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Der Radiologe

, Volume 59, Issue 2, pp 155–168 | Cite as

Posteromediale Ecke des Kniegelenks

  • P. M. JungmannEmail author
CME
  • 140 Downloads

Zusammenfassung

Die posteromediale Ecke des Kniegelenks findet zunehmend Beachtung in Orthopädie, Unfallchirurgie und muskuloskelettaler Radiologie. Das mediale Kollateralband besteht aus einem oberflächlichen und einem tiefen Anteil. Zur posteromedialen Ecke werden das hintere Schrägband („posterior oblique ligament“, POL), das schräge Kniekehlenband (Lig. popliteum obliquum; „oblique popliteal ligament“, OPL), die Sehne des M. semimembranosus und ihre Arme, die posteromediale Kniegelenkkapsel und das Innenmeniskushinterhorn gerechnet. Die Strukturen verleihen dem Kniegelenk eine besondere Stabilität gegen Valgusstress, Rotationsstress und Translationsbewegungen. Verletzungen sind häufig mit schwereren Kniegelenkverletzungen assoziiert. Umso wichtiger ist es, die Strukturen und die Verletzungen in der magnetresonanztomographischen Bildgebung erkennen zu können, um eine adäquate Behandlung zu ermöglichen.

Schlüsselwörter

Knie Magnetresonanztomographie Bänder Sehnen Trauma 

Posteromedial corner of the knee

Abstract

The posteromedial corner of the knee is increasingly being recognized in orthopedic surgery, traumatology and musculoskeletal radiology. The medial collateral ligament consists of a superficial part and a deep part. The posteromedial corner consists of the posterior oblique ligament (POL), the oblique popliteal ligament (OPL), the semimembranosus tendon and its arms, the posteromedial joint capsule and the posterior horn of the medial meniscus. The structures provide stability to the knee joint with respect to valgus stress, rotational stability as well as with respect to anterior and posterior translation. Injuries are frequently associated with other severe injuries of the knee. This underlines the importance of recognizing the structures and their injuries on magnetic resonance imaging (MRI), in order to enable adequate therapy.

Keywords

Knee Magnetic resonance imaging Ligaments Tendons Injuries 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

P.M. Jungmann gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Supplementary material

Literatur

  1. 1.
    Dold AP, Swensen S, Strauss E, Alaia M (2017) The posteromedial corner of the knee: anatomy, pathology, and management strategies. J Am Acad Orthop Surg 25:752–761CrossRefGoogle Scholar
  2. 2.
    DeLong JM, Waterman BR (2015) Surgical techniques for the reconstruction of medial collateral ligament and posteromedial corner injuries of the knee: a systematic review. Arthroscopy 31:2258–2272e1CrossRefGoogle Scholar
  3. 3.
    Tibor LM, Marchant MH Jr., Taylor DC, Hardaker WT Jr., Garrett WE Jr., Sekiya JK (2011) Management of medial-sided knee injuries, part 2: posteromedial corner. Am J Sports Med 39:1332–1340CrossRefGoogle Scholar
  4. 4.
    Geiger D, Chang E, Pathria M, Chung CB (2013) Posterolateral and posteromedial corner injuries of the knee. Radiol Clin North Am 51:413–432CrossRefGoogle Scholar
  5. 5.
    Cho HW, Suh JS, Park JO, Kim HS, Chung SY, Lee YH et al (2017) Three-dimensional fast spin-echo imaging without fat suppression of the knee: diagnostic accuracy comparison to fat-suppressed imaging on 1.5T MRI. Yonsei Med J 58:1186–1194CrossRefGoogle Scholar
  6. 6.
    Fritz J, Fritz B, Thawait GG, Meyer H, Gilson WD, Raithel E (2016) Three-dimensional CAIPIRINHA SPACE TSE for 5‑minute high-resolution MRI of the knee. Invest Radiol 51:609–617CrossRefGoogle Scholar
  7. 7.
    Kijowski R, Davis KW, Woods MA, Lindstrom MJ, De Smet AA, Gold GE et al (2009) Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging—diagnostic performance compared with that of conventional MR imaging at 3.0 T. Radiology 252:486–495CrossRefGoogle Scholar
  8. 8.
    Lim D, Lee HY, Kim S, Song HT, Suh JS (2016) Clinical value of fat-suppressed 3D volume isotropic spin-echo (VISTA) sequence compared to 2D sequence in evaluating internal structures of the knee. Acta Radiol 57:66–73CrossRefGoogle Scholar
  9. 9.
    Subhas N, Kao A, Freire M, Polster JM, Obuchowski NA, Winalski CS (2011) MRI of the knee ligaments and menisci: comparison of isotropic-resolution 3D and conventional 2D fast spin-echo sequences at 3 T. AJR Am J Roentgenol 197:442–450CrossRefGoogle Scholar
  10. 10.
    De Maeseneer M, Marcelis S, Boulet C, Kichouh M, Shahabpour M, de Mey J et al (2014) Ultrasound of the knee with emphasis on the detailed anatomy of anterior, medial, and lateral structures. Skelet Radiol 43:1025–1039CrossRefGoogle Scholar
  11. 11.
    Lundquist RB, Matcuk GR Jr., Schein AJ, Skalski MR, White EA, Forrester DM et al (2015) Posteromedial corner of the knee: the neglected corner. Radiographics 35:1123–1137CrossRefGoogle Scholar
  12. 12.
    Pedersen RR (2016) The medial and posteromedial ligamentous and capsular structures of the knee: review of anatomy and relevant imaging findings. Semin Musculoskelet Radiol 20:12–25CrossRefGoogle Scholar
  13. 13.
    LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L (2007) The anatomy of the medial part of the knee. J Bone Joint Surg Am 89:2000–2010PubMedGoogle Scholar
  14. 14.
    Robinson JR, Sanchez-Ballester J, Bull AM, Rde TW, Amis AA (2004) The posteromedial corner revisited. An anatomical description of the passive restraining structures of the medial aspect of the human knee. J Bone Joint Surg Br 86:674–681CrossRefGoogle Scholar
  15. 15.
    Phisitkul P, James SL, Wolf BR, Amendola A (2006) MCL injuries of the knee: current concepts review. Iowa Orthop J 26:77–90PubMedPubMedCentralGoogle Scholar
  16. 16.
    Marchant MH Jr., Tibor LM, Sekiya JK, Hardaker WT Jr., Garrett WE Jr., Taylor DC (2011) Management of medial-sided knee injuries, part 1: medial collateral ligament. Am J Sports Med 39:1102–1113CrossRefGoogle Scholar
  17. 17.
    Miller TT (2009) Imaging of the medial and lateral ligaments of the knee. Semin Musculoskelet Radiol 13:340–352CrossRefGoogle Scholar
  18. 18.
    Hunter TB, Peltier LF, Lund PJ (2000) Radiologic history exhibit. Musculoskeletal eponyms: who are those guys? Radiographics 20:819–836CrossRefGoogle Scholar
  19. 19.
    Chang EY, Chen KC, Chung CB (2014) The shiny corner of the knee: a sign of meniscal osteochondral unit dysfunction. Skeletal Radiol 43:1403–1409CrossRefGoogle Scholar
  20. 20.
    Stannard JP (2010) Medial and posteromedial instability of the knee: evaluation, treatment, and results. Sports Med Arthrosc Rev 18:263–268CrossRefGoogle Scholar
  21. 21.
    De Maeseneer M, Shahabpour M, Lenchik L, Milants A, De Ridder F, De Mey J et al (2014) Distal insertions of the semimembranosus tendon: MR imaging with anatomic correlation. Skeletal Radiol 43:781–791CrossRefGoogle Scholar
  22. 22.
    LaPrade RF, Morgan PM, Wentorf FA, Johansen S, Engebretsen L (2007) The anatomy of the posterior aspect of the knee. An anatomic study. J Bone Joint Surg Am 89:758–764PubMedGoogle Scholar
  23. 23.
    Beltran J, Matityahu A, Hwang K, Jbara M, Maimon R, Padron M et al (2003) The distal semimembranosus complex: normal MR anatomy, variants, biomechanics and pathology. Skeletal Radiol 32:435–445CrossRefGoogle Scholar
  24. 24.
    Hansford BG, Yablon CM (2017) Multiligamentous injury of the knee: MRI diagnosis and injury patterns. Semin Musculoskelet Radiol 21:63–74CrossRefGoogle Scholar
  25. 25.
    Morgan PM, LaPrade RF, Wentorf FA, Cook JW, Bianco A (2010) The role of the oblique popliteal ligament and other structures in preventing knee hyperextension. Am J Sports Med 38:550–557CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik für RadiologieUniversitätsklinikum FreiburgFreiburgDeutschland
  2. 2.Klinik für NeuroradiologieUniversitätsspital ZürichZürichSchweiz

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