Fibular Collateral Ligament Reconstruction in Adolescent Patients

Fibular collateral ligament (FCL) injuries can present as lateral-sided knee pain with feelings of side-to-side instability during activity. Patients with FCL injuries can have accompanying symptoms related to irritation of the common peroneal nerve. Preoperative diagnosis is imperative and should i...

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Main Authors: Mitchell I. Kennedy, B.S., Ramesses Akamefula, B.S., Nicholas N. DePhillipo, M.S., A.T.C., O.T.C., Catherine A. Logan, M.D., Liam Peebles, B.A., Robert F. LaPrade, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718301725
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author Mitchell I. Kennedy, B.S.
Ramesses Akamefula, B.S.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Catherine A. Logan, M.D.
Liam Peebles, B.A.
Robert F. LaPrade, M.D., Ph.D.
author_facet Mitchell I. Kennedy, B.S.
Ramesses Akamefula, B.S.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Catherine A. Logan, M.D.
Liam Peebles, B.A.
Robert F. LaPrade, M.D., Ph.D.
author_sort Mitchell I. Kennedy, B.S.
collection DOAJ
description Fibular collateral ligament (FCL) injuries can present as lateral-sided knee pain with feelings of side-to-side instability during activity. Patients with FCL injuries can have accompanying symptoms related to irritation of the common peroneal nerve. Preoperative diagnosis is imperative and should include a thorough physical examination complemented with varus stress radiographs before surgical reconstruction is indicated. In the adolescent cohort, surgical planning can be complicated by the presence of open physes, and caution must be taken to avoid drilling through or placing screw fixation across the physes. Potential complications include growth arrest and limb length discrepancy. Therefore, the purpose of this Technical Note is to describe an anatomic FCL reconstruction technique in the skeletally immature adolescent patient.
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spelling doaj.art-f49bc5ada9b74c69b6ec0440d372a9f12022-12-21T22:01:32ZengElsevierArthroscopy Techniques2212-62872019-02-0182e141e145Fibular Collateral Ligament Reconstruction in Adolescent PatientsMitchell I. Kennedy, B.S.0Ramesses Akamefula, B.S.1Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.2Catherine A. Logan, M.D.3Liam Peebles, B.A.4Robert F. LaPrade, M.D., Ph.D.5The Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.OrthoONE, Centennial, Colorado, U.S.A.The Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., Chief Medical Officer, The Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Dr, Ste 400 Vail, CO 81657, U.S.A.Fibular collateral ligament (FCL) injuries can present as lateral-sided knee pain with feelings of side-to-side instability during activity. Patients with FCL injuries can have accompanying symptoms related to irritation of the common peroneal nerve. Preoperative diagnosis is imperative and should include a thorough physical examination complemented with varus stress radiographs before surgical reconstruction is indicated. In the adolescent cohort, surgical planning can be complicated by the presence of open physes, and caution must be taken to avoid drilling through or placing screw fixation across the physes. Potential complications include growth arrest and limb length discrepancy. Therefore, the purpose of this Technical Note is to describe an anatomic FCL reconstruction technique in the skeletally immature adolescent patient.http://www.sciencedirect.com/science/article/pii/S2212628718301725
spellingShingle Mitchell I. Kennedy, B.S.
Ramesses Akamefula, B.S.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Catherine A. Logan, M.D.
Liam Peebles, B.A.
Robert F. LaPrade, M.D., Ph.D.
Fibular Collateral Ligament Reconstruction in Adolescent Patients
Arthroscopy Techniques
title Fibular Collateral Ligament Reconstruction in Adolescent Patients
title_full Fibular Collateral Ligament Reconstruction in Adolescent Patients
title_fullStr Fibular Collateral Ligament Reconstruction in Adolescent Patients
title_full_unstemmed Fibular Collateral Ligament Reconstruction in Adolescent Patients
title_short Fibular Collateral Ligament Reconstruction in Adolescent Patients
title_sort fibular collateral ligament reconstruction in adolescent patients
url http://www.sciencedirect.com/science/article/pii/S2212628718301725
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