Internal Structural Connections in the Popliteal Muscle Tendon Complex and Their Clinical Significance

2021 ◽  
Author(s):  
WenBin Jiang ◽  
Shi-Zhu Sun ◽  
Ting-Wei Song ◽  
Chan Li ◽  
Wei Tang ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Knee Joint ◽  
Tibial Plateau ◽  
Lateral Meniscus ◽  
Posterior Edge ◽  
Dense Connective Tissue ◽  
Human Knee ◽  
Articular Capsule ◽  
Adjacent Structures ◽  
Popliteus Muscle

Abstract Background:The popliteal muscle-tendon complex (PMTC) belongs to the deep structure of the posterolateral complex (PLC) of human knee, which plays an important role in the posterolateral stability of the knee joint. At present, the anatomical relationship between the popliteal muscle and its adjacent structures remains controversial, especially the posterior cruciate ligament (PCL) and popliteal muscle. The revealation of anatomical connection between the popliteus muscle and its deep structures could provide an anatomical basis for the reconstruction of the PLC injury.Methods: To observe and analyze the relationship between popliteal muscle and the PCL, posterior meniscofemoral ligament (PMFL), lateral meniscus and articular capsule (AC). The dissection of 7 cases of adult human knee joint fixed with formalin, and 9 cases of sagittal P45 plastinated section of the knee joint were involved in this study. Results: For the popliteal muscle, the anatomical dissection showed that at the posterior edge of the platform of the lateral condyle of the tibia, at the tendon-muscle transition, from medial to lateral, separately sent out: dense connective tissue to connect with the PCL, dense fiber bundles to connect with the PMFL, and dense connective tissue band to connect the lateral meniscus. Meanwhile, the results of the P45 section revealed that the popliteal muscle fascia ran superiorly over the posterior edge of the tibialintercondylar eminence, andturned forward to be integrated into the PCL. Laterally, near the posterior edge of the lateral tibial plateau, the popliteal tendon penetrates through the articular capsule, where two dense fiberous bundleswere given off upwards by the popliteal tendon: one was the ventral fiber bundle,which ran superiorly over the posterior edge of the tibial plateau and then moved forwards to connect with the lateral meniscus; the dorsal fibersbundle ascended directly and participated in the AC.Conclusion: Popliteus muscle was connected with PCL, AC, lateral meniscus, and PMFL via the dense connective tissues near its tendon-muscle transition.

Electron Microscopy and Microanalysis of Ovis Aries Knee Joint Meniscus: Does it Have Any Similarity with Human Meniscus?

2020 ◽  
Author(s):  
Mohammad Nejadhosseinian ◽  
Pedram Paragomi ◽  
Reza Mastery Farahani
Keyword(s):  
Electron Microscopy ◽  
Knee Joint ◽  
Lateral Meniscus ◽  
Normal Function ◽  
Collagen Fibers ◽  
Ovis Aries ◽  
Heavy Load ◽  
Human Knee ◽  
Major Direction ◽  
Transplant Procedure

Background: Meniscus plays a pivotal role in normal function of knee joint and is exposed to heavy load of pressure and trauma. The aim in this study is to investigate ultrastructure of medial and lateral meniscus of Ovis aries, in addition to comparing the findings with human meniscal structure. Methods: 14 samples of freshly-excised meniscus of ovis aries were provided. After conventional preparation, the samples were studied via electron microscopy (EM) and its elements were microanalyzed. Results: In the macroscopic evaluation, the meniscus surface was completely smooth, but in the microscopic observation, longitudinal ridges and grooves were observed. In addition, several types of cells that were different morphologically and bundles of collagen fibers were observed. The major direction of collagen fibers was circumferentially, but there were radial fibers as well. In the microanalysis of the ovis aris meniscus, the following elements were present: sodium, carbon, and oxygen, with sodium having the highest percentage among the elements. In medial meniscus of the samples, a small amount of calcium was detected. Conclusion: By comparing the present findings with those of other studies, many similarities were observed between ultrastructure of ovis aries and human knee meniscus. The compatibility in the ultrastructures will imply the possibility of application of this specimen for xenograft meniscal transplant procedure.

MR imaging of meniscal subluxation in the knee

1997 ◽  
Vol 38 (5) ◽  
pp. 876-879 ◽  
Author(s):  
M. J. Breitenseher ◽  
S. Trattni ◽  
I. Dobrocky ◽  
C. Kukla ◽  
S. Nehrer ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Knee Joint ◽  
Tibial Plateau ◽  
Medial Meniscus ◽  
Lateral Meniscus ◽  
Joint Effusion ◽  
Normal Position ◽  
Rare Finding ◽  
Asymptomatic Volunteers ◽  
The Mean

Purpose: The aim of this study was to establish diagnostic criteria for meniscal subluxation, and to determine whether there was any connection between meniscal subluxation and other common meniscal and knee-joint abnormalities. Material and Methods: The normal position of the meniscal body was assessed in 10 asymptomatic volunteers. MR signs of meniscal subluxation were evaluated retrospectively in 60 symptomatic patients with pain in the knee, impaired mobility, and/or joint swelling who had no clear diagnosis after the evaluation of case history, clinical examination, and radiography. The criterion for subluxation of the meniscus was defined as a distance of ≥3 mm between the peripheral border of the meniscus and the edge of the tibial plateau. Results: In the volunteers, the mean distance from the medial meniscus to the edge of the tibial plateau was 0.07 mm, and that from the lateral meniscus was 0 mm. In 55 symptomatic patients without meniscal subluxation, the mean distance from.the meniscus to the edge of the tibial plateau was 0.27 mm. Five patients (8%) had evidence of meniscal subluxation, 4 in the medial meniscus and one in the lateral meniscus. The most commonly associated knee abnormality was joint effusion in 5 knees and osteoarthritis in 2 knees. Conclusion: Meniscal subluxation was not a rare finding with MR imaging in patients with painful knees. Meniscal subluxation was associated with other knee abnormalities such as joint effusion or osteoarthritis.

scholarly journals Morphometric analysis of menisci of adult human knee joint in North Indian population

2017 ◽  
Vol 5 (2) ◽  
pp. 569
Author(s):  
Jyoti Rohila ◽  
Suresh Kanta Rathee ◽  
Suresh Kumar Dhattarwal ◽  
Zile Singh Kundu
Keyword(s):  
Knee Joint ◽  
Indian Population ◽  
Medial Meniscus ◽  
Lateral Meniscus ◽  
The Body ◽  
Human Knee ◽  
Human Knee Joint ◽  
Meniscal Replacement ◽  
Adult Humans ◽  
Elastic Thread

Background: Of the synovial joints in the body knee joint is the largest. Each meniscus is a piece of fibrocartilage with a thickened outside edge and a thin inner edge so that it is wedge-shaped in cross section. The purpose of the present study was to establish database on standard dimensions in knee menisci of adults of north Indian population.Methods: The sample for this study was collected from April, 2012 to June, 2013. For this study, 200 menisci (100 right and left each) of 50 adult humans were taken for analysis. Measurements were done with the help of non-elastic thread and digital vernier calipers. All dissections were performed in a systematic fashion.Results: The width of the lateral meniscus was significantly different form medial meniscus with lateral and medial menisci widest in middle and posterior third respectively. The middle one third of both lateral and middle menisci was the thickest.Conclusions: It is always good to have a set of anatomical morphometric parameters of the menisci like the width and thickness. The measurements of suitable grafts may provide a more acceptable meniscal replacement in the future.

Load-Bearing in the Ovine Medial Tibial Condyle: Effect of Meniscectomy

1993 ◽  
Vol 06 (02) ◽  
pp. 100-104 ◽  
Author(s):  
D. M. Pickles ◽  
C. R. Bellenger
Keyword(s):  
Knee Joint ◽  
Contact Area ◽  
Mammalian Species ◽  
Total Removal ◽  
Load Bearing ◽  
Human Knee ◽  
Biochemical Effects ◽  
Pressure Sensitive ◽  
Medial Meniscectomy ◽  
Tibial Condyle

SummaryTotal removal of a knee joint meniscus is followed by osteoarthritis in many mammalian species. Altered load-bearing has been observed in the human knee following meniscectomy but less is known about biochemical effects of meniscectomy in other species. Using pressure sensitive paper in sheep knee (stifle) joints it was found that, for comparable loads, the load-bearing area on the medial tibial condyle was significantly reduced following medial meniscectomy. Also, for loads of between 50 N and 500 N applied to the whole joint, the slope of the regression of contact area against load was much smaller. Following medial meniscectomy, the ability to increase contact area as load increased was markedly reduced.The load bearing area on the medial tibial condyle was reduced following meniscectomy.

Study Surface Roughness and Friction of Synovial Human Knee Joint with Using Mathematical Model

2018 ◽  
Vol 00 (1) ◽  
pp. 109-118
Author(s):  
Enas Y. Abdullah ◽  
◽  
Naktal Moid Edan ◽  
Athraa N. Kadhim ◽  
◽  
...  
Keyword(s):  
Mathematical Model ◽  
Surface Roughness ◽  
Knee Joint ◽  
Human Knee ◽  
Human Knee Joint

scholarly journals Lateral femoral notch sign and posterolateral tibial plateau fractures and their associated injuries in the setting of an anterior cruciate ligament rupture

2021 ◽  
Author(s):  
Alexander Korthaus ◽  
Malte Warncke ◽  
Geert Pagenstert ◽  
Matthias Krause ◽  
Karl-Heinz Frosch ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Ligament Injury ◽  
Ligament Rupture ◽  
Impression Fracture ◽  
Anterior Cruciate ◽  
Lateral Femoral Notch ◽  
Femoral Notch

Abstract Introduction ACL injury is one of the most common injuries of the knee joint in sports. As accompanying osseous injuries of the ACL rupture a femoral impression the so-called lateral femoral notch sign and a posterolateral fracture of the tibial plateau are described. However, frequency, concomitant ligament injuries and when and how to treat these combined injuries are not clear. There is still a lack of understanding with which ligamentous concomitant injuries besides the anterior cruciate ligament injury these bony injuries are associated. Materials and methods One hundred fifteen MRI scans with proven anterior cruciate ligament rupture performed at our center were retrospectively evaluated for the presence of a meniscus, collateral ligament injury, a femoral impression, or a posterolateral impression fracture. Femoral impressions were described according to their local appearance and posterolateral tibial plateau fractures were described using the classification of Menzdorf et al. Results In 29 cases a significant impression in the lateral femoral condyle was detected. There was a significantly increased number of lateral meniscal (41.4% vs. 18.6% p = 0.023) and medial ligament (41.4% vs. 22.1%; p = 0.040) injuries in the group with a lateral femoral notch sign. 104 patients showed a posterolateral bone bruise or fracture of the tibial plateau. Seven of these required an intervention according to Menzdorf et al. In the group of anterior cruciate ligament injuries with posterolateral tibial plateau fracture significantly more lateral meniscus injuries were seen (p = 0.039). Conclusion In the preoperative planning of ACL rupture accompanied with a positive femoral notch sign, attention should be paid to possible medial collateral ligament and lateral meniscus injuries. As these are more likely to occur together. A posterolateral impression fracture of the tibial plateau is associated with an increased likelihood of the presence of a lateral meniscal injury. This must be considered in surgical therapy and planning and may be the indication for necessary early surgical treatment.

Effect of Tibial Tunnel Placement Using the Lateral Meniscus as a Landmark on Clinical Outcomes of Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction

2021 ◽  
pp. 036354652199967
Author(s):  
Kadir Büyükdoğan ◽  
Michael S. Laidlaw ◽  
Michael A. Fox ◽  
Michelle E. Kew ◽  
Mark D. Miller
Keyword(s):  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Tibial Tunnel ◽  
Lateral Meniscus ◽  
Knee Laxity ◽  
Pivot Shift Test ◽  
Anterior Knee Laxity ◽  
Posterior Group ◽  
Kt 1000 ◽  
Anterior Knee

Background: It remains unclear if use of the lateral meniscus anterior horn (LMAH) as a landmark will produce consistent tunnel positions in the anteroposterior (AP) distance across the tibial plateau. Purpose: To evaluate the AP location of anterior cruciate ligament (ACL) reconstruction tibial tunnels utilizing the LMAH as an intra-articular landmark and to examine how tunnel placement affects knee stability and clinical outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review was conducted of 98 patients who underwent primary ACL reconstruction with quadrupled hamstring tendon autografts between March 2013 and June 2017. Patients with unilateral ACL injuries and a minimum follow-up of 2 years were included in the study. All guide pins for the tibial tunnel were placed using the posterior border of the LMAH as an intra-articular landmark. Guide pins were evaluated with the Bernard-Hertel grid in the femur and the Stäubli-Rauschning method in the tibia. Patients were divided by the radiographic location of the articular entry point of the guide pin with relation to the anterior 40% of the tibial plateau. Outcomes were evaluated by the Marx Activity Scale and International Knee Documentation Committee (IKDC) form. Anterior knee laxity was evaluated using a KT-1000 arthrometer and graded with the objective portion of the IKDC form. Rotational stability was evaluated using the pivot-shift test. Results: A total of 60 patients were available for follow-up at a mean 28.6 months. The overall percentage of AP placement of the tibial tunnel was 39.3% ± 3.8% (mean ± SD; range, 31%-47%). Side-to-side difference of anterior knee laxity was significantly lower in the anterior group than the posterior group (1.2 ± 1.1 mm vs 2.5 ± 1.3 mm; P < .001; r = 0.51). The percentage of AP placement of the tibial tunnel demonstrated a positive medium correlation with side-to-side difference of anterior knee laxity as measured by a KT-1000 arthrometer ( r = 0.430; P < .001). The anterior group reported significantly better distribution of IKDC grading as compared with the posterior group (26 grade A and 6 grade B vs 15 grade A and 13 grade B; P = .043; V = 0.297). The pivot-shift test results and outcome scores showed no significant differences between the groups. Conclusion: Using the posterior border of the LMAH as an intraoperative landmark yields a wide range of tibial tunnel locations along the tibial plateau, with anterior placement of the tibial tunnel leading toward improved anterior knee stability.

scholarly journals A Case of Bilateral Permanent Subluxation of the Lateral Meniscus

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Jun Suganuma ◽  
Tadashi Sugiki ◽  
Yutaka Inoue
Keyword(s):  
Magnetic Resonance ◽  
Knee Joint ◽  
Lateral Meniscus ◽  
Detailed Examination ◽  
Magnetic Resonance Images ◽  
Posterior Segment ◽  
Anterior Dislocation ◽  
Normal Position ◽  
Straight Position ◽  
History Of

We report a case of bilateral, permanent subluxation of the lateral meniscus. To our knowledge, the present case is the first reported description of bilateral irreducible anterior dislocation of the posterior segment of the lateral meniscus. This disorder is characterized by a flipped meniscus sign of the lateral meniscus on sagittal magnetic resonance images of the knee joint, with no history of trauma or locking symptoms. A detailed examination of serial magnetic resonance images of the lateral meniscus can help differentiate this condition from malformation of the lateral meniscus, that is, a double-layered meniscus. We recommend two-stage treatment for this disorder. First, the knee joint is kept in straight position for 3 weeks after the lateral meniscus is reduced to the normal position. Second, if subluxation of the lateral meniscus recurs, meniscocapsular suture is then performed. Although subluxation of the lateral meniscus without locking symptoms is rare, it is important to be familiar with this condition to diagnose and treat it correctly.

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