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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2011

01-10-2011 | Knee

An anatomical three-dimensional study of the posteromedial corner of the knee

Authors: Moises Cohen, Diego Costa Astur, Rodrigo Castelo Branco, Ricardo de Souza Campos Fernandes, Camila Cohen Kaleka, Gustavo Gonçalves Arliani, Wahy Jalikjian, Pau Golano

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2011

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Abstract

Purpose

For many years, the anatomy of the medial knee corner has been reported. However, it is not exactly clear how all these structures function together. The purpose of this study is to identify and try to understand the relationship between the posteromedial corners of the knee using three-dimensional visualization techniques.

Materials and methods

This study comprises of 10 knees from adult corpses. Images were acquired from the dissection of different layers of the posteromedial compartment of the knee using a camera Nikon D40 and AF-S Nikkor 18-55 mm (Nikon Corp., Japan) placed on a slide bar. The pair of images was processed using Callipyan 3D or Anabuilder software (Ana builder, France) that transforms the two different images of the same structure with the intrapupillary distance proportion into one anaglyphic image.

Results

During knee dissection, pictures were taken and transformed into three-dimensional images that become more realistic with the use of special glasses. The images were made during the dissection of the three layers of the posteromedial compartment of the knees.

Conclusions

Posteromedial corner ligament structures are quite complex and are not always clearly described in the literature. Three-dimensional images of these structures can help better understanding its anatomy.
Literature
1.
Brantigan OC, Voshell AF (1941) The mechanics of the ligaments and menisci of the knee joint. J Bone Joint Surg 23:44–66
2.
Brantigan OC, Voshell AF (1943) The tibial collateral ligament: its function, its bursae, and its relation to the medial meniscus. J Bone Joint Surg 25:121–131
3.
Butler DL, Noyes FR, Grood ES (1980) Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study. J Bone Joint Surg 62:259–270PubMed
4.
Fanelli GC, Harris JD (2006) Surgical treatment of acute medial collateral ligament and posteromedial corner injuries of the knee. Sports Med Arthrosc 14:78–83PubMedCrossRef
5.
Friden T, Erlandsson T, Zatterstrom R, Lindstrand A, Moritz U (1995) Compression or distraction of the anterior cruciate injured knee. Variations in injury pattern in contact sports and downhill skiing. Knee Surg Sports Traumatol Arthrosc 3:144–147PubMedCrossRef
6.
Gollehon DL, Torzilli PA, Warren RF (1987) The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg 69:233–242PubMed
7.
Gray H, Ellis H (2005) Knee.Gray’s anatomy: the anatomical basis of clinical practice. Churchill Livingstone, New York
8.
Griffith CJ, Wijdicks CA, LaPrade RF, Armitage BM, Johansen S, Engebretsen L (2009) Force measurements on the posterior oblique ligament and superficial medial collateral ligament proximal and distal divisions to applied loads. Am J Sports Med 37:140–148PubMedCrossRef
9.
Grood ES, Noyes FR, Butler DL, Suntay WJ (1981) Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact human cadaver knees. J Bone Joint Surg 63:1257–1269PubMed
10.
Grood ES, Stowers SF, Noyes FR (1988) Limits of movement in the human knee. Effect of sectioning the posterior cruciate ligament and posterolateral structures. J Bone Joint Surg 70:88–97PubMed
11.
Hughston JC (1994) The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg 76:1328–1344PubMed
12.
Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg 55:923–940PubMed
13.
Jacobson KE, Chi FS (2006) Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee. Sports Med Arthrosc 14:58–66PubMedCrossRef
14.
Jarvinen M, Natri A, Laurila S, Kannus P (1994) Mechanisms of anterior cruciate ligament ruptures in skiing. Knee Surg Sports Traumatol Arthrosc 2:224–228PubMedCrossRef
15.
Kannus P (1988) Long-term results of conservatively treated medial collateral ligament injuries of the knee joint. Clin Orthop Relat Res 226:103–112PubMed
16.
LaPrade RF (1999) The medial collateral ligament complex and the posterolateral aspect of the knee. Orthopaedic Knowledge update: sports medicine 2. E. A. Arendt, Rosemont
17.
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 89:2000–2010PubMedCrossRef
18.
Last RJ (1948) Some anatomical details of the knee joint. J Bone Joint Surg 30-B:683–688
19.
Loredo RJ, Hodler J, Pedowitz R, Yeh LR, Trudell D, Resnick D (1999) Posteromedial corner of the knee: MR imaging with gross anatomic correlation. Skelet Radiol 28:305–311CrossRef
20.
Müller W (1983) The knee: form, function and ligament reconstruction. Springer, Berlin
21.
Petersen WS, Loerch S, Schanz S, Raschke M, Zantop T (2008) The role of the posterior oblique ligament in controlling posterior tibial translation in the posterior cruciate ligament-deficient knee. Am J Sports Med 36:495–501PubMedCrossRef
22.
Ribas GC, Bento RF, Rodrigues AJ (2001) Anaglyphic three-dimensional stereoscopic printing: revival of an old method for anatomical and surgical teaching and reporting. J Neurosur 95:1057–1066CrossRef
23.
Ribas GC, Ribas EC, Rodrigues AJ (2006) The brain, the tridimensional vision, and the techniques to obtain stereoscopic images. Rev Med Sao Paulo 85:78–90
24.
Robinson JR, Bull AM, Thomas RR, Amis AA (2006) The role of the medial collateral ligament and posteromedial capsule in controlling knee laxity. Am J Sports Med 34:1815–1823PubMedCrossRef
25.
Robinson JR, Sanchez-Ballester J, Bull AM, Thomas Rde W, 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 86:674–681CrossRef
26.
Shimizu S, Tanaka R, Rhoton AL, Fukushima Y, Osawa S, Kawashima M, Oka H, Fujii K (2006) Anatomic dissection and classic three-dimensional documentation: a unit of education for neurosurgical anatomy revisited. Neurosurgery 58:E1000PubMedCrossRef
27.
Stannard JP (2010) Medial and posteromedial instability of the knee: evaluation, treatment, and results. Sports Med Arthrosc 18:263–268PubMedCrossRef
28.
Warren LF, Marshall JL, Girgis F (1974) The prime static stabilizer of the medical side of the knee. J Bone Joint Surg 56:665–674PubMed
29.
Warren LF, Marshall JL (1979) The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg 61:56–62PubMed
Metadata
Title
An anatomical three-dimensional study of the posteromedial corner of the knee
Authors
Moises Cohen
Diego Costa Astur
Rodrigo Castelo Branco
Ricardo de Souza Campos Fernandes
Camila Cohen Kaleka
Gustavo Gonçalves Arliani
Wahy Jalikjian
Pau Golano
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1615-9

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