HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ritchie, J. R. Articles by Manning, T. Search for Related Content PubMed PubMed Citation Articles by Ritchie, J. R. Articles by Manning, T. Related Collections Anatomy

Isolated Sectioning of the Medial and Posteromedial Capsular Ligaments in the Posterior Cruciate Ligament-Deficient Knee

Influence on Posterior Tibial Translation

Joseph R. Ritchie, MD, John A. Bergfeld, MD, Helen Kambic, MS and Timothy Manning

The Cleveland Clinic Foundation, Cleveland, Ohio

Presented at the interim meeting of the AOSSM, Atlanta, Georgia, February 1996.

Address correspondence and reprint requests to Joseph R. Ritchie, MD, U.S. Center for Sports Medicine, 333 South Kirkwood Road, Suite 200, St. Louis, MO 63122

This study was undertaken to determine the contribution of various structures in the posterior cruciate ligament-deficient knee in resisting posterior tibial translation. With "isolated" injuries to the posterior cruciate ligament, the amount of posterior translation will decrease with the posterior drawer test as the knee is taken from neutral to internal tibial rotation. The present study was performed to conclusively determine the anatomic structure responsible for this clinical observation. The TestStar device was used to perform single-plane posterior drawer tests in 14 cadaveric knee specimens. The tests were performed with the knee in neutral tibial rotation and in 20° of internal tibial rotation. The intact knee was tested and then the knee was tested after sequential sectioning of the meniscofemoral ligaments, the posterior cruciate ligament, the posteromedial capsule, and the superficial medial collateral ligament. With the knee in neutral rotation, posterior translation continued to increase as each structure was sectioned. With the knee in internal tibial rotation, posterior displacement was significantly less than in neutral rotation for each state until the superficial medial collateral ligament was sectioned; posterior translation was increased after its sectioning. Our data demonstrate that the superficial medial collateral ligament is the structure responsible for a decrease in posterior tibial translation in the posterior cruciate ligament-deficient knee.

This article has been cited by other articles:

				D. C. Covey, A. A. Sapega, and R. H. Riffenburgh The Effects of Sequential Sectioning of Defined Posterior Cruciate Ligament Fiber Regions on Translational Knee Motion Am. J. Sports Med., March 1, 2008; 36(3): 480 - 486. [Abstract] [Full Text] [PDF]

				W. Petersen, S. Loerch, S. Schanz, M. Raschke, and T. Zantop The Role of the Posterior Oblique Ligament in Controlling Posterior Tibial Translation in the Posterior Cruciate Ligament-Deficient Knee Am. J. Sports Med., March 1, 2008; 36(3): 495 - 501. [Abstract] [Full Text] [PDF]

				J. R. Robinson, A. M. J. Bull, R. R. deW. Thomas, and A. A. Amis The Role of the Medial Collateral Ligament and Posteromedial Capsule in Controlling Knee Laxity Am. J. Sports Med., November 1, 2006; 34(11): 1815 - 1823. [Abstract] [Full Text] [PDF]

				S. Nagasaki, Y. Ohkoshi, K. Yamamoto, W. Ebata, R. Imabuchi, and J. Nishiike The Incidence and Cross-sectional Area of the Meniscofemoral Ligament Am. J. Sports Med., August 1, 2006; 34(8): 1345 - 1350. [Abstract] [Full Text] [PDF]

				W. M. Wind Jr, J. A. Bergfeld, and R. D. Parker Evaluation and Treatment of Posterior Cruciate Ligament Injuries: Revisited Am. J. Sports Med., October 1, 2004; 32(7): 1765 - 1775. [Abstract] [Full Text] [PDF]

				S. E. Park, B. D. Stamos, L. E. DeFrate, T. J. Gill, and G. Li The Effect of Posterior Knee Capsulotomy on Posterior Tibial Translation During Posterior Cruciate Ligament Tibial Inlay Reconstruction Am. J. Sports Med., September 1, 2004; 32(6): 1514 - 1519. [Abstract] [Full Text] [PDF]

				D. E. Cooper and D. Stewart Posterior Cruciate Ligament Reconstruction Using Single-Bundle Patella Tendon Graft With Tibial Inlay Fixation: 2- to 10-Year Follow-up Am. J. Sports Med., March 1, 2004; 32(2): 346 - 360. [Abstract] [Full Text] [PDF]

				J. A. Bergfeld, D. R. McAllister, R. D. Parker, A. D. C. Valdevit, and H. Kambic The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut J. Bone Joint Surg. Am., September 1, 2001; 83(9): 1339 - 1343. [Abstract] [Full Text] [PDF]