Abstract
The perpose of this study was to provide a comprehensive description of the anatomy of the medial patellofemoral ligament (MPFL). The anterior and medial aspects of 4 unpreserved and 16 preserved cadaveric human knees were dissected with particular attention being paid to the relationship of the various layers to one another and to the place of the MPFL within these layers. We confirmed that the MPFL is a distinct structure lying within layer II. Its bulk varies considerably between individuals but not from side to side in a given individual. The visualisation, attachments, and gross morphology of the ligament are described. The attachments of the MPFL and the orientation of its fibres suggest that it may have a role in limiting lateral excursion of the parella. The common attachment of the tendon of the vastus medialis muscle and the ligament to the superomedial patella suggests that there may be a dynamic element to such a stabilishing function.
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References
Conlan T, Garth WP, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanisms of the knee. J Bone Joint Surg [Am] 75: 682–693
Garrett WE, Poggi J, Bassett FH, Feagin JA, Lohnes J, Speer KP (1993) Medial patellofemoral ligament injury in acute dislocation of the patella. Presented at the 19th annual Meeting of the American Orthopaedic Society of Sports Medicine. Sun Valley, Idaho
Gomes JLE (1992) Medial patellofemoral ligament reconstruction for recurrent dislocation of the patella: a preliminary report. Arthroscopy 8: 335–340
Fulkerson JP, Hungerford DS (1990) Disorders of the patellofemoral joint. 2nd edn. Williams & Wilkins, Baltimore, pp 14–17
Kallio P, Nikku R, Nietosvaara Y, Aalto K (1993) Acute patella dislocation in adolescents and young adults. Presented at the 53rd Annual Scientific Meeting of the Australian Orthopaedic Association, Adelaide, South Australia
Terry GC (1989) The anatomy of the extensor mechanism. Clin Sports Med 8: 163–177
Warren LF, Marshall DVM (1979) The supporting structures and layers on the medial side of the knee. J Bone Joint Surg [Am] 61: 56–62
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Feller, J.A., Feagin, J.A. & Garrett, W.E. The medial patellofemoral ligament revisited: an anatomical study. Knee Surg, Sports traumatol, Arthroscopy 1, 184–186 (1993). https://doi.org/10.1007/BF01560202
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DOI: https://doi.org/10.1007/BF01560202