Abstract
Injuries to the capsular ligaments of the knee joint are now more common than the formerly frequent spiral fractures of the tibia and fibula. The most common injury mechanism is flexion-valgus external rotation trauma (antero-medial instability 70%). Flexion-varus internal rotation trauma (28%) leads to injuries to the lateral ligamentous structures; a rare injury is the isolated cruciate ligament injury occuring in forced hyperextension and flexion trauma (2%). For the diagnostic work-up, a strict schema has proved of value. If Lachman's test is positive, and the aspirated fluid bloody, the diagnosis of anterior cruciate rupture is made. By way of therapy, in the case of fresh tears, we supplement suturing of the anterior cruciate ligament by re-inforcement, either with the semitendinosus tendon, or patella ligament transplantation. Among 583 patients, 66% suffered sports-associated cruciate ligament injuries. Twenty-seven percent of these were Alpine skiers.
| Translated title of the contribution | Anterior knee joint instability - A typical injury of alpine skiing |
|---|---|
| Original language | German |
| Pages (from-to) | 79-82 |
| Number of pages | 4 |
| Journal | Fortschritte der Medizin |
| Volume | 104 |
| Issue number | 4 |
| State | Published - 1986 |