Abstract
There is scant information in the literature regarding the transverse genicular ligament. In order to elucidate further the anatomy and controversial function of this structure, we dissected 28 cadavers. This ligament was identified in 55% of knee joints. Morphometrically, we found a mean length and width of this ligament of 35.4 and 2.5 mm, respectively. Two (3.7%) specimens were found to have a duplicated ligament. The mean distance between the anterior attachment site of the anterior cruciate ligament onto the tibia to the transverse genicular ligament was 2.5 mm and the mean distance to this ligament to a midpoint of the tibial tuberosity was 40.5 mm The transverse genicular ligament was found to be slightly taut in extension and lax in flexion of the knee joint. Lateral and medial forces applied manually to the knee had no effect on this ligament. No tension was noted of the transverse genicular ligament with rotation of the knee. With transection of the ligament, no discernable difference in the integrity of the knee joint was observed. The mean tensile strength of this ligament was 67 N. Based on our study, the transverse genicular ligament plays a minimal part in the proper function of the knee joint. Moreover, with only approximately one-half of the knees in our study harboring this structure, one would expect a significant portion of the population to exhibit signs of biomechanical dysfunction of the knee joint which is not the case. This structure may represent a vestigal/insular part of the mesenchyme forming the menisci.
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Aydingöz Ü, Kaya A, Atay ÖA, Öztürk MH, Doral MN (2002) MR imaging of the anterior intermeniscal ligament: classification according to insertion sites. Eur Radiol 12:824–829
Biedert RM, Friederich NF (1992) Occurrence of free nerve endings in the soft tissue of the knee. A histologic investigation. Am J Sports Med 20:430–433
Chandler SB (1949) The semilunar cartilages of the knee joint. Anat Rec 103:531
Dargel J, Pohl P, Tzikaras P, Loebke J (2006) Morphometric side-to-side differences in human cruciate ligament insertions. Surg Radiol Anat 28:398–402
Erbagci H, Yildirim H, Kizikan N, Gumusburun E (2002) An MRI study of the meniscofemoral and transverse ligaments of the knee. Surg Radiol Anat 24:120–124
Hadžiselimović H (1956) Veze meniskusa lateralisa. Radovi-IV. Nauĕno društvo N.R. Bosne I Hercegovine 2:87–115
Haines RW (1942) The tetrapod knee joint. J Anat 76:270–301
Haut Donahue TL, Hull ML, Rashid MM, Jacobs CR (2003) How the stiffness of meniscal attachments and meniscal material properties affect tibio-femoral contact pressure computed using a validated finite element model of the human knee joint. J Biomech 36:19–34
Helenon O, Bastian D, Laval-Jeantet M (1989) Magnetic resonance imaging of the knee menisci. Normal aspects. Misleading images. Meniscus degeneration. Anatomic correlations. J Radiol 70:265–277
Herman LJ, Beltran J (1988) Pitfalls in MR imaging of the knee. Radiology 167:775–781
Jakubowicz M, Ratajczak W, Pytel A (2003) Variant attachments of the anterior horn of the medial meniscus. Folia Morphol 62:291–292
Kohn D, Moreno B (1995) Meniscus insertion anatomy as a basis for meniscus replacement. A morphological cadaveric study. Arthroscopy 11:96–103
LaPrade RF, Bollom TS, Wentorf FA, Willis NJ, Meister K (2005) Mechanical properties of the posterolateral structures of the knee. Am J Sports Med 33:1386–1391
Morris H (1879) Anatomy of the Joints. J and A Churchill, London, p 190
Muhle C, Thompson WO, Sciulli R, Pedowitz R, Ahn JM, Yeh L, Clopton P, Haghighi P, Trudell DJ, Resnick D (1999) Transverse ligament and its effect on meniscal motion. Correlation of kinematic MR imaging and anatomic sections. Invest Radiol 34:558–565
Nelson EW, LaPrade RF (2000) The anterior intermeniscal ligament of the knee. An anatomic study. Am J Sports Med 28:74–76
Ohkoshi Y, Takeuchi T, Inoue C, Hashimoto T, Shigenobu K, Yamane S (1997) Arthroscopic studies of variants of the anterior horn of the medial meniscus. Arthroscopy 13:725–730
Pauzat JE (1895) Etudes sur le fonctionnement des ménisques interarticulaires du genou et les lésions qui peuvent en être la conséquence. Rev Chir Paris T XV
Pfeil E (1972) Das ligamentum transversum genus. Beitr Orthop 19:268–273
Ratajczak W, Jakubowicz M, Pytel A. 2003. Transverse ligament of the knee in humans. Folia Morphol 62:293–295
Ratajczak W (2001) Transverse ligament of the knee in human embryos aged 7 and 8 weeks. Folia Morphol 60:323–331
Samoilovich EF, Serafin I (1991) Development anomalies of the menisci and transverse ligament of the knee. Ortop Travmatol Protez 11:25–30
Standring S (2005) Gray’s anatomy, 39th edn. Elsevier, Edinburgh, p 827
Woo SL, Hollis JM, Adams DJ, Lyon RM, Takai S (1991) Tensile properties of the human femur–anterior cruciate ligament–tibia complex. The effects of specimen age and orientation. Am J Sports Med 19:217–225
Živanović S (1974) Menisco-Meniscal ligaments of the human knee joint. Anat Anz Bd 135:35–42
Živanović S (1972) A note on the gorilla knee joint. Anat Anz 130:91–98
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Tubbs, R.S., Michelson, J., Loukas, M. et al. The transverse genicular ligament: anatomical study and review of the literature. Surg Radiol Anat 30, 5–9 (2008). https://doi.org/10.1007/s00276-007-0275-4
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DOI: https://doi.org/10.1007/s00276-007-0275-4