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Muscles and Tendons

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MRI of the Knee

Abstract

The muscles groups around the knee have an antigravity role and offer knee stabilization during standing position and stability in a variety of different positions. They can be classified based on their anatomic location as well as on their function. The muscles of the thigh and lower leg are comprised of compartments defined as distinct anatomical spaces bordered by fascia or bone. The knowledge of the anatomical bounders of the compartments is important especially in describing the extension of the soft tissue tumors (e.g., extra- or intracompartmental). The anterior compartment of the thigh is represented by the quadriceps muscle, the sartorius, and the tensor fascia latae. The posterior compartment includes the hamstring muscles (the semitendinosus, the semimembranosus, and the biceps femoris). The medial compartment contains the gracilis and the adductor muscles. The gastrocnemius muscles are included together with the soleus muscle in the superficial posterior compartment of the lower leg.

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References

  1. Waligora AC, Johanson NA, Hirsch BE. Clinical anatomy of the quadriceps femoris and extensor apparatus of the knee. Clin Orthop Relat Res. 2009;467(12):3297–306.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Zeiss J, Saddemi SR, Ebraheim NA. MR imaging of the quadriceps tendon: normal layered configuration and its importance in cases of tendon rupture. AJR Am J Roentgenol. 1992;159(5):1031–4.

    Article  CAS  PubMed  Google Scholar 

  3. Fulkerson JP, Gossling HR. Anatomy of the knee joint lateral retinaculum. Clin Orthop Relat Res. 1980;153:183–8.

    PubMed  Google Scholar 

  4. Vieira EL, et al. An anatomic study of the iliotibial tract. Arthroscopy. 2007;23(3):269–74.

    Article  PubMed  Google Scholar 

  5. Munshi M, et al. MR imaging, MR arthrography, and specimen correlation of the posterolateral corner of the knee: an anatomic study. AJR Am J Roentgenol. 2003;180(4):1095–101.

    Article  PubMed  Google Scholar 

  6. Staubli HU, Birrer S. The popliteus tendon and its fascicles at the popliteal hiatus: gross anatomy and functional arthroscopic evaluation with and without anterior cruciate ligament deficiency. Arthroscopy. 1990;6(3):209–20.

    Article  CAS  PubMed  Google Scholar 

  7. Watanabe Y, et al. Functional anatomy of the posterolateral structures of the knee. Arthroscopy. 1993;9(1):57–62.

    Article  CAS  PubMed  Google Scholar 

  8. Recondo JA, et al. Lateral stabilizing structures of the knee: functional anatomy and injuries assessed with MR imaging. Radiographics. 2000;20 Spec No:S91–102.

    Article  CAS  PubMed  Google Scholar 

  9. Bolog N, Hodler J. MR imaging of the posterolateral corner of the knee. Skeletal Radiol. 2007;36(8):715–28.

    Article  PubMed  Google Scholar 

  10. Levien LJ. Popliteal artery entrapment syndrome. Semin Vasc Surg. 2003;16(3):223–31.

    Article  PubMed  Google Scholar 

  11. Macedo TA, et al. Popliteal artery entrapment syndrome: role of imaging in the diagnosis. AJR Am J Roentgenol. 2003;181(5):1259–65.

    Article  PubMed  Google Scholar 

  12. Kim HK, Laor T, Racadio JM. MR imaging assessment of the lateral head of the gastrocnemius muscle: prevalence of segmental anomalous origins in children and young adults. Pediatr Radiol. 2008;38(12):1300–5.

    Article  PubMed  Google Scholar 

  13. Tubbs RS, Salter EG, Oakes WJ. Dissection of a rare accessory muscle of the leg: the tensor fasciae suralis muscle. Clin Anat. 2006;19(6):571–2.

    Article  PubMed  Google Scholar 

  14. Sookur PA, et al. Accessory muscles: anatomy, symptoms, and radiologic evaluation. Radiographics. 2008;28(2):481–99.

    Article  PubMed  Google Scholar 

  15. Beiner JM, Jokl P. Muscle contusion injuries: current treatment options. J Am Acad Orthop Surg. 2001;9(4):227–37.

    CAS  PubMed  Google Scholar 

  16. Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med. 2010;3(1–4):26–31.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Ryan JB, et al. Quadriceps contusions. West Point update. Am J Sports Med. 1991;19(3):299–304.

    Article  CAS  PubMed  Google Scholar 

  18. Mueller-Wohlfahrt HW, et al. Terminology and classification of muscle injuries in sport: the Munich consensus statement. Br J Sports Med. 2013;47(6):342–50.

    Article  PubMed Central  PubMed  Google Scholar 

  19. El-Khoury GY, et al. Imaging of muscle injuries. Skeletal Radiol. 1996;25(1):3–11.

    Article  CAS  PubMed  Google Scholar 

  20. Beiner JM, Jokl P. Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res. 2002;403S:S110–S119. doi: 10.1097/00003086-200210001-00013

    Google Scholar 

  21. Kransdorf MJ, Meis JM, Jelinek JS. Myositis ossificans: MR appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1991;157(6):1243–8.

    Article  CAS  PubMed  Google Scholar 

  22. Malliaropoulos N, et al. Posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2010;38(9):1813–9.

    Article  PubMed  Google Scholar 

  23. Orchard J, Best TM, Verrall GM. Return to play following muscle strains. Clin J Sport Med. 2005;15(6):436–41.

    Article  PubMed  Google Scholar 

  24. Sonin AH, et al. MR imaging appearance of the extensor mechanism of the knee: functional anatomy and injury patterns. Radiographics. 1995;15(2):367–82.

    Article  CAS  PubMed  Google Scholar 

  25. Bencardino JT, et al. Traumatic musculotendinous injuries of the knee: diagnosis with MR imaging. Radiographics. 2000;20 Spec No:S103–20.

    Article  CAS  PubMed  Google Scholar 

  26. Helfenstein Jr M, Kuromoto J. Anserine syndrome. Rev Bras Reumatol. 2010;50(3):313–27.

    Article  PubMed  Google Scholar 

  27. Chan KK, et al. Posteromedial tibial plateau injury including avulsion fracture of the semimembranous tendon insertion site: ancillary sign of anterior cruciate ligament tear at MR imaging. Radiology. 1999;211(3):754–8.

    Article  CAS  PubMed  Google Scholar 

  28. Menz MJ, Lucas GL. Magnetic resonance imaging of a rupture of the medial head of the gastrocnemius muscle. A case report. J Bone Joint Surg Am. 1991;73(8):1260–2.

    CAS  PubMed  Google Scholar 

  29. Helms CA, Fritz RC, Garvin GJ. Plantaris muscle injury: evaluation with MR imaging. Radiology. 1995;195(1):201–3.

    Article  CAS  PubMed  Google Scholar 

  30. Messier SP, et al. Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995;27(7):951–60.

    Article  CAS  PubMed  Google Scholar 

  31. Fredericson M, et al. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000;10(3):169–75.

    Article  CAS  PubMed  Google Scholar 

  32. Ellis R, Hing W, Reid D. Iliotibial band friction syndrome–a systematic review. Man Ther. 2007;12(3):200–8.

    Article  PubMed  Google Scholar 

  33. Lavine R. Iliotibial band friction syndrome. Curr Rev Musculoskelet Med. 2010;3(1–4):18–22.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Tenforde AS, et al. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011;3(2):125–31; quiz 131.

    Article  PubMed  Google Scholar 

  35. Devan MR, et al. A prospective study of overuse knee injuries among female athletes with muscle imbalances and structural abnormalities. J Athl Train. 2004;39(3):263–7.

    PubMed Central  PubMed  Google Scholar 

  36. Rumball JS, et al. Rowing injuries. Sports Med. 2005;35(6):537–55.

    Article  PubMed  Google Scholar 

  37. Strauss EJ, et al. Iliotibial band syndrome: evaluation and management. J Am Acad Orthop Surg. 2011;19(12):728–36.

    PubMed  Google Scholar 

  38. Fairclough J, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309–16.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Muhle C, et al. Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees. Radiology. 1999;212(1):103–10.

    Article  CAS  PubMed  Google Scholar 

  40. Martens M, Libbrecht P, Burssens A. Surgical treatment of the iliotibial band friction syndrome. Am J Sports Med. 1989;17(5):651–4.

    Article  CAS  PubMed  Google Scholar 

  41. Becker EH, Watson JD, Dreese JC. Investigation of multiligamentous knee injury patterns with associated injuries presenting at a level I trauma center. J Orthop Trauma. 2013;27(4):226–31.

    Article  PubMed  Google Scholar 

  42. Brown TR, et al. Diagnosis of popliteus injuries with MR imaging. Skeletal Radiol. 1995;24(7):511–4.

    Article  CAS  PubMed  Google Scholar 

  43. Gottsegen CJ, et al. Avulsion fractures of the knee: imaging findings and clinical significance. Radiographics. 2008;28(6):1755–70.

    Article  PubMed  Google Scholar 

  44. Vayvada H, et al. Giant ganglion cyst of the quadriceps femoris tendon. Knee Surg Sports Traumatol Arthrosc. 2003;11(4):260–2.

    Article  PubMed  Google Scholar 

  45. Kim SK, et al. Intratendinous ganglion cyst of the semimembranosus tendon. Br J Radiol. 2010;83(988):e79–82.

    Article  CAS  PubMed  Google Scholar 

  46. Jose J, O’Donnell K, Lesniak B. Symptomatic intratendinous ganglion cyst of the patellar tendon. Orthopedics. 2011;34(2):135.

    PubMed  Google Scholar 

  47. Robertson DE. Cystic degeneration of the peroneus brevis tendon. J Bone Joint Surg Br. 1959;41-B(2):362–4.

    CAS  PubMed  Google Scholar 

  48. Pedrinelli A, et al. Anterior cruciate ligament ganglion: case report. Sao Paulo Med J. 2002;120(6):195–7.

    Article  PubMed  Google Scholar 

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Bolog, N.V., Andreisek, G., Ulbrich, E.J. (2015). Muscles and Tendons. In: MRI of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-319-08165-6_9

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  • DOI: https://doi.org/10.1007/978-3-319-08165-6_9

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  • Publisher Name: Springer, Cham

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