CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 104-108
DOI: 10.1016/j.rboe.2017.07.009
Technical Note | Nota Técnica
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Simultaneous Bilateral Knee Varus Stress Radiographic Technique[*]

Article in several languages: português | English
Felipe Moreira Borges
1   Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil
,
Jacqueline Vieira de Castro
1   Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil
,
Nicholas Kennedy
2   Steadman Philippon Research Institute, Vail, Estados Unidos
,
Marcio Balbinotti Ferrari
1   Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil
,
1   Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil
› Author Affiliations
Further Information

Publication History

11 July 2017

27 July 2017

Publication Date:
01 March 2019 (online)

Abstract

Varus stress radiographs are reported as an effective and cost-beneficial diagnostic and decision-making tool for lateral knee injuries, both in the acute and chronic settings. The opening of the lateral compartment is reported to vary according to the number of structures injured, helping to differentiate isolated fibular collateral ligament injury from grade-III posterolateral corner injury. The conventional technique requires the physician or another healthcare provider to apply manual varus stress while obtaining the radiograph on one knee at a time. The present study aimed to describe, in detail, the preferred method of the authors to assess the opening of the lateral compartment in both knees simultaneously, which also avoids the need for the examiner to be present in the imaging room.

* Investigation performed at the Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil. Published by Elsevier Editora Ltda. © 2017 Sociedade Brasileira de Ortopediae Traumatologia.


 
  • Referências

  • 1 Gollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg Am 1987; 69 (02) 233-42
  • 2 Chahla J, Moatshe G, Dean CS, LaPrade RF. Posterolateral corner of the knee: current concepts. Arch Bone Jt Surg 2016; 4 (02) 97-103
  • 3 LaPrade RF, Wentorf FA, Fritts H, Gundry C, Hightower CD. A prospective magnetic resonance imaging study of the incidence of posterolateral and multiple ligament injuries in acute knee injuries presenting with a hemarthrosis. Arthroscopy 2007; 23 (12) 1341-7
  • 4 Farshad-Amacker NA, Potter HG. MRI of knee ligament injury and reconstruction. J Magn Reson Imaging 2013; 38 (04) 757-73
  • 5 LaPrade RF, Heikes C, Bakker AJ, Jakobsen RB. The reproducibility and repeatability of varus stress radiographs in the assessment of isolated fibular collateral ligament and grade-III posterolateral knee injuries. An in vitro biomechanical study. J Bone Joint Surg Am 2008; 90 (10) 2069-76
  • 6 Gwathmey Jr FW, Tompkins MA, Gaskin CM, Miller MD. Can stress radiography of the knee help characterize posterolateral corner injury?. Clin Orthop Relat Res 2012; 470 (03) 768-73
  • 7 James EW, Williams BT, LaPrade RF. Stress radiography for the diagnosis of knee ligament injuries: a systematic review. Clin Orthop Relat Res 2014; 472 (09) 2644-57