Solving the Mystery of the Antero Lateral Ligament
Introduction: The cruciate ligaments are essential for the antero-posterior stability of the knee joint. In Anterior Cruciate Ligament (ACL) rupture, though reconstructive surgery is a widely accepted and proven procedure, there is still an unacceptably high re-injury rate. The fact that the rot...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/9326/24656_CE[Ra1]_F(DK)_PF1(MS_DK)_PFA(DK)_PF2(NE_SY_DK).pdf |
| _version_ | 1818160209152966656 |
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| author | P H Sonia Farhan Rathi Sudhakaran Jai Thilak |
| author_facet | P H Sonia Farhan Rathi Sudhakaran Jai Thilak |
| author_sort | P H Sonia Farhan |
| collection | DOAJ |
| description | Introduction: The cruciate ligaments are essential for the
antero-posterior stability of the knee joint. In Anterior Cruciate
Ligament (ACL) rupture, though reconstructive surgery is a widely
accepted and proven procedure, there is still an unacceptably
high re-injury rate. The fact that the rotational instability persists
even after the surgical reconstruction of ACL injury has evoked
a new interest in the study of the soft tissue structures on the
anterolateral aspect of the knee joint. The stability of the knee
joint was found to improve dramatically if ACL reconstruction is
accompanied with the reconstruction of the anterolateral soft
structures of the knee.
Aim: To identify the attachment and observe the measurable
parameters of Antero Lateral Ligament (ALL) and its relationship
with the adjacent bony landmarks.
Materials and Methods: Twenty six cadaveric specimens of
knee joints were collected from the Department of Anatomy,
Amrita School of Medicine, Amrita Institute of Medical Sciences,
Kochi and were dissected for the anterolateral ligament. Various
parameters of ALL in extended knee- the length, width at
midpoint and at the femoral-tibial attachments and thickness–
were measured. The relationship of femoral attachment of
ALL with the lateral femoral epicondyle as well as the tibial
attachment with the Gerdy’s Tubercle (GT) and head of fibula
were also noted.
Results: ALL was identified in all the 26 cadaveric knee
specimens. It was 39.2±7.2 mm in length, 6.5±2.7 mm in width
at femoral attachment and 7.4±3.4 mm at tibial attachment,
while the thickness was 1.0±0.5 mm. At the femoral attachment
it was 7.1±3.4 mm proximal to and 4.0±2.9 mm posterior to the
lateral epicondyle while at the distal attachment it was 20.4±3.1
mm posterior to the GT and 21.33±4.6 mm anterior to the head
of the fibula.
Conclusion: The ALL was found to be a distinct, supporting
anatomical structure on the anterolateral aspect of the human
knee. There is a high incidence of ALL lesions in ACL injuries
which causes high-grade pivot-shift. The reconstruction of ALL
along with that of ACL could lead to a decrease in the re-injury
rates. The anatomical descriptions and the morphometry of ALL
may be of great value to the orthopaedic surgeons in performing
a more effective reconstructive surgery of ACL. |
| first_indexed | 2024-12-11T15:58:14Z |
| format | Article |
| id | doaj.art-00e96f96c77541c1806d55d960630f4a |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T15:58:14Z |
| publishDate | 2017-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-00e96f96c77541c1806d55d960630f4a2022-12-22T00:59:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-03-01113AC01AC0410.7860/JCDR/2017/24656.9326Solving the Mystery of the Antero Lateral LigamentP H Sonia Farhan0Rathi Sudhakaran1Jai Thilak2Undergraduate Student, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India.Professor, Department of Anatomy, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India.Professor, Department of Orthopaedics, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India.Introduction: The cruciate ligaments are essential for the antero-posterior stability of the knee joint. In Anterior Cruciate Ligament (ACL) rupture, though reconstructive surgery is a widely accepted and proven procedure, there is still an unacceptably high re-injury rate. The fact that the rotational instability persists even after the surgical reconstruction of ACL injury has evoked a new interest in the study of the soft tissue structures on the anterolateral aspect of the knee joint. The stability of the knee joint was found to improve dramatically if ACL reconstruction is accompanied with the reconstruction of the anterolateral soft structures of the knee. Aim: To identify the attachment and observe the measurable parameters of Antero Lateral Ligament (ALL) and its relationship with the adjacent bony landmarks. Materials and Methods: Twenty six cadaveric specimens of knee joints were collected from the Department of Anatomy, Amrita School of Medicine, Amrita Institute of Medical Sciences, Kochi and were dissected for the anterolateral ligament. Various parameters of ALL in extended knee- the length, width at midpoint and at the femoral-tibial attachments and thickness– were measured. The relationship of femoral attachment of ALL with the lateral femoral epicondyle as well as the tibial attachment with the Gerdy’s Tubercle (GT) and head of fibula were also noted. Results: ALL was identified in all the 26 cadaveric knee specimens. It was 39.2±7.2 mm in length, 6.5±2.7 mm in width at femoral attachment and 7.4±3.4 mm at tibial attachment, while the thickness was 1.0±0.5 mm. At the femoral attachment it was 7.1±3.4 mm proximal to and 4.0±2.9 mm posterior to the lateral epicondyle while at the distal attachment it was 20.4±3.1 mm posterior to the GT and 21.33±4.6 mm anterior to the head of the fibula. Conclusion: The ALL was found to be a distinct, supporting anatomical structure on the anterolateral aspect of the human knee. There is a high incidence of ALL lesions in ACL injuries which causes high-grade pivot-shift. The reconstruction of ALL along with that of ACL could lead to a decrease in the re-injury rates. The anatomical descriptions and the morphometry of ALL may be of great value to the orthopaedic surgeons in performing a more effective reconstructive surgery of ACL.https://jcdr.net/articles/PDF/9326/24656_CE[Ra1]_F(DK)_PF1(MS_DK)_PFA(DK)_PF2(NE_SY_DK).pdfanterior cruciate ligamentgerdy’s tuberclesegond fracture |
| spellingShingle | P H Sonia Farhan Rathi Sudhakaran Jai Thilak Solving the Mystery of the Antero Lateral Ligament Journal of Clinical and Diagnostic Research anterior cruciate ligament gerdy’s tubercle segond fracture |
| title | Solving the Mystery of the Antero Lateral Ligament |
| title_full | Solving the Mystery of the Antero Lateral Ligament |
| title_fullStr | Solving the Mystery of the Antero Lateral Ligament |
| title_full_unstemmed | Solving the Mystery of the Antero Lateral Ligament |
| title_short | Solving the Mystery of the Antero Lateral Ligament |
| title_sort | solving the mystery of the antero lateral ligament |
| topic | anterior cruciate ligament gerdy’s tubercle segond fracture |
| url | https://jcdr.net/articles/PDF/9326/24656_CE[Ra1]_F(DK)_PF1(MS_DK)_PFA(DK)_PF2(NE_SY_DK).pdf |
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