Orthonotes
Orthonotes
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Multi-ligament Knee Injury

Involves disruption of ≥2 major knee ligaments; often from high-energy trauma. Common patterns: ACL + PCL ± collateral injuries. Associated with vascular (popliteal artery) and nerve (common peroneal) injuries. Diagnosis: clinical + MRI; check vascular status with ABI, Doppler, CTA. Management: emergent reduction, vascular repair if injured, staged ligament reconstruction.

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Involves disruption of ≥2 major knee ligaments; often from high-energy trauma. Common patterns: ACL + PCL ± collateral injuries. Associated with vascular (popliteal artery) and nerve (common peroneal) injuries. Diagnosis: clinical + MRI; check vascular status with ABI, Doppler, CTA. Management: emergent reduction, vascular repair if injured, staged ligament reconstruction.
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Question 1

Which of the following classifications describes a knee dislocation with disruption of both cruciate ligaments and one collateral ligament?

Question 2

What is the most common associated nerve injury in multi-ligament knee injuries?

Question 3

Which imaging modality is preferred for assessing vascular injury in a suspected multi-ligament knee injury?

Question 4

What is the critical time frame for revascularization to ensure limb salvage after a knee dislocation?

Question 5

During the initial assessment of a knee dislocation, which of the following findings would indicate the need for immediate vascular surgical referral?

Question 6

In a multi-ligament knee injury, what is the most feared complication related to the vascular system?

Question 7

What is the recommended management for a knee dislocation with confirmed vascular injury?

Question 8

Which of the following is true regarding the timing of serial vascular assessments after knee dislocation reduction?

Question 9

Which ligamentous injury pattern is most common in multi-ligament knee injuries?

Question 10

What is the primary goal of immediate management in multi-ligament knee injuries?