TITLE

The anterolateral ligament of the human knee: an anatomic and histologic study

AUTHOR(S)
Vincent, Jean-Philippe; Magnussen, Robert; Gezmez, Ferittu; Uguen, Arnaud; Jacobi, Matthias; Weppe, Florent; Al-Saati, Ma'ad; Lustig, S�bastien; Demey, Guillaume; Servien, Elvire; Neyret, Philippe
PUB. DATE
January 2012
SOURCE
Knee Surgery, Sports Traumatology, Arthroscopy;Jan2012, Vol. 20 Issue 1, p147
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: The functional anatomy of the knee is frequently studied but remains incompletely understood. Numerous authors have described a structure in the lateral knee connecting the lateral femoral condyle with the lateral meniscus and tibial plateau. The goal of this study is to define the incidence, anatomy, and histology of this structure, the anterolateral ligament. Methods: The incidence of the ligament was determined in 30 consecutive patients undergoing total knee arthroplasty (TKA) for medial compartment osteoarthritis. The anatomy and histology were evaluated using 10 cadaveric knees. Results: The anterolateral ligament was noted to be present in all 40 knees. In all cases, it was noted to take origin near or on the popliteus tendon insertion and insert into the lateral meniscus and tibial plateau 5 mm distal to the articular surface and posterior to Gerdy's Tubercle. The average width of the relatively flat structure was 8.2 � 1.5 mm, and the average length was 34.1 � 3.4 mm. Histologic analysis revealed a discreet structure with a fibrous core surrounded by synovium. Fibers blended with the popliteus at its origin and with the lateral meniscus as it passed distally. Conclusions: The anterolateral ligament may play a role in preventing anterior tibial translation. The role, if any, of this structure in meniscal stability and the pathology of meniscal tears remain unclear. Level of evidence: Not applicable-Descriptive Anatomic Study.
ACCESSION #
70071358

 

Related Articles

  • Florid (Floral) Synovitis. Murali, Rajmohan; Moir, Deni; Bonar, S. Giona; Pinczewski, Leo // International Journal of Surgical Pathology;Apr2006, Vol. 14 Issue 2, p146 

    The article reports on the case of a 65-year-old woman with symptomatic arthritis in her left knee for a period of 2 years. Radiologic investigation showed tricompartmental osteoarthritis which compelled her to undergo a total knee replacement. The synovial tissue taken out during the operation...

  • Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction. Tinius, Marco; Hepp, Pierre; Becker, Roland // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2012, Vol. 20 Issue 1, p81 

    Purpose: Patients presenting anterior cruciate ligament (ACL) deficiency and isolated osteoarthritis of the medial compartment are treated either with biplanar osteotomy or with total knee arthroplasty (TKA). However, these patients between the forties and fifties are often very active in daily...

  • Comparative study of tibial posterior slope angle following cruciate-retaining total knee arthroplasty using one of three implants. Bae, Dae; Song, Sang; Yoon, Kyoung; Noh, Jung; Moon, Seong // International Orthopaedics;Apr2012, Vol. 36 Issue 4, p755 

    Purpose: Pre- and postoperative tibial posterior slope angles (PSAs) were assessed in patients who underwent cruciate-retaining total knee arthroplasty (TKA). Material and methods: A total of 386 cruciate retaining TKA were performed in 308 patients and retrospectively reviewed. Based on the...

  • Precision of tibial cartilage morphometry with a coronal water-excitation MR sequence. Hyhlik-Dürr, A.; Faber, S.; Burgkart, R.; Stammberger, T.; Maag, K. -P.; Englmeier, K. -H.; Reiser, M.; Eckstein, F. // European Radiology;Feb2000, Vol. 10 Issue 2, p297 

    The aim of this study was to analyze the precision of tibial cartilage morphometry, by using a fast, coronal water-excitation sequence with high spatial resolution, to compare the reproducibility of 3D thickness vs volume estimates, and to test the technique in patients with severe...

  • PARTICULARITÄ‚ÈšILE ARTROPLASTIEI TOTALE DE GENUNCHI ÃŽN ARTROZELE CU DEVIERE ÃŽN VALGUS. REZULTATE CLINICE PE TERMEN MEDIU. ZAZGYVA, ANCUȚA; MARIUS RUSSU, OCTAV; GERGELY, ISTVÁN; OLIVIU ROMAN, CIPRIAN; SORIN POP, TUDOR // Acta Medica Transilvanica;sep2013, Vol. 18 Issue 3, p131 

    In total knee arthroplasty for cases with valgum axial deformity, ligament balancing requires special attention due to specific changes in osseous configuration and periarticular soft tissues. In this study we followed a consecutive series of patients with knee osteoarthritis and valgus axial...

  • The Lateral Unicompartmental Replacement: A Road Less Traveled. Engh, Gerard A. // Orthopedics;Sep2006, Vol. 29 Issue 9, p825 

    The article discusses the effectiveness of lateral unicompartmental arthroplasty in managing isolated lateral compartment degenerative arthritis. Advantages of the surgical approach are presented including the preservation of bone stock and crucial ligaments. Compared to total knee arthroplasty,...

  • Effect of Correction of the Contractured Flexed Osteoarthritic Knee on the Sagittal Alignment by Total Replacement. Sang-Min Lee; Min Geun Yoon; Myung-Sang Moon; Bong-Jin Lee; Sung-Rak Lee; Young Hoon Seo // Asian Spine Journal;Sep2013, Vol. 7 Issue 3, p204 

    Study Design: A prospective analysis of an adaptive change of the spinopelvic alignment after total knee arthroplasty. Purpose: To evaluate the effect of correction of the contractured knee in flexion on the spinopelvic alignment by total knee arthroplasty. Overview of Literature: Flexion...

  • The young osteoarthritic knee: dilemmas in management. Sutton, Paul M.; Holloway, Edward S. // BMC Medicine;2013, Vol. 11 Issue 1, p1 

    As a result of increasing life expectancies, continuing physical careers, lifestyles into later life and rising obesity levels, the number of younger patients presenting with osteoarthritis (OA) of the knee is increasing. When conservative management options have been exhausted, the challenge...

  • Great OA Articles. BERRY, BARBARA // Arthritis Today;Sep/Oct2011, Vol. 25 Issue 5, p12 

    A letter to the editor is presented in response to the article "What You Need in a New Knee" in the July-August 2011 issue.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics