nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

28.12.2015 | Knee

Anterolateral ligament anatomy: a comparative anatomical study

verfasst von: Sheila Jean McNeill Ingham, Rogerio Teixeira de Carvalho, Cesar A. Q. Martins, Pisit Lertwanich, Rene Jorge Abdalla, Patrick Smolinski, C. Owen Lovejoy, Freddie H. Fu

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 4/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Some anatomical studies have indicated that the anterolateral ligament (ALL) of the knee is distinct ligamentous structure in humans. The purpose of this study is to compare the lateral anatomy of the knee among human and various animal specimens.

Methods

Fifty-eight fresh-frozen knee specimens, from 24 different animal species, were used for this anatomical study. The same researchers dissected all the specimens in this study, and dissections were performed in a careful and standardized manner.

Results

An ALL was not found in any of the 58 knees dissected. Another interesting finding in this study is that some primate species (the prosimians: the red and black and white lemurs) have two LCLs.

Conclusion

The clinical relevance of this study is the lack of isolation of the ALL as a unique structure in animal species. Therefore, precaution is recommended before assessing the need for surgery to reconstruct the ALL as a singular ligament.

Campos JC, Chung CB, Lektrakul N, Pedowitz R, Trudell D, Yu J, Resnick D (2001) Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology 219(2):381–386CrossRefPubMed

Carr A (2015) Arthroscopic surgery for degenerative knee. BMJ 350:h2983. doi:10.1136/bmj.h2983 CrossRefPubMed

Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A (2014) A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3117-z

Claes S, Luyckx T, Vereecke E, Bellemans J (2014) The Segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy 30(11):1475–1482CrossRefPubMed

Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J (2013) Anatomy of the anterolateral ligament of the knee. J Anatomy 223(4):321–328CrossRef

Davis DS, Post WR (1997) Segond fracture: lateral capsular ligament avulsion. J Orthop Sports Phys Ther 25(2):103–106CrossRefPubMed

De Maeseneer M, Boulet C, Willekens I, Lenchik L, De Mey J, Cattrysse E, Shahabpour M (2015) Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. Skeletal Radiol 44(3):413–421CrossRefPubMed

Dietz GW, Wilcox DM, Montgomery JB (1986) Segond tibial condyle fracture: lateral capsular ligament avulsion. Radiology 159(2):467–469CrossRefPubMed

Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA (2014) The anterolateral ligament: anatomy, length changes and association with the Segond fracture. Bone Joint J 96-B(3):325–331CrossRefPubMed

10.

Dombrowski ME, Costello JM, Ohashi B, Murawski CD, Rothrauff BB, Arilla FV, Friel NA, Fu FH, Debski RE, Musahl V (2015) Macroscopic anatomical, histological and magnetic resonance imaging correlation of the lateral capsule of the knee. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-015-3517-8 PubMed

11.

Espregueira M, da Silva MV (2006) Anatomy of the lateral collateral ligament: a cadaver and histological study. Knee Surg Sports Traumatol Arthrosc 14(3):221–228CrossRef

12.

Goldman AB, Pavlov H, Rubenstein D (1988) The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol 151(6):1163–1167CrossRefPubMed

13.

Haims AH, Medvecky MJ, Pavlovich R Jr, Katz LD (2003) MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. AJR Am J Roentgenol 180(3):647–653CrossRefPubMed

14.

Hatsushika D, Nimura A, Mochizuki T, Yamaguchi K, Muneta T, Akita K (2013) Attachments of separate small bundles of human posterior cruciate ligament: an anatomic study. Knee Surg Sports Traumatol Arthrosc 21(5):998–1004CrossRefPubMed

15.

Helito CP, Demange MK, Bonadio MB, Tirico LE, Gobbi RG, Pécora JR, Camanho GL (2013) Anatomy and histology of the knee anterolateral ligament. Orthop J Sports Med 1(7):2325967113513546CrossRefPubMedPubMedCentral

16.

Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, Demange MK (2014) MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol 43(10):1421–1427CrossRefPubMed

17.

Hughston JC (1973) A surgical approach to the medial and posterior ligaments of the knee. Clin Orthop Relat Res 91:29–33CrossRef

18.

Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part I. The medial compartment and cruciate ligaments. J Bone Joint Surg Am 58(2):159–172CrossRefPubMed

19.

Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am 58(2):173–179CrossRefPubMed

20.

Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg Am 55(5):923–940CrossRefPubMed

21.

Irvine GB, Dias JJ, Finlay DB (1987) Segond fractures of the lateral tibial condyle: brief report. J Bone Joint Surg Br 69(4):613–614PubMed

22.

Johnson LL (1979) Lateral capsular ligament complex: anatomical and surgical considerations. Am J Sports Med 7(3):156–160CrossRefPubMed

23.

LaPrade RF, Ly TV, Wentorf FA, Engebretsen L (2003) The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med 31(6):854–860PubMed

24.

LaPrade RF, Spiridonov SI, Coobs BR, Ruckert PR, Griffith CJ (2010) Fibular collateral ligament anatomical reconstructions: a prospective outcomes study. Am J Sports Med 38(10):2005–2011CrossRefPubMed

25.

LaPrade RF, Wozniczka JK, Stellmaker MP, Wijdicks CA (2010) Analysis of the static function of the popliteus tendon and evaluation of an anatomic reconstruction: the “fifth ligament” of the knee. Am J Sports Med 38(3):543–549CrossRefPubMed

26.

Lubowitz JH, Provencher MT, Brand JC, Rossi MJ (2014) The knee anterolateral ligament. Arthroscopy 30(11):1385–1388CrossRefPubMed

27.

Moorman CT 3rd, LaPrade RF (2005) Anatomy and biomechanics of the posterolateral corner of the knee. J Knee Surg 18(2):137–145CrossRefPubMed

28.

Parsons EM, Gee AO, Spiekerman C, Cavanagh PR (2015) The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med 43(3):669–674CrossRefPubMedPubMedCentral

29.

Pomajzl R, Maerz T, Shams C, Guettler J, Bicos J (2015) A review of the anterolateral ligament of the knee: current knowledge regarding its incidence, anatomy, biomechanics, and surgical dissection. Arthroscopy 31(3):583–591CrossRefPubMed

30.

Proffen BL, McElfresh M, Fleming BC, Murray MM (2012) A comparative anatomical study of the human knee and six animal species. Knee 19(4):493–499CrossRefPubMed

31.

Seebacher JR, Inglis AE, Marshall JL, Warren RF (1982) The structure of the posterolateral aspect of the knee. J Bone Joint Surg Am 64(4):536–541CrossRefPubMed

32.

Segond P (1879) Recherches cliniques et experimentales sur les epanchements sanguins du genou par entorse. Prog Med 7:297–299, 319–221, 340–291

33.

Smith TD, Deleon VB, Rosenberger AL (2013) At birth, tarsiers lack a postorbital bar or septum. Anat Rec 296(3):365–377CrossRef

34.

Spencer L, Burkhart TA, Tran MN, Rezansoff AJ, Deo S, Caterine S, Getgood AM (2015) Biomechanical analysis of simulated clinical testing and reconstruction of the anterolateral ligament of the knee. Am J Sports Med 43(9):2189–2197CrossRefPubMed

35.

Stijak L, Bumbasirevic M, Radonjic V, Kadija M, Puskas L, Milovanovic D, Filipovic B (2014) Anatomic description of the anterolateral ligament of the knee. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3422-6

36.

Takeda S, Tajima G, Fujino K, Yan J, Kamei Y, Maruyama M, Kikuchi S, Doita M (2014) Morphology of the femoral insertion of the lateral collateral ligament and popliteus tendon. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3059-5

37.

Taneja AK, Miranda FC, Braga CA, Gill CM, Hartmann LG, Santos DC, Rosemberg LA (2015) MRI features of the anterolateral ligament of the knee. Skeletal Radiol 44(3):403–410CrossRefPubMed

38.

Tantisricharoenkul G, Linde-Rosen M, Araujo P, Zhou J, Smolinski P, Fu FH (2014) Anterior cruciate ligament: an anatomical exploration in humans and in a selection of animal species. Knee Surg Sports Traumatol Arthrosc 22(5):961–971CrossRefPubMed

39.

Terry GC, LaPrade RF (1996) The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med 24(6):732–739CrossRefPubMed

40.

Van Hoof T, Cromheecke M, Tampere T, D’Herde K, Victor J, Verdonk PC (2013) The posterior cruciate ligament: a study on its bony and soft tissue anatomy using novel 3D CT technology. Knee Surg Sports Traumatol Arthrosc 21(5):1005–1010CrossRefPubMed

41.

Vieira EL, Vieira EA, da Silva RT, Berlfein PA, Abdalla RJ, Cohen M (2007) An anatomic study of the iliotibial tract. Arthroscopy 23(3):269–274CrossRefPubMed

42.

Vincent JP, Magnussen RA, Gezmez F, Uguen A, Jacobi M, Weppe F, Al-Saati MF, Lustig S, Demey G, Servien E, Neyret P (2012) The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc 20(1):147–152CrossRefPubMed

Titel: Anterolateral ligament anatomy: a comparative anatomical study
verfasst von: Sheila Jean McNeill Ingham
Rogerio Teixeira de Carvalho
Cesar A. Q. Martins
Pisit Lertwanich
Rene Jorge Abdalla
Patrick Smolinski
C. Owen Lovejoy
Freddie H. Fu
Publikationsdatum: 28.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 4/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-015-3956-2

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Traumatologische Notfälle Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Anterolateral ligament anatomy: a comparative anatomical study