Assessment and Decision Making in Acute Knee Dislocation

Dustin L. Richter, Heidi Smith, Marisa Su, Gehron P. Treme, Daniel C. Wascher, Robert C. Schenck

Volume 5 | Issue 1 | Jan – April 2020 | Page 3-8

Author: Dustin L. Richter [1], Heidi Smith [1], Marisa Su [1], Gehron P. Treme [1], Daniel C. Wascher [1], Robert C. Schenck [1]

[1] The University of New Mexico Health Sciences Center

Address of Correspondence
Dr. Dustin L. Richter,
The University of New Mexico, MSC10 5600, Albuquerque, NM 87131-0001, United States


The traumatic knee dislocation (KD) is a complex condition resulting in injury to more than one ligament or ligament complexes about the knee. Most of the time, KDs result in injury to both cruciate ligaments with variable injury to the collateral ligament complexes. However, there are rare presentations of a single cruciate and collateral ligament injury that present with the tibiofemoral joint dislocated. With the use of the term multi-ligamentous knee injuries (MLKI), it is important to understand that not all MLKIs are KDs. Knees can present in a wide spectrum of severity; from frank dislocation of the tibiofemoral joint to a spontaneously reduced KD, either with or without neurovascular injury. The initial evaluation of these injuries should include a thorough patient history, physical exam and imaging, with particular attention to vascular status which has the most emergent treatment implications. Multiple classification systems have been developed for KDs, with the anatomic classification having the most practical application.
Keywords: Knee dislocation (KD), Multi-ligament knee injury, Assessment, Classification.


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How to Cite this article: Richter DL, Smith H, Su M, Gehron P, Wascher DC, Robert C Schenck RC. Assessment and Decision Making in Acute Knee Dislocation. Asian Journal Arthroscopy. Jan- Apr 2020;5(1):3-8.

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