What It Is

The Anterior Lateral Ligament (ALL) is a lesser-known but crucial ligament that helps stabilize the knee, particularly during rotational movements. The ALL works in conjunction with the ACL (Anterior Cruciate Ligament) to prevent the knee from twisting excessively. Injuries to the ALL often occur in conjunction with ACL tears, especially in athletes involved in sports that require sudden changes in direction, such as soccer, basketball, and skiing.

Signs & Symptoms

  • Pain and swelling in the knee
  • A feeling of instability, especially during twisting or pivoting movements
  • Difficulty bearing weight on the affected leg
  • Stiffness and reduced range of motion
  • A sensation of “giving way” during movement, similar to an ACL injury

Diagnosis

Dr. Romanelli will conduct a physical examination to assess the stability of the knee and evaluate any potential damage to both the ACL and ALL. Imaging tests, such as an MRI, are typically used to confirm the diagnosis and determine the extent of the injury.

Treatment

Treatment for ALL injuries often goes hand-in-hand with ACL reconstruction. If the ALL is damaged, Dr. Romanelli may recommend Anterior Lateral Ligament Reconstruction in addition to ACL repair to provide full rotational stability and improve long-term outcomes. The reconstruction involves using a graft to restore the function of the ALL, which can help prevent future knee instability.

Non-Surgical Treatment

In cases where the injury is less severe, or if the patient is not highly active, non-surgical treatment options may be considered. These include rest, bracing, and physical therapy to strengthen the surrounding muscles and restore some stability to the knee.

Physical Therapy

Physical therapy is critical for recovery, regardless of whether surgery is needed. A structured rehabilitation plan will focus on regaining strength, improving knee stability, and restoring full range of motion. Dr. Romanelli works closely with physical therapists to tailor a recovery plan that suits each patient’s specific needs and activity levels.