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The Pathomechanics of the Knee Joint I. The Medial Collateral Ligament and Lateral Tibial Plateau Fractures
Albert F. Martin
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Departments of Orthopaedic Surgery, University of California Medical School and the Samuel Merritt Hospital, Oakland, California
1960 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1960; 42:13-22 
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Abstract

On the basis of the experimental data presented, it seems logical to conclude that fracture of the lateral tibial plateau and rupture of the medial collateral ligament may occur simultaneously. In such circumstances, the medial collateral ligament injury may be demonstrated by gentle abduction stress testing of both knees and comparing the medial clear space of both the normal and the involved knees. Using this test, an increase of more than 1.0 millimeter in the medial clear space is presumptive evidence of either partial or complete rupture of the medial collateral ligament.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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