{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:18:44Z","timestamp":1793330324076,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To use a modified Delphi technique to generate an expert consensus statement on the evaluation, diagnosis, treatment, and rehabilitation of posterolateral corner (PLC) injuries of the knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 5\u2010individual working group developed a list of 62 statements regarding PLC injuries for use in a 3\u2010round modified Delphi series. Ultimately, 40 statements were retained, and a 100% participation rate was observed in all rounds. Consensus for each statement was quantified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 82.5% of statements reached consensus. Consensus was reached regarding the following: (1) The dial, posterolateral drawer, and external rotation recurvatum tests, magnetic resonance imaging, varus\u2010stress radiographs, and bilateral hip\u2010to\u2010ankle radiographs have diagnostic utility. (2) The presence of concomitant meniscal pathology or neuromuscular injury influences surgical timing. (3) Useful classification systems to guide treatment of PLC injuries currently do not exist. (4) Acute soft\u2010tissue avulsions involving a single stabilizing structure can be repaired. (5) Isolated repair of grade III PLC tears should not be performed without augmentation or reconstruction, and complete grade III PLC injuries should undergo PLC reconstruction. (6) No universally accepted PLC reconstruction technique exists, although the LaPrade technique (anatomic reconstruction of the fibular collateral ligament, popliteus tendon, and popliteofibular ligament using 2 grafts secured in 2 femoral tunnels, 1 fibular tunnel, and 1 tibial tunnel) may confer superior outcomes. (7) There is no consensus on the utility of routine postoperative varus stress radiographs as an objective measure of surgical success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Statements that achieved unanimous consensus (all experts stating they \u201cstrongly agree\u201d) concerned routine use of physical and radiographic evaluations to confirm varus laxity due to PLC injuries and bilateral hip\u2010to\u2010ankle radiographs in the setting of chronic PLC injuries. Individualized treatment based on the presence of concomitant injuries and staged rehabilitation programs are essential. The significance of a grade III posterolateral drawer test in detecting external rotational laxity and whether common peroneal nerve neurolysis should be routinely performed remain in question. No single reconstruction technique confers optimal clinical outcomes. Postoperative varus stress radiographs are not reliable for determining residual laxity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V, consensus of expert opinion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.04.055","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T19:02:14Z","timestamp":1748026934000},"page":"4630-4640","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["A Contemporary International Expert Consensus Statement on the Evaluation, Diagnosis, Treatment, and Rehabilitation of Injuries to the Posterolateral Corner of the Knee"],"prefix":"10.1002","volume":"41","author":[{"given":"Robert F.","family":"LaPrade","sequence":"first","affiliation":[{"name":"Twin Cities Orthopedics Edina\u2013Crosstown Edina Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Gerhold","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle N.","family":"Kunze","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew G.","family":"Geeslin","sequence":"additional","affiliation":[{"name":"Larner College of Medicine University of Vermont Burlington Vermont U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke V.","family":"Tollefson","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics Edina\u2013Crosstown Edina Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udit","family":"Dave","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Rafael","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."},{"name":"Department of Orthopaedics University of South Florida Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Barenius","sequence":"additional","affiliation":[{"name":"Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Brown","sequence":"additional","affiliation":[{"name":"International Knee and Joint Center Abu Dhabi United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00falio Vin\u00edcius","family":"de Oliveira Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais Programa de P\u00f3s\u2010gradua\u00e7\u00e3o em Sa\u00fade P\u00fablica Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mois\u00e9s","family":"Cohen","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Engebretsen","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonzalo","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Clinica Las Condes Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos E.","family":"Franciozi","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett A.","family":"Fritsch","sequence":"additional","affiliation":[{"name":"Royal Prince Alfred Hospital Camperdown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl\u2010Heinz","family":"Frosch","sequence":"additional","affiliation":[{"name":"University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo E.","family":"Gelber","sequence":"additional","affiliation":[{"name":"Universitat Autonoma de Barcelona Bellaterra Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Getgood","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hantes","sequence":"additional","affiliation":[{"name":"General University Hospital of Larissa Larissa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Held","sequence":"additional","affiliation":[{"name":"University of Cape Town Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo P.","family":"Helito","sequence":"additional","affiliation":[{"name":"Hospital das Clinicas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eivind","family":"Inderhaug","sequence":"additional","affiliation":[{"name":"Department of Clinical Science University of Bergen Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steinar","family":"Johansen","sequence":"additional","affiliation":[{"name":"Lovisenberg Diakonale Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen Carl","family":"Lagae","sequence":"additional","affiliation":[{"name":"General Hospital Monica Antwerp Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce A.","family":"Levy","sequence":"additional","affiliation":[{"name":"Orlando Health Orlando Florida United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Lind","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Lording","sequence":"additional","affiliation":[{"name":"Melbourne Orthopaedic Group Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Maestu","sequence":"additional","affiliation":[{"name":"Centro de Tratamiento de Enfermedades Articulares Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Margheritini","sequence":"additional","affiliation":[{"name":"University of Rome \u201cForo Italico\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Menetrey","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Musculoskeletal Trauma Care University Hospitals of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Moatshe","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan C.","family":"Monllau","sequence":"additional","affiliation":[{"name":"Consorci Parc de Salut Mar de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain R.","family":"Murray","sequence":"additional","affiliation":[{"name":"Edinburgh Orthopaedics Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Negr\u00edn","sequence":"additional","affiliation":[{"name":"Clinica Las Condes Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Parker","sequence":"additional","affiliation":[{"name":"Sydney Orthopaedic Research Institute Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Pujol","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de Versailles Orthop\u00e9die et Arthroscopie Le Chesnay\u2010Rocquencourt France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Robinson","sequence":"additional","affiliation":[{"name":"Knee Specialists Bristol England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian","family":"Samuelsson","sequence":"additional","affiliation":[{"name":"Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara","family":"Stevenson","sequence":"additional","affiliation":[{"name":"University Hospitals Coventry and Warwickshire NHS Trust Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J.","family":"Tuca","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Chile Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soshi","family":"Uchida","sequence":"additional","affiliation":[{"name":"Wakamatsu Hospital of the University of Occupational and Environmental Health Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wybren A.","family":"van der Wal","sequence":"additional","affiliation":[{"name":"Sint Maartenskliniek Nijmegen Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvio","family":"Villascusa","sequence":"additional","affiliation":[{"name":"Centro Hospitalario la Fraternidad Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard P.B.","family":"Von Bormann","sequence":"additional","affiliation":[{"name":"Netcare Christiaan Barnard Memorial Hospital Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248172"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(03)00094-9"},{"key":"e_1_2_3_4_1","first-page":"97","article-title":"Posterolateral corner of the knee: Current concepts","volume":"4","author":"Chahla J.","year":"2016","journal-title":"Arch Bone Jt Surg"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515593950"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515592828"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5260-4"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.techfore.2020.120484"},{"key":"e_1_2_3_9_1","unstructured":"StaceyD. L\u00e9gar\u00e9F. ColN.F. et al. Decision aids for people facing health treatment or screening decisions.Cochrane Database Syst Rev2014CD001431."},{"key":"e_1_2_3_10_1","first-page":"225","article-title":"The Delphi process: A solution for reviewing novel grant applications","volume":"3","author":"Holliday C.","year":"2010","journal-title":"Int J Gen Med"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000100583.76137.3E"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008567"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.12.002"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221131817"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2018.11.002"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.200096"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-021-00435-0"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507304717"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510361220"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00474"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262687"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2555-4-21"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.05.022"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.06.008"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.21037\/aoj.2018.11.04"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119838251"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.08.046"},{"key":"e_1_2_3_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671241247542"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.08.053"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.03.029"},{"key":"e_1_2_3_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07617-3"},{"key":"e_1_2_3_32_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00979"},{"key":"e_1_2_3_33_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2010.3269"},{"key":"e_1_2_3_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.12.003"},{"key":"e_1_2_3_35_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1248173"},{"key":"e_1_2_3_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200209000-00010"},{"key":"e_1_2_3_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.01.008"},{"key":"e_1_2_3_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221086669"},{"key":"e_1_2_3_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507311096"},{"key":"e_1_2_3_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198003000-00014"},{"key":"e_1_2_3_41_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-78522014220300928"},{"key":"e_1_2_3_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.001"},{"key":"e_1_2_3_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3470-8"},{"key":"e_1_2_3_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500502"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325003524?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325003524?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.04.055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.04.055","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.04.055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:17:23Z","timestamp":1773566243000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.04.055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,23]]},"references-count":43,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1016\/j.arthro.2025.04.055"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.04.055","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,23]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Contemporary International Expert Consensus Statement on the Evaluation, Diagnosis, Treatment, and Rehabilitation of Injuries to the Posterolateral Corner of the Knee","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.04.055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}