Initial evaluation of the acute and chronic multiple ligament injured knee.

Melvin D. Helgeson*, Ronald A. Lehman, Kevin P. Murphy

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations


Despite the recent focus on the limited use of urgent arteriograms in the evaluation of acute knee dislocations, physical examination remains the cornerstone of assessment. Several clinical scenarios dictate an orthopedic emergency: vascular disruption, open wound, compartment syndrome, or an irreducible joint/dimple sign. In the acute setting, every attempt should be made to rule out associated injuries and the need for intervention. The multiple ligament knee injury or knee dislocation is a complex dilemma that requires close attention. Concomitant injuries about the knee often arise and must be addressed prior to ligamentous repair, and therefore the orthopedic surgeon must maintain a high index of suspicion for associated injuries in the evaluation of a multiple ligament knee injury.

Original languageEnglish
Pages (from-to)213-219
Number of pages7
JournalThe journal of knee surgery
Issue number3
StatePublished - Jul 2005
Externally publishedYes


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