability of the knee. Sports Med Arthrosc Rev. 2015; 23(2): 77-84.

  4. Roach CJ, Haley CA, Cameron KL, Pallis M, Svoboda SJ, Owens BD. The epidemiology of medial collateral ligament sprains in young athletes. Am J Sports Med. 2014; 42(5): 1103-9. doi: 10.1177/0363546514524524.

  5. Prince MR, Blackman AJ, King AH, Stuart MJ, Levy BA. Open anatomic reconstruction of the medial collateral ligament and posteromedial corner. Arthrosc Tech. 2015; 4(6): e885-90. doi: 10.1016/j.eats.2015.08.013.

  6. Barrett IJ, Krych AJ, Pareek A, et al. Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury. Knee Surg Sports Traumatol Arthrosc. 2018; 26(10): 2952-59. doi: 10.1007/s00167-018-4843-4.

  7. Varelas AN, Erickson BJ, Cvetanovich GL, Jr BRB. Medial collateral ligament reconstruction in patients with medial knee instability a systematic review. Orthop J Sports Med. 2017; 5(5): 2325967117703920. doi: 10.1177/2325967117703920.

  8. Méndez RI, Namihira GD, Moreno AL, Sosa de MYC. El protocolo de investigación. Lineamiento para su elaboración y análisis. 2a edición. Editorial Trillas. México. 2001.

  9. Van Belle G, Fisher DL, Heagerty JP, Lumley T. Biostatistics: a methodology for the health sciences. New York. Willey-Interscience. 2004.

  10. Kramer DE, Miller PE, Berrahou IK, Yen Y-M, Heyworth BE. Collateral ligament knee injuries in pediatric and adolescent athletes. J Pediatr Orthop. 2020; 40(2): 71-77. doi: 10.1097/BPO.0000000000001112.

  11. Freitas A, Chew FS. Collateral ligament injury MRI. Drugs & Diseases Radiology. 2015; 11.

  12. Makhmalbaf H, Shahpari O. Medial colleteral ligament injury: a new classification bases on MRI and clinical findings. A guide for patient selection and early surgical intervention. Arch Bone Jt Surg. 2018; 6(1): 3-7.



EVIDENCE LEVEL

IV




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Acta Ortop Mex. 2021 May-Jun;35