Editorial Commentary: Is the Anterolateral Ligament Always Injured in Knee Dislocations? Does It Matter?

Anterolateral ligament injuries with knee dislocations appear to be very common. In particular, those that occur with fibular (lateral) collateral ligament injuries are very frequent. Although the majority of injuries in this magnetic resonance imaging study appear to be at the proximal attachment of the anterolateral ligament, caution is advised because there is still no clear agreement as to the anatomic attachment site of the anterolateral ligament on the femur. Distal-based anterolateral ligament injuries, either bony or soft tissue Segond variants, have a large consensus in the peer-reviewed literature as to their anatomic attachment sites and injury pattern identification.