CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e755-e759
DOI: 10.1055/s-0043-1776137
Artigo Original | Original Article
Joelho

Medial Meniscotibial Ligament of the Knee: A Step by-Step Dissection

Artikel in mehreren Sprachen: português | English
1   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
1   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
1   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
Luiz Holanda Pinto Neto
1   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
2   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Hospital Otávio de Freitas, Recife, PE, Brasil
,
2   Médico, Ortopedista e Traumatologista, Departamento de Ortopedia e Traumatologia, Hospital Otávio de Freitas, Recife, PE, Brasil
3   Professor, Departamento de Ciências da Saúde, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brasil
› Institutsangaben
Financial Support The present study received no financial support from public, commercial, or notfor-profit sources.

Abstract

Objective Considerable attention has been paid to meniscotibial ligaments (MTLs), also known as coronary ligaments, especially after the “Save the Meniscus” initiative gained importance among knee surgeons. Technically challenging, the diagnosis and treatment of ramp lesion show the importance of MTLs. These ligaments were discovered long ago, but their contribution to knee stability has only recently been studied and still lacks information. Thus, the aim of the present study was to describe step-by-step an dissection technique of the medial MTL, efficient, reproducible and that may lead to further research.

Method Twenty fresh cadaver knees were used, with no preference for sex or age. The knees were dissected using the same technique standardized by our team. Each dissection step was recorded digitally.

Results The medial MTL was found in all 20 knees studied using the aforementioned technique. In our sample, the medial MTL exhibited an average length of 70.0 ± 13.4 mm and width of 32.25 ± 3.09 mm, thickness of 35.3 ± 2.7 mm and weight of 0.672 ± 0.134 g. In all the cases, the medial MTL originated proximally and deeply to the deep MTL in the tibia.

Conclusion We describe a simple effective and reproducible medial MTL dissection technique that makes it possible to identify the ligament over the entire medial extension of the knee.

Work developed at the José Frota Institute, Fortaleza, CE, Brazil.




Publikationsverlauf

Eingereicht: 25. Juli 2022

Angenommen: 23. November 2022

Artikel online veröffentlicht:
30. Oktober 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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