Acknowledgement: The authors acknowledge Robert Asuncion, DPT, Kyle Yamashiro, DPT, and Terry Weiner for their contributions to this article.
Authors’ Disclosure Statement: Dr. Hirahara reports that he receives support from Arthrex as a consultant, royalties, and research support. Mr. Andersen reports no actual or potential conflict of interest in relation to this article.
The ALL has been determined to play an integral role in the rotational stability of the knee. In the setting of instability and insufficiency, reconstruction will lead to better patient outcomes for concurrent ACL/ALL injuries and postsurgical rotatory instability following ACL procedures. This innovative technique utilizes ultrasound to ascertain the precise anatomical attachments of the ALL prior to the operation. The novel nature of this ultrasound-guided reconstruction has the potential to be applicable in many other surgical procedures.