A patient met with Road Traffic Accident with injury to the left knee. Dial test was positive. What could be the cause ?
Correct Answer: Posterolateral Corner Injury
Description: Dial test or Tibial External Rotation Test:
This is the test for posterolateral instability.
The tibia is externally rotated on femur first at 30° flexion and then at 90° flexion. Comparison is made with the normal side.
An increase in external rotation of greater than 10°
At 30° of flexion but not at 90° indicates an isolated posterolateral corner injury.
At both 30° and 90° of flexion indicates injury of both posterior cruciate ligament and posterolateral corner.
The posterolateral corner (PLC) is a complex that includes the lateral collateral ligament (LCL), popliteus tendon, fabellofibular ligament, arcuate ligament, popliteofibular ligament, and the short lateral ligament.
Category:
Orthopaedics
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