The role of the posterior oblique ligament in controlling posterior tibial translation in the posterior cruciate ligament-deficient knee

The American Journal of Sports Medicine
Wolf PetersenThore Zantop

Abstract

Posterior cruciate ligament injuries are often associated with injuries to other structures. The role of the posteromedial structures of the knee in these injuries has received little attention. The posterior oblique ligament is an important restraint to posterior tibial translation in the posterior cruciate ligament-deficient knee. Controlled laboratory study. Kinematic studies were performed on 10 cadaveric knees to test 3 external loading conditions at 0 degrees , 30 degrees , 60 degrees , and 90 degrees of flexion (134 N posterior tibial load, 10 N x m valgus rotation, and 5 N x m internal rotation). Resulting posterior tibial translation was determined by using a robotic/universal force-moment sensor testing system for (1) intact, (2) posterior cruciate ligament-deficient, (3) posterior cruciate ligament/superficial medial collateral ligament-deficient, (4) posterior cruciate ligament/superficial medial collateral ligament/deep medial collateral ligament/posterior oblique ligament-deficient, and (5) posterior cruciate ligament/superficial medial collateral ligament/deep medial collateral ligament/posterior oblique ligament/posteromedial capsule-deficient knee. When both the superficial medial collateral ligament and deep m...Continue Reading

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