{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:19:14Z","timestamp":1777882754899,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Multiligamentous knee injuries are complex, with highly individualized treatment plans based on patient and injury-specific factors. Stress radiographs are an important tool for objectively quantifying knee laxity; however, they are often not formally taught during clinical training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To provide a reproducible method for obtaining stress radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indications:<\/jats:title>\n                    <jats:p>Stress knee radiographs are used in the setting of acute and chronic knee ligamentous and soft tissue injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Description:<\/jats:title>\n                    <jats:p>Coronal laxity: Knees are flexed at 20\u00b0, the x-ray beam is tilted 20\u00b0 cephalad, and aligned with the inferior pole of the patella. Apply a valgus force with slight external rotation to the knee to test the medial collateral ligament (MCL). Perform on the contralateral knee. Use a varus force to test the lateral collateral ligament (LCL) and the posterolateral corner. Measure the joint space width with the LaPrade method. Sagittal laxity: Position the patient supine and flex the knee to 80\u00b0. The patient holds the cassette parallel to the x-ray beam, which is at the foot of the bed. Allow the tibia to sag without support, and compare the side-to-side difference on the bilateral radiograph.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The case in this video shows a side-to-side difference, suggesting a grade 3 MCL, LCL, and partial posterior cruciate ligament injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion:<\/jats:title>\n                    <jats:p>Stress radiographs support accurate diagnosis of complex knee injuries and provide an objective measure of knee stability. These techniques can be performed in an ambulatory clinic setting and are cost-effective, efficient, and support clinical decision-making in the treatment of complex knee injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Consent Disclosure Statement:<\/jats:title>\n                    <jats:p>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350254251378514","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T14:43:55Z","timestamp":1773240235000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Laxity in Multiligamentous Knee Injuries Using Stress Radiographs: A Simple Technique for a Busy Clinic"],"prefix":"10.1177","volume":"6","author":[{"given":"Darius L.","family":"Lameire","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3211-7185","authenticated-orcid":false,"given":"Ajay","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Wengle","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan M.","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Saint Michael's Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel B.","family":"Whelan","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Department of Surgery, Saint Michael's Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.O.00020"},{"key":"e_1_3_2_3_2","doi-asserted-by":"crossref","unstructured":"DePhillipo N Kane P Engebretsen L. Stress radiographs for ligamentous knee injuries. Arthrosc J Arthrosc Relat Surg. 2021;37(1):15-15. doi:https:\/\/doi.org\/10.1016\/j.arthro.2020.11.001","DOI":"10.1016\/j.arthro.2020.11.001"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509349347"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00979"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254251378514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350254251378514","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254251378514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:22:22Z","timestamp":1777598542000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350254251378514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/26350254251378514"],"URL":"https:\/\/doi.org\/10.1177\/26350254251378514","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"26350254251378514"}}