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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 12, Issue 5, pp 429–433 | Cite as

An anatomical study of the meniscofibular ligament

  • Murat Bozkurt
  • Alaittin Elhan
  • İbrahim Tekdemir
  • Ergin Tönük
Knee

Abstract

We examined the anatomical structure of a ligament (ligamentum meniscofibulare) between apex fibulae and lateral meniscus by macroscopic and microscopic dissection and transillumination method in 50 knees of 25 cadavers (5 were fresh). We analyzed the function of this ligament, which runs between the head of the fibulae and lateral meniscus. The existence of a connection between knee joint and proximal tibiofibular joint was demonstrated by injecting colored liquid into the knee joint space and transillumination. The mensicofibular ligament is a capsular ligament originating from the lateral meniscus that is anterior to the popliteal muscle tendon. The meniscofibular ligament, which is attached to fibula with rotatory motion at one end and to the lateral meniscus at the other, is believed to position the lateral meniscus and therefore to play a key role in the knee joint.

Keywords

Meniscofibular ligament Fibular rotation Proximal tibiofibular joint 

Notes

Acknowledgements

This work was supported by the Scientific and Technical Research Council of Turkey (TÜBİTAK) Health Sciences (SBAG) grant 2592.

References

  1. 1.
    Bozkurt M, Yilmaz E, Atlihan D, Havitcioglu H, Gunal I (1993) The proximal tibiofibular joint, an anatomic study. Clin Orthop 403:136–140Google Scholar
  2. 2.
    Covey DC (2001) Injuries of the posterolateral corner of the knee. Current concepts review. J Bone Joint Surg Am 83:106–118CrossRefGoogle Scholar
  3. 3.
    De Maeseneer M, Shahabpour M, Vanderdood K, De Ridder F, Van Roy F, Osteaux M (2001) Posterolateral supporting structures of the knee: findings on anatomic dissection, anatomic slices and MR images. Eur Radiol 11:2170–2177CrossRefPubMedGoogle Scholar
  4. 4.
    Eichenblat M, Nathan H (1983) The proximal tibiofibular joint: an anatomical study with clinical and pathological considerations. Int Orthop 7:31–39PubMedGoogle Scholar
  5. 5.
    Krudwig WK, Witzel U, Ullrich K (2002) Posterolateral aspect and stability of the knee joint. II. Posterolateral instability and effect of isolated and combined posterolateral reconstruction on knee stability: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 10:91–95Google Scholar
  6. 6.
    LaPrade RF, Wentorf F (2002) Diagnosis and treatment of posterolateral knee injuries. Clin Orthop 402:110–121PubMedGoogle Scholar
  7. 7.
    LaPrade RF, Gilbert TJ, Bollom TS, Wentorf F, Chaljub G (2000) The magnetic resonance imaging appearance of individual structures of the posterolateral knee. Am J Sports Med 28:191–199PubMedGoogle Scholar
  8. 8.
    Marshall JG, Girgis FG, Zelko RR (1972) The biceps femoris tendon and its functional significance. J Bone Joint Surg Am 54:1444–1450PubMedGoogle Scholar
  9. 9.
    Maynard MJ, Deng X, Wickiewicz TL, Warren RF (1996) The popliteofibular ligament. Am J Sports Med 24:311–316PubMedGoogle Scholar
  10. 10.
    Ogden JA (1974) The anatomy and function of the proximal tibiofibular joint. Clin Orthop 101:191–191Google Scholar
  11. 11.
    Resnick D, Newell JD, Guerra J, Danzig LA, Niwayama G, Goergen TG (1978) Proximal tibiofibular joint: anatomic-pathologic-radiographic correlation. AJR Am J Roentgenol 131:133–138PubMedGoogle Scholar
  12. 12.
    Shahane SA, Ibbotson C, Strachan R, Bickerstaff DR (1999) The popliteofibular ligament. J Bone Joint Surg Br 81:636–642PubMedGoogle Scholar
  13. 13.
    Sugita T, Amis AA (2001) Anatomic and biomechanical study of the lateral collateral and popliteofibular ligaments. Am J Sports Med 29:466–472PubMedGoogle Scholar
  14. 14.
    Takabe K, Nakagawa A, Minami H, Kanazawa H, Hirohata H (1984) Role of the fibula in weightbearing. Clin Orthop 184:289–292PubMedGoogle Scholar
  15. 15.
    Ullrich K, Krudwig WK, Witzel U (2002) Posterolateral aspect and stability of the knee joint. I. Anatomy and function of the popliteus muscle-tendon unit: an anatomical and biomechanical study. Knee Surg Sports Traumatol Arthrosc 10:86–90Google Scholar
  16. 16.
    Veltri DM, Deng XH, Torzilli PA, Maynard MJ, Warren RF (1996) The role of the popliteofibular ligament in stability of the human knee. Am J Sports Med 24:19–27PubMedGoogle Scholar
  17. 17.
    Veth RPH, Kingma LM, Nielsen HKL (1984) The abnormal proximal tibiofibular joint. Arch Orthop Trauma Surg 102:167–171PubMedGoogle Scholar
  18. 18.
    Weinert CR, McMaster J, Ferguson RJ (1973) Dynamic function of the human fibula. Am J Anat 138:145–149PubMedGoogle Scholar
  19. 19.
    Williams LP, Warwick R, Dyson M, Bannister LH (1989) Gray’s anatomy, 37th edn. Churchill Livingstone, NorwichGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Murat Bozkurt
    • 1
    • 2
  • Alaittin Elhan
    • 3
  • İbrahim Tekdemir
    • 3
  • Ergin Tönük
    • 4
  1. 1.Department of Orthopaedics and Traumatology, Emergency Care and Traumatology HospitalBalgatAnkaraTurkey
  2. 2.AnkaraTurkey
  3. 3.Department of Anatomy, Faculty of MedicineAnkara UniversityAnkaraTurkey
  4. 4.Department of Mechanical Engineering, Faculty of EngineeringMiddle East Technical UniversityAnkaraTurkey

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