Greater Knee Rotatory Instability After Posterior Meniscocapsular Injury Versus Anterolateral Ligament Injury: A Proposed Mechanism of High-Grade Pivot Shift.

Orthop J Sports Med · 2023 · PMC10486219 · PMID 37693803

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27 In addition, several authors have pointed out that the effect on anterolateral rotatory instability might not be significant because the ALL acts mainly during knee flexion. 21 , 25 , 43 Nevertheless, recent clinical studies have shown that combined ACL and ALL reconstruction improves residual anterolateral rotational instability. 23 The pivot-shift mechanism can be explained by 2 factors.

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