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How    to    cite    this    Article:     Geetharani    BG,    Betty    Anna    Jose,    Shashirekha    M,    Varsha    Mokhasi.     MORPHOLOGICAL    STUDY    OF    THE MENISCOFEMORAL LIGAMENTS.  Int J Anatomy Res 2016;4(4):3129-3133. DOI: 10.16965/ijar.2016.418.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijar.2016.418 Page No.:  3129-3133
MORPHOLOGICAL STUDY OF THE MENISCOFEMORAL LIGAMENTS Geetharani BG * 1 , Betty Anna Jose 1 , Shashirekha M 2 , Varsha Mokhasi 3 . *1  Assistant Professor, Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India. 2 Professor, Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India. 3  Professor and Head, Department of Anatomy, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India Corresponding   author:   Dr.      Geetha   Rani   B.G,   Senior   tutor,   Department   of   Anatomy,   Vydehi   Institute   of   Medical   Sciences   and   Research   Centre,   Bengaluru   560066, Karnataka, India. E-Mail:  lalithgeetha246@gmail.com   ABSTRACT Background:    A   thorough   understanding   on   the   support   or   restraint   system   of   knee   joint   is   of   significant   importance   considering   the   stress   and   strain imparted   to   it   as   man   adopted   the   erect   posture   and   performed   various   movements   during   evolution.   The   main   support   of   knee   joint   is   formed   by collateral    and    cruciate    ligaments.    Secondary    supports    are    formed    by    meniscofemoral,    transverse    meniscal    and    coronary    ligaments.    This    study    is endeavoured to understand the meniscofemoral ligaments and their attachments in cadavers belonging to south Indian population.  Material   and   Methods:    This   study   was   conducted   in   the   Department   of   Anatomy,   Vydehi   institute   of   medical   sciences,   Bengaluru.   Knee   joints   were   studied in   40   human   adult   cadavers   aged   above   50   years.   Menisco   femoral   ligaments   and   cruciate   ligaments   were   dissected   and   exposed.   All   their   attachments, length and mid width measurements were noted. Results :   Anterior   menisco   femoral   ligament   alone   was   seen   in   12.5   %   of   knee   joints,   posterior   menisco   femoral   ligament   alone   was   seen   in   30   %   of   knee joints   and   both   ligaments   were   present   in   37.5%.   Both   ligaments   were   absent   in   20%   of   knee   joints.   Average   length   of   posterior   menisco   femoral   ligament was   2.02   centimetres   and   its   mid   width   was   0.95   centimetres.   Average   length   of   anterior   menisco   femoral   ligament   was   2.79   centimetres   and   its   width   was 1.27 centimetres. Posterior menisco femoral ligament was more prevalent and larger than anterior menisco femoral ligament in aged cadavers. Conclusions:    This   study   shows   the   predominance   of   posterior   meniscofemoral   ligaments   in   its   incidence   and   morphometrics   compared   to   anterior meniscofemoral   ligaments.   Meniscofemoral   ligaments   degenerate   with   age   and   among   them   anterior   meniscofemoral   ligaments   degenerate   earlier   than posterior meniscofemoral ligaments. KEY WORDS: Knee Joint, Meniscofemoral Ligament, Cruciate Ligament. References 1 . Amis   AA,   Gupte   CM,   Bull   AM,   Edwards   A.   Anatomy   of   the   posterior   cruciate   ligament   and   the   meniscofemoral   ligaments.   Knee   Surgery,   Sports Traumatology, Arthroscopy. 2006 Mar 1;14(3):257-63. 2 . Gupte CM, Smith A, McDermott ID, Bull AM, Thomas RD, Amis AA. Meniscofemoral ligaments revisited. Bone & Joint Journal. 2002;84(6):846-51. 3 . Anderson   CJ,   Ziegler   CG,   Wijdicks   CA,   Engebretsen   L,   LaPrade   RF.   Arthroscopically   pertinent   anatomy   of   the   anterolateral   and   posteromedial   bundles of the posterior cruciate ligament. J Bone Joint Surg Am. 2012 Nov 7;94(21):1936-45. 4 . Vahey   TN,   Bennett   HT,   Arrington   LE,   Shelbourne   KD,   Ng   J.   MR   imaging   of   the   knee:   pseudotear   of   the   lateral   meniscus   caused   by   the   meniscofemoral ligament. AJR. American journal of roentgenology. 1990 Jun; 154(6):1237-9. 5 . Poirier  A, Charpy Traite d'Anatomie Humaine, Masson, Paris (1912) p. 270–6 6 . Le Minor JM. Comparative morphology of the lateral meniscus of the knee in primates. Journal of anatomy. 1990 Jun;170:161. 7 . Poynton AR, Javadpour SM, Finegan PJ, O’Brien M. The meniscofemoral ligaments of the knee. Bone & Joint Journal. 1997 Mar 1;79(2):327-30 8 . Last R. The popliteus muscle and the lateral meniscus. J Bone Joint Surg [Br] 1950;32-B:93-9. 9 . Kimura   M,   Shirakura   K,   Hasegawa   A,   Kobayashi   Y,   Udagawa   E.   Anatomy   and   pathophysiology   of   the   popliteal   tendon   area   in   the   lateral   meniscus:   2: clinical investigation. Arthroscopy 1992;8:424-7 1 0 . Ikeuchi   H.   Arthroscopic   Treatment   of   the   Discoid   Lateral   Meniscus   Technique   and   Long-term   Results.   Clinical   orthopaedics   and   related   research.   1982 Jul 1; 167:19-28. 1 1 . Watanabe   AT,   Carter   BC,   Teitelbaum   GP,   Seeger   LL,   Bradley   WG.   Normal   variations   in   MR   imaging   of   the   knee:   appearance   and   frequency.   American Journal of Roentgenology. 1989 Aug 1;153(2). 1 2 . Yamamoto   Y,   Hsu   WH,   Woo   SL,   Van   Scyoc   AH,   Takakura   Y,   Debski   RE.   Knee   stability   and   graft   function   after   anterior   cruciate   ligament   reconstruction   a comparison of a lateral and an anatomical femoral tunnel placement. The American journal of sports medicine. 2004 Dec 1;32(8):1825-32. 1 3 . Kaplan   PA,   Walker   CW,   Kilcoyne   RF,   Brown   DE,   Tusek   D,   Dussault   RG.   Occult   fracture   patterns   of   the   knee   associated   with   anterior   cruciate   ligament tears: assessment with MR imaging. Radiology. 1992 Jun;183(3):835-8. 1 4 . Wan AC, Felle P. The menisco-femoral ligaments. Clin Anat 1995; 8:323-6. 1 5 . Nagasaki   S,   Ohkoshi   Y,   Yamamoto   K,   Ebata   W,   Imabuchi   R,   Nishiike   J.   The   incidence   and   cross-sectional   area   of   the   meniscofemoral   ligament.   The American journal of sports medicine. 2006 Aug 1;34(8):1345-50. 1 6 . Harner   CD,   Xerogeanes   JW,   Livesay   GA,   et   al.   The   human   posterior   cruciate   ligament   complex:   an   interdisciplinary   study:   ligament   morphology   and biomechanical evaluation. Am J Sports Med 1995;23:736-45.
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Volume 4 |Issue 4.2 |  2016 Date of Publication:  30 November 2016
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