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Quantitative analysis of the perimeniscal position of the inferior lateral genicular artery (ILGA): magnetic resonance imaging study

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Abstract

Purpose

The inferior lateral genicular artery (ILGA) passes around the lateral knee joint, adjacent to the lateral meniscus (LM). ILGA injuries in total knee arthroplasty or arthroscopic surgery can result in recurrent hemarthrosis or painful pseudoaneurysms. Detailed information about the perimeniscal position of the ILGA relative to the LM is necessary to avoid these complications.

Methods

3-T MR images of 100 knees (mean age 36.3 ± 11.2 years) were retrospectively reviewed. The perimeniscal area was divided into four regions: the anterior, middle, popliteal hiatus, and posterior zones. In each zone, the ILGA diameter, superoinferior position (assessed as the height of the ILGA from the LM base), and distance between the meniscocapsular junction and the ILGA were measured.

Results

The distance between the ILGA and meniscocapsular junction was significantly smaller in the middle zone than in the other three zones (anterior 5.3 ± 0.8 mm, middle 1.4 ± 0.4 mm, popliteal hiatus 6.1 ± 1.0 mm, and posterior 5.6 ± 1.5 mm, p < 0.05). In the superoinferior position, the height of the ILGA was 3.4 ± 0.9 mm in the anterior zone, 0.4 ± 1.3 mm in the middle zone, − 1.9 ± 1.8 mm in the popliteal hiatus zone, and − 1.3 ± 4.3 mm in the posterior zone. When the LM bottom is the base, the ILGA was located superiorly in the anterior zone, close to the base in the middle zone, and inferiorly in the popliteal hiatus zone.

Conclusions

To avoid ILGA injury, close attention is necessary during surgical procedures involving the meniscocapsular junction of the LM, especially at the meniscal base in the middle zone.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, 82, Gumi-ro 173, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea

    Jiwon Park & Tae Woo Kim

  2. Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, 77, Sakju-ro, Chuncheon-si, Gangwon-do, 200-704, South Korea

    Sang Soo Lee

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  1. Jiwon Park
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  2. Sang Soo Lee
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Contributions

Kim: protocol development, data analysis, manuscript editing. Park: data collection, data analysis, manuscript writing. Lee: data collection, data analysis.

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Correspondence to Tae Woo Kim.

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The authors declare that they have no conflict of interest.

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Park, J., Lee, S.S. & Kim, T.W. Quantitative analysis of the perimeniscal position of the inferior lateral genicular artery (ILGA): magnetic resonance imaging study. Surg Radiol Anat 40, 823–828 (2018). https://doi.org/10.1007/s00276-018-2031-3

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  • DOI: https://doi.org/10.1007/s00276-018-2031-3

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