scholarly journals Meniscofibular Ligament: Morphology and Functional Significance of a Relatively Unknown Anatomical Structure

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
K. Natsis ◽  
G. Paraskevas ◽  
N. Anastasopoulos ◽  
T. Papamitsou ◽  
A. Sioga
Keyword(s):  
Functional Significance ◽  
External Rotation ◽  
Lateral Meniscus ◽  
Knee Extension ◽  
Knee Joints ◽  
Popliteofibular Ligament ◽  
Histological Features ◽  
Fresh Frozen ◽  
Microscopic Morphology ◽  
Coronary Ligament

Purpose. A relatively unknown ligamentous structure of the posterolateral corner of the knee joint, the so-called meniscofibular ligament (MFL), was investigated as regards its macroscopic morphology, its histological features, and its reaction to knee movements. Material and Methods. MFL was exposed on 21 fresh-frozen unpaired knee joints. Its microscopic morphology was examined utilizing for comparison the fibular collateral and the popliteofibular ligament. Results. MFL was encountered in 100% of the specimens as a thin striplike fibrous band extending between the lower border of the lateral meniscus and the head of the fibula. MFL was tense during knee extension and external rotation of the tibia, whereas its histological features were similar to those of fibular collateral and popliteofibular ligament. Discussion. Its precise histological nature is studied as well as its tension alterations during knee movements. The potential functional significance of the MFL with respect to its role in avoidance of lateral meniscus and lateral coronary ligament tears is discussed. Conclusions. MFL presumably provides an additional protection to the lateral meniscus during the last stages of knee extension, as well as to the lateral coronary ligament reducing the possibility of a potential rupture.

Isolated Lateral Meniscal Tear in the Dog

1988 ◽  
Vol 01 (03/04) ◽  
pp. 152-154
Author(s):  
S. Johnson ◽  
D. Hulse
Keyword(s):  
External Rotation ◽  
Femoral Condyle ◽  
Meniscal Tear ◽  
Lateral Meniscus ◽  
Surgical Excision ◽  
Human Beings ◽  
Stifle Joint ◽  
Microscopic Pathology ◽  
Bucket Handle Tear ◽  
Bucket Handle

degenerative changes of the involved stifle joint associated with a “bucket handle” tear of the caudal body of the lateral meniscus. Surgical excision of the torn section of meniscus was beneficial in the first patient but this patient had persistant difficulty with the leg after exercise. Gross and microscopic pathology of the involved stifle in the second patient showed the meniscal lesion to be associated with severe cartilage fibrillation of the overlying lateral femoral condyle. As in human beings, the mechanism of injury may have been placement of the foot during vigorous external rotation of the femur with the stifle flexed. Extension of the limb from this position could have resulted in an isolated tear of the lateral meniscus.

scholarly journals The effect of a centralization procedure for extruded lateral meniscus on load distribution in porcine knee joints at different flexion angles

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Rei Kubota ◽  
Hideyuki Koga ◽  
Nobutake Ozeki ◽  
Junpei Matsuda ◽  
Yuji Kohno ◽  
...  
Keyword(s):  
Load Distribution ◽  
Lateral Meniscus ◽  
Knee Joints ◽  
Porcine Knee

scholarly journals Gender Differences in Kinematic Analysis of the Lower Limbs during the Chasse Step in Table Tennis Athletes

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 703
Author(s):  
Xiaoyi Yang ◽  
Yuqi He ◽  
Shirui Shao ◽  
Julien S. Baker ◽  
Bíró István ◽  
...  
Keyword(s):  
Female Athletes ◽  
External Rotation ◽  
Rotational Velocity ◽  
Knee Extension ◽  
Lower Limbs ◽  
Table Tennis ◽  
Male Athletes ◽  
Analysis System ◽  
Hip Flexion ◽  
Hip Internal Rotation

The chasse step is one of the most important footwork maneuvers used in table tennis. The purpose of this study was to investigate the lower limb kinematic differences of table tennis athletes of different genders when using the chasse step. The 3D VICON motion analysis system was used to capture related kinematics data. The main finding of this study was that the step times for male athletes (MA) were shorter in the backward phase (BP) and significantly longer in the forward phase (FP) than for female athletes (FA) during the chasse step. Compared with FA, knee external rotation for MA was larger during the BP. MA showed a smaller knee flexion range of motion (ROM) in the BP and larger knee extension ROM in the FP. Moreover, hip flexion and adduction for MA were significantly greater than for FA. In the FP, the internal rotational velocity of the hip joint was significantly greater. MA showed larger hip internal rotation ROM in the FP but smaller hip external rotation ROM in the BP. The differences between genders can help coaches personalize their training programs and improve the performance of both male and female table tennis athletes.

scholarly journals Biomechanical analysis of a centralization procedure for extruded lateral meniscus after meniscectomy in porcine knee joints

2021 ◽  
Author(s):  
Yuji Kohno ◽  
Hideyuki Koga ◽  
Nobutake Ozeki ◽  
Junpei Matsuda ◽  
Mitsuru Mizuno ◽  
...  
Keyword(s):  
Lateral Meniscus ◽  
Biomechanical Analysis ◽  
Knee Joints ◽  
Porcine Knee

scholarly journals Reliability of a New Portable Dynamometer for Assessing Hip and Lower Limb Strength

2021 ◽  
Vol 11 (8) ◽  
pp. 3391
Author(s):  
Jan Marušič ◽  
Goran Marković ◽  
Nejc Šarabon
Keyword(s):  
Lower Limb ◽  
External Rotation ◽  
Peak Torque ◽  
Knee Extension ◽  
Lower Limb Muscles ◽  
Lower Limb Strength ◽  
Flexion Extension ◽  
Strength Tests ◽  
Hip Abduction ◽  
Maximal Peak

The purpose of this study was to evaluate intra- and inter-session reliability of the new, portable, and externally fixated dynamometer called MuscleBoard® for assessing the strength of hip and lower limb muscles. Hip abduction, adduction, flexion, extension, internal and external rotation, knee extension, ankle plantarflexion, and Nordic hamstring exercise strength were measured in three sessions (three sets of three repetitions for each test) on 24 healthy and recreationally active participants. Average and maximal value of normalized peak torque (Nm/kg) from three repetitions in each set and agonist:antagonist ratios (%) were statistically analyzed; the coefficient of variation and intra-class correlation coefficient (ICC2,k) were calculated to assess absolute and relative reliability, respectively. Overall, the results display high to excellent intra- and inter-session reliability with low to acceptable within-individual variation for average and maximal peak torques in all bilateral strength tests, while the reliability of unilateral strength tests was moderate to good. Our findings indicate that using the MuscleBoard® dynamometer can be a reliable device for assessing and monitoring bilateral and certain unilateral hip and lower limb muscle strength, while some unilateral strength tests require some refinement and more extensive familiarization.

Anterolateral Ligament of the Fetal Knee: An Anatomic and Histological Study

2016 ◽  
Vol 45 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Camilo Partezani Helito ◽  
Julio Augusto do Prado Torres ◽  
Marcelo Batista Bonadio ◽  
José Aderval Aragão ◽  
Lucas Nogueira de Oliveira ◽  
...  
Keyword(s):  
Fetal Development ◽  
Type I Collagen ◽  
Histological Study ◽  
Lateral Meniscus ◽  
Lateral Collateral Ligament ◽  
Anterolateral Ligament ◽  
Type I ◽  
En Bloc ◽  
Lateral Epicondyle ◽  
Histological Features

Background: The anterolateral ligament (ALL) of the knee has recently been described in detail. Most studies of the ALL have been conducted in adults; therefore, little is known about the anatomy and histology of the ALL in younger patients, and nothing is known about the fetal presence of the ALL. Purpose: To evaluate the ALL in human fetuses to determine its presence or absence and to describe its microscopic anatomy and histological features compared with the findings of studies conducted in adults. Study Design: Descriptive laboratory study. Methods: Twenty human fetal cadaveric specimens were used. The mean age of the fetuses was 28.64 ± 3.20 weeks. The ALL was dissected in the anterolateral region of the knee, and its anatomic parameters, including its origin, insertion, and path in relation to known adjacent anatomic landmarks, in addition to its length, width, and thickness over the path toward the tibia, were measured. After dissection, the ALL was removed en bloc with a portion of the lateral meniscus for histological analysis of 4-μm sections, hematoxylin and eosin staining, and immunohistochemical staining for type I collagen. Results: The ALL was located in all dissected knees. Its origin was located at a mean distance of 1.87 mm from the origin of the lateral collateral ligament, with variations from the center of the lateral epicondyle to posterior and proximal to it, and it exhibited an anterior-inferior path toward the tibia, an insertion in the lateral meniscus approximately 2.08 mm anterior to the popliteal tendon, and another insertion in the tibia between the Gerdy tubercle and the fibular head at 2.46 mm below the articular cartilage. The histological sections of the ALL showed well-organized, dense collagenous tissue fibers with elongated fibroblasts (mean, 1631 fibroblasts/mm2) and a predominance of type I collagen. Conclusion: The ALL is present during fetal development, with anatomic and histological features similar to those of the adult ALL. Clinical Relevance: The findings of this study help to better understand the ALL’s anatomy and histology from the fetal period to adulthood. The study presents the existence of the ALL since fetal development, emphasizes the characterization of the ALL, and brings important information to future pediatric ALL lesion studies.

Distal Fibular Length Needed for Ankle Stability

2006 ◽  
Vol 27 (3) ◽  
pp. 185-189 ◽  
Author(s):  
Eiichi Uchiyama ◽  
Daisuke Suzuki ◽  
Hideji Kura ◽  
Toshihiko Yamashita ◽  
Gen Murakami
Keyword(s):  
Ankle Joint ◽  
External Rotation ◽  
Traction Force ◽  
Distal Fibula ◽  
Rotational Angle ◽  
Clear Cut ◽  
Long Term Stability ◽  
Ankle Stability ◽  
Fresh Frozen ◽  
The Stability

Background: The fibula is commonly used for bone grafts. Previous clinical and biomechanical studies have suggested that the length of the residual portion of the distal part of the fibula has an important effect on the long-term stability of the ankle joint. However, we cannot find clear-cut guidelines for the amount of bone that can be harvested safely. Methods: Using six normal fresh-frozen cadaver legs, motions of the tibia, talus and calcaneus were measured. The fibula was cut sequentially 3 cm from the proximal tip of the fibula and distally 10 cm, 6 cm, and 4 cm from the distal tip of the lateral malleolus. The angular motion of each bone was measured while a medial and lateral traction force of 19.6 N was applied to the proximal tibia. Angles of the tibia, talus, and calcaneus were measured. Results: Sequential resection of the fibula increased the inversion angles of the ankle joint. The proximal 3-cm cut increased the inversion angle from 42.1 ± 6.2 degrees to 49.6 ± 3.6 degrees, and the distal 4-cm cut increased the angle from 57.6 ± 6.6 degrees to 67.4 ± 5.9 degrees. The rotational angles were almost constant with sequential resections of the fibula; however, the distal 4-cm cut increased the rotational angle from 11.3 ± 25.1 degrees to 78.7 ± 37.5 degrees. Conclusions: The whole fibula including the head is essential for the stability of the ankle joint complex, and the distal fibula is responsible for stabilizing the ankle mortise during external rotation and inversion. We recommend fixation of the syndesmosis or bracing to prevent ankle joint instability with rotation of the talus in the mortise, especially when the distal fibula is shortened 6 cm or more.

scholarly journals Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players

2019 ◽  
Vol 7 (11) ◽  
pp. 232596711988537 ◽  
Author(s):  
Eduard Nikolayevich Bezuglov ◽  
Anastasiya Vladimirovna Lyubushkina ◽  
Vladimir Yurevich Khaitin ◽  
Alisa Viktorovna Tokareva ◽  
Evgeny Nikolayevich Goncharov ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Femoral Condyle ◽  
Lateral Meniscus ◽  
Soccer Players ◽  
Knee Joints ◽  
Resonance Imaging ◽  
Cartilage Lesions ◽  
Professional Soccer ◽  
Meniscal Lesions

Background: Currently, there are few data on the association between participation in soccer and the condition of the knee joints in adult professional players. Hypothesis: A high percentage of professional soccer players will have asymptomatic intra-articular changes of the knee. Study Design: Cross-sectional study; Level of evidence, 3. Methods: The condition of the intra-articular structures (osteophytes, cartilage, and menisci) in 94 knee joints of 47 adult professional soccer players (mean ± SD age, 25.7 ± 4.6 years; body mass index, 22.8 ± 1.4 kg/m2) was analyzed. A 1.5-T magnetic resonance imaging scanner was used to perform the imaging, and the anonymized data were analyzed by 2 experienced radiologists. Results: Cartilage of both knee joints was affected in 97.9% of soccer players. Meniscal lesions were detected in 97.8% of joints, affecting both joints in 93.6% of athletes. Grade 2 cartilage lesions were the most prevalent (36%-60% depending on the lesion site), and grade 4 lesions were detected in 12.7% of joints. The medial femoral condyle and medial tibial plateau were most frequently affected by cartilage lesions (85.1%). Among meniscal lesions, grade 2 lesions were the most prevalent, being detected in 71% of the cases. Grade 3 lesions were detected in 13.8% of the joints. The posterior horn of the lateral meniscus was the most common site of meniscal lesions (affected in 95.7% of the joints). Osteophytes were detected in 4.2% of joints. Conclusion: The prevalence of asymptomatic cartilage and meniscal lesions in the knees of adult professional soccer players is extremely high and is not associated with the reduction of sports involvement. This research should promote the correct interpretation of magnetic resonance imaging data obtained from soccer players with acute trauma and the reduction of the number of unwarranted surgical procedures.

Function of the Anterior Intermeniscal Ligament

2017 ◽  
Vol 31 (01) ◽  
pp. 068-074
Author(s):  
Swithin Razu ◽  
Keiichi Kuroki ◽  
James Cook ◽  
Trent Guess
Keyword(s):  
Computational Models ◽  
Computational Analysis ◽  
External Rotation ◽  
Knee Biomechanics ◽  
Immunohistochemical Examination ◽  
Flexion Extension ◽  
Knee Loading ◽  
Fresh Frozen ◽  
Neurologic Function ◽  
The Relationship

AbstractThe function and importance of the anterior intermeniscal ligament (AIML) of the knee are not fully known. The purpose of this study was to evaluate the biomechanical and sensorimotor function of the AIML. Computational analysis was used to assess AIML and tibiomeniscofemoral biomechanics under combined translational and rotational loading applied during dynamic knee flexion–extension. Histologic and immunohistochemical examination was used to identify and characterize neural elements in the tissue. The computational models were created from anatomy and passive motion of two female subjects and histologic examinations were conducted on AIMLs retrieved from 10 fresh-frozen cadaveric knees. It was found that AIML strain increased with compressive knee loading and that external rotation of the tibia unloads the AIML, suppressing the relationship between AIML strain and compressive knee loads. Extensive neural elements were located throughout the AIML tissue and these elements were distributed across the three AIML anatomical types. The AIMLs have a beneficial influence on knee biomechanics with decreased meniscal load sharing with AIML loss. The AIML plays a significant biomechanical and neurologic role in the sensorimotor functions of the knee. The major role for the AIML may primarily involve its neurologic function.

Correlation of Patellar Tracking Pattern With Trochlear and Retropatellar Surface Topographies

2000 ◽  
Vol 122 (6) ◽  
pp. 652-660 ◽  
Author(s):  
A. M. Ahmed ◽  
N. A. Duncan
Keyword(s):  
Three Dimensional ◽  
Knee Extension ◽  
The Other ◽  
Lateral Direction ◽  
Dial Gage ◽  
Passive Restraint ◽  
Out Of Plane ◽  
Fresh Frozen ◽  
Six Degree Of Freedom ◽  
Anterior Posterior

The study was aimed to test the hypothesis that in the knee extension range 100 to 30 deg, the patellar “out-of-plane” tracking pattern is controlled by the passive restraint provided by the topographic interaction of the patellofemoral contacting surfaces. The out-of-plane tracking pattern, i.e., the pattern of patellar displacements not in the plane of knee extension/flexion, consists of translation in the medial–lateral direction, and rotations about the anterior–posterior axis (spin) and the proximal–distal axis (tilt). Using 15 fresh-frozen knees subjected to extensor moment magnitudes comparable to those in the “static-lifting” activity (foot-ground reaction=334 N), the patellar displacements were measured using a calibrated six-degree-of-freedom electromechanical goniometer. The topographies of the trochlear and retropatellar surfaces were then measured using a calibrated traveling dial-gage arrangement and the same coordinate system used for the displacement measurements. Three indices were defined to quantify particular natural features of the three-dimensional topographies that are expected to control the patellar displacements. Correlation of the indices with their corresponding displacements showed that topographic interaction was significant in the control of all three displacements. However, for patellar spin, unlike for the other two displacements, the direction of the active quadriceps tension vector was also a significant controlling factor. Patellar medial–lateral translation was found to be controlled dominantly by the trochlear topography, while retropatellar topography also had a significant role in the control of the other two displacements. [S0148-0731(00)01406-0]

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