The posterolateral knee capsule is the primary containment structure of the posterolateral corner, reinforced by the arcuate ligament, LCL, popliteus, and popliteofibular ligament. Its contribution to posterolateral stability means that isolated capsular laxity from stretch injury can produce chronic posterolateral instability even when the discrete ligamentous structures appear intact on MRI.
| Location | Posterolateral corner of the knee, behind the lateral femoral condyle and lateral tibial condyle |
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Encloses the posterolateral knee joint and, with the LCL, popliteus and popliteofibular ligament, resists external tibial rotation, varus and posterior translation.
The posterolateral capsule is assessed by the external rotation recurvatum test: with the patient supine the examiner lifts the great toe, and a positive test shows the knee recurvating with external tibial rotation, indicating posterolateral capsular laxity. Combined with the dial test, posterolateral capsular assessment guides surgical reconstruction planning. In complete PLC injuries the capsule is repaired or plicated alongside reconstruction of the LCL and popliteofibular ligament.
Posterolateral knee capsule attenuation producing external rotation recurvatum assessed by the ER recurvatum and dial tests.
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