MRCEM Notes

Knee injuries

Unhappy triad is commonly seen following a lateral blow to the knee and consists of damage to the:
  • anterior cruciate ligament
  • medial collateral ligament
  • meniscus (classically the medial meniscus but recent evidence shows that the lateral meniscus is more commonly injured)

StructureNotes
Anterior cruciate ligamentDamage may result from hyperextension and/or twisting injuries
Anterior drawer test and Lachman test may be positive if damaged
Posterior cruciate ligamentDamage may occur following dashboard injuries
Medial collateral ligamentDamage may commonly result from skiing and following valgus stress
Damage typically causes abnormal passive abduction of the knee
Lateral collateral ligamentIsolated injury is uncommon
MenisciDamage may result from twisting injuries
Locking and giving way are common symptoms


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