Ricerc@Sapienza

Background Segond’s fracture is a well-recognised radiological
sign of an anterior cruciate ligament (ACL) tear.
While previous studies evaluated the role of the anterolateral
ligament (ALL) and complex injuries on rotational
stability of the knee, there are no studies on the biomechanical
effect of Segond’s fracture in an ACL deficient
knee. The aim of this study was to evaluate the effect of a
Segond’s fracture on knee rotation stability as evaluated by
a navigation system in an ACL deficient knee.

Several biomechanical studies have demonstrated the
importance of the anterolateral ligament (ALL) in rotational instability of the knee.1,10,12,14 Despite this, the precise role of the ALL in eliminating the pivot shift remains
controversial.9,11,13 This disparity exists secondary to the
nature of cadaveric research and the subsequent creation of
artificial injury patterns that are not a true representation
of in vivo characteristics. This case report provides clinical

Purpose of this paper is to provide an overview of the latest research on the anterolateral ligament (ALL) and present the consensus of the ALL Expert Group on the anatomy, radiographic landmarks, biomechanics, clinical and radiographic diagnosis, lesion classification, surgical technique and clinical outcomes. A consensus on controversial subjects surrounding the ALL and anterolateral knee instability has been established based on the opinion of experts, the latest publications on the subject and an exchange of experiences during the ALL Experts Meeting (November 2015, Lyon, France).

The results of anterior cruciate ligament reconstruction (ACLR) are widely recognized to be satisfactory on the basis of outcome measures such as the International Knee Documentation Committee (IKDC) and Lysholm scores. However, there is moderate variation among several series of different techniques. For example, Hussein et al showed a range of residual pivot, from 7% to 33%, depending on the technique used. Furthermore, up to 30% of patients in contemporary series can still experience persistent instability, and only 65% to 83% can return to the preinjury level of sport.

Background: The anterolateral ligament (ALL) has been identified as a structure on the lateral side of the knee, but debate exists regarding whether it is a capsular thickening or a ligament. Hypothesis: A detailed ultrastructural characterization of the ALL and its ultrastructure collagen arrangement will reveal it more closely resembles ligamentous tissue than joint capsule. Study Design: Descriptive laboratory study. Methods: Eight paired knee samples from 4 fresh-frozen male cadavers were used for this study.

Background: Combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction is associated with improved clinical outcomes as compared with isolated intra-articular reconstruction, but the indications are not precisely defined. It may be the case that patients with proven anterolateral injury on preoperative imaging are most likely to benefit, but the accuracy of magnetic resonance imaging (MRI) is not known. Purpose/Hypothesis: To evaluate the correlation between MRI and surgical exploration in acute ACL-injured knees.

Purpose To evaluate functional and radiological results in patients older than 50 years who underwent an anatomic anterior
cruciate ligament (ACL) reconstruction with semitendinosus and gracilis tendons and to compare these results with those of
patients younger than 40 years.
Methods Thirty-six patients over the age of 50 years with a diagnosis of ACL complete lesion and 36 consecutive patients under
40 years were included in this prospective study. Follow-up included clinical evaluation using Lysholm, IKDC, and Tegner