scholarly journals Huge Insertional Bone Cyst at the Femoral Attachment of the Posterior Cruciate Ligament in the Knee

2021 ◽  
Vol 56 (5) ◽  
pp. 445
Author(s):  
Kyoung-Dae Min ◽  
Kyoung-Bum Kim ◽  
Whi-Je Cho
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Bone Cyst ◽  
Femoral Attachment

Posterior Cruciate Ligament Femoral Insertion Site Characteristics: Importance for Reconstructive Procedures

2002 ◽  
Vol 30 (5) ◽  
pp. 643-651 ◽  
Author(s):  
Etienne A. Mejia ◽  
Frank R. Noyes ◽  
Edward S. Grood
Keyword(s):  
Articular Cartilage ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Insertion Site ◽  
Femoral Shaft ◽  
Surgical Reconstruction ◽  
Anatomic Study ◽  
Reconstructive Procedures ◽  
Femoral Attachment ◽  
Site Characteristics

Background: Previous descriptions of the insertion site of the posterior cruciate ligament are inadequate. Hypothesis: More than one reference system is required to adequately represent the anatomy of the femoral attachment. Study Design: Descriptive anatomic study. Methods: Twelve cadaveric specimens were evaluated by using two measurement methods relative to the femoral articular cartilage margin and two methods relative to the intercondylar femoral roof. Results: Reference lines perpendicular to the articular cartilage best defined the 12- and 1-o'clock positions, and those perpendicular to the articular cartilage or parallel to the femoral shaft best defined the 2-, 3-, and 4-o'clock positions. The angle of the proximal attachment to the roof was 88° ± 5.5°. The posterior cruciate ligament was a continuum of fibers rather than two distinct bundles, and its attachment showed variability in shape and thickness, extending past the midline in the notch (11:21 ± 15 minutes to 4:12 ± 20 minutes, right knee). Conclusions: More than one measurement system is required to accurately describe the femoral origin of the posterior cruciate ligament. Clinical Relevance: Accurate assessment of the anatomy is crucial for successful surgical reconstruction of the posterior cruciate ligament femoral attachment.

Topography of the Femoral Attachment of the Posterior Cruciate Ligament

2009 ◽  
Vol 91 (Suppl 2) ◽  
pp. 89-100 ◽  
Author(s):  
Brian Forsythe ◽  
Christopher Harner ◽  
Cesar AQ Martins ◽  
Wei Shen ◽  
Osmar V Lopes ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Femoral Attachment

scholarly journals Arthroscopic Fixation of Osteochondral Avulsion Fracture of the Femoral Attachment of the Posterior Cruciate Ligament in an 82-Year-Old Patient: A Case Report

2018 ◽  
Vol 9 ◽  
pp. 215145931879817
Author(s):  
Masakazu Ishikawa ◽  
Kenji Kobayashi ◽  
Nobuo Adachi
Keyword(s):  
Elderly Patient ◽  
Posterior Cruciate Ligament ◽  
Daily Activity ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Suture Technique ◽  
Invasive Approach ◽  
Femoral Attachment ◽  
Osteochondral Fragment ◽  
Femoral Avulsion

Femoral avulsion fracture of the posterior cruciate ligament (PCL) is less common compared to the tibial side. Especially, femoral avulsion in an elderly patient is an extremely rare condition. Until now, there is no report that describes its treatment and clinical outcome in elderly patients. We demonstrate an 82-year-old female who presented with osteochondral avulsion fracture of the femoral attachment of the PCL. The osteochondral fragment was fixed with an arthroscopic transfemoral suture technique. After treatment, the pain was improved and the patient achieved previous daily activity within 6 weeks. After 6 months, plain X-ray and computed tomography scans demonstrated consolidation of osteochondral fragment. The Lysholm score was 78 points at final office visit. This simple and less invasive approach is useful for pain relief and earlier return to daily activity in an elderly patient with osteoporosis.

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