Measuremen of knee anterior lateral ligament and its clinical significance

doi:10.16098/j.issn.0529-1356.2022.02.015

Abstract

Abstract:

Objective To obtain the anatomy parameters of the anterior lateral ligament (ALL) of the knee, such as the appearance rate, morphology and anatomic relationship with adjacent structures. Methods Totally 40 cases of Chinese adult cadaveric lower limb specimens were studied. The anterolateral section of the knee was dissected and ALL was exposured. The anatomic relationship between ALL and neighboring structures was observed and the length, thickness and width were measured when the knee joints were flexed to 90°. Results The average length of the ALL was (38.04 ± 6.14) mm, the width was (5.39 ± 2.80) mm and the thickness was (0.93 ± 0.52) mm when the knee flexion angle was 90°. Conclusion The anterior lateral ligament (ALL) is a unique and definite ligament of the knee joint, which has great significance for the stability of the knee joint.

Key words: Knee, Anterior cruciate ligament, Anterior lateral ligament, Rotating instability, Anatomical measurement, Human

CLC Number:

R322

ZHANG Zhen-hua PENG Shi-qin XIA Dan-hao WANG Yong-kui XU Gao-lei TANG Li-ming. Measuremen of knee anterior lateral ligament and its clinical significance[J]. Acta Anatomica Sinica, 2022, 53(2): 242-245.

References

［1］ Segond P. Recherches cliniques et experimentales surles epanchements sanguins du genou par entorse ［J］. Le Progrés Médical, 1879, 7:297-299.

［2］ Hughston JC, Andrews J, Cross M, et al. Classification of knee ligament instabilities. Part Ⅱ. The lateral compartment［J］.J Bone Joint Surg (Am), 1976, 58(2):173-179.

［3］ Campos JC, Chung CB, Lektrakul N, et al. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion［J］. Radiology, 2001, 219(2):381-386.

［4］ Terry GC, Laprade RF. The posterolateral aspect of the knee. Anatomy and surgical approach［J］. Am J Sports Med, 1996, 24(6):732-739.

［5］ Vieira EL, Vieira EA, da silva RT, et al. An anatomic study of the iliotibial tract［J］. Arthroscopy, 2007, 23(3):269-274.

［6］ Dietz GW, Wilcox DM, Montgomery JB. Segond tibial condyle fracture: lateral capsular ligament avulsion［J］. Radiology, 2013, 159(2):467-469.

［7］ Goldman AB, Pavlov H, Rubenstein D. The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage［J］. AJR Am J Roentgenol, 1988, 151(6):1163-1167.

［8］ Claes S, Vereecke E, Maes M, et al. Anatomy of the anterolateral ligament of the knee［J］. J Anat, 2013, 223(4):321-328.

［9］ Leuven KU . Surgeons decribe new ligament in the human knee ［EB/OL］. Science Daily, 5 November 2013.

［10］ Helito CP, Demange MK, Bonadio MB, et al. Anatomy and histology of the knee anterolateral ligament［J］. Orthop J Sports Med, 2013, 1(7): 2325967113513546.

［11］ Yu QJ, Ran HT, Nie M. Advances in clinical research on the anterolateral ligament of knee［J］. Chinese Journal of Clinical Anatomy, 2019, 37(2):234-235. (in Chinese)

余秋锦, 冉海涛, 聂茂. 膝关节前外侧韧带的临床研究进展［J］. 中国临床解剖学杂志, 2019, 37(2):234-235.

［12］ Madhan AS, Patel NM. The anterolateral ligament of the knee［J］. JBJS Reviews, 2020, 8(6):e0136

［13］ Zhu YL, Qi Ch, Li ChH, et al. Anatomical and histological study of anterolateral ligament of knee［J］. Chinese Journal of Sports Medicine, 2017, 36(6):472-478. (in Chinese)

朱永乐, 戚超, 李常辉,等. 膝关节前外侧韧带的解剖学和组织学研究［J］. 中国运动医学杂志, 2017, 36(6):472-478.

［14］ Class S, Vereecke E, Maes M, et al. The anterolateral ligament of the knee: anatomy, radiology, biomechanics and clinical implications［C］. Chicago:Annual Meeting of the AOOS, 2013.

［15］ Patel RM, Brophy RH. Anterolateral ligament of the knee: anatomy, function, imaging, and treatment［J］. Am J Sports Med, 2018, 46(1):217-223.

［16］ Li JF. Artificial ligament reconstruction and movement injury to anterior cruciate ligament of the knee joint［J］. Journal of Clinical Rehabilitative Tissue Engineering Research, 2010, 14(12):2221-2224. (in Chinese)

李君芳. 人工韧带重建与膝关节前交叉韧带的运动损伤［J］. 中国组织工程研究, 2010, 14(12):2221-2224.

［17］ Hussein M, van Eck CF, Cretnik A, et al. Individualized anterior cruciate ligament surgery: a prospective study comparing anatomic single-and double-bundle reconstruction.［J］. Am J sports Med, 2012, 40(8):1781-1788.

［18］ Hussein M, van Eck CF, Cretnik A, et al. Prospective randomized clinical evaluation of conventional single-bundle, anatomic single-bundle, and anatomic double-bundle anterior cruciate ligament reconstruction: 281 cases with 3-to 5-year follow-up［J］. Am J Sports Med, 2011, 40(40):512-520.

［19］ Vincent JP, Magnussen RA, Gezmez F, et al. The anterolateral ligament of the human knee: an anatomic and histologic study［J］. Knee Surg Sports Traumatol Arthrosc, 2012, 20(1):147-152.

［20］ Dodds AL, Halewood C, Gupte CM, et al. The anterolateral ligament: anatomy, length changes and association with the Segond fracture［J］. Bone Joint J, 2014, 96-B(3):325-331.

［21］ Monaco E, Ferretti A, Labianca L, et al. Navigated knee kinematics after cutting of the ACL and its secondary restraint［J］. Knee Surg Sports Traumatol Arthrosc Official, 2012, 20(5):870-877.

［22］ Claes S, Luyckx T, Vereecke E, et al. The segond fracture: a bony injury of the anterolateral ligament of the knee［J］. Arthrosc J Arthrosc Related Surg, 2014, 30(11):1475-1482.

［23］ Claes S, Bartholomeeusen S, Bellemans J. High prevalence of anterolateral ligament abnormalities in magnetic resonance images of anterior cruciate ligamentinjured knees［J］. Acta Orthop Belg, 2014, 80(1):45-49.

［24］ Lintin L, Chowdhury R, Yoong P, et al. The anterolateral ligament in acute knee trauma: patterns of injury on MR imaging［J］. Skeletal Radiol, 2020,49 (1):1765-1772.

［25］ Ahn JH, Lee SK, Mun JW, et al. Degree of anterolateral ligament injury impacts outcomes after double-bundle anterior cruciate ligament reconstruction［J］. Arthroscopy, 2021, 37(1): 222-230.

［26］ Sonnery-Cottet B, Saithna A, Cavalier M, et al. Anterolateral ligament reconstruction is associated with significantly reduced ACL graft rupture rates at a minimum follow up of 2 years［J］. Am J Sports Med, 2017, 45(7):1547-1557.

［27］ Hamido F, Habiba AA, Marwan Y, et al. Correction to: anterolateral ligament reconstruction improves the clinical and functional outcomes of anterior cruciate ligament reconstruction in athletes［J］. Knee Surg Sports Traumatol Arthrosc, 2021,29(4):1181-1182.

［28］ Ibrahim SA, Shohdy EM, Marwan Y, et al. Anatomic reconstruction of the anterior cruciate ligament of the knee with or without reconstruction of the anterolateral ligament: a randomized clinical trial［J］. Am J Sports Med, 2017, 45(7):1558-1566.

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