The origin points of the knee collateral ligaments: an MRI study on paediatric patients during growth

Tschauner, Sebastian; Sorantin, Erich; Singer, Georg; Eberl, Robert; Weinberg, Annelie‐Martina; Schmidt, Péter; Kraus, Tanja

doi:10.1007/s00167-014-2991-8

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…MRI was used to study growth in the pediatric shoulder, where the ability to study changes in bone and soft tissues simultaneously was highlighted [33]. An additional MRI study reported age-related patterns in ligament anatomy including one reporting on the location of the femoral insertions of the collateral ligaments relative to the femoral growth plate [34]. Building on works such as these and the techniques described in our study, there is an opportunity to build on our understanding of ligament and tendon growth in human populations.…”

Section: Discussionmentioning

confidence: 99%

Tissue-specific changes in size and shape of the ligaments and tendons of the porcine knee during post-natal growth

et al. 2019

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Prior studies have analyzed growth of musculoskeletal tissues between species or across body segments; however, little research has assessed the differences in similar tissues within a single joint. Here we studied changes in the length and cross-sectional area of four ligaments and tendons, (anterior cruciate ligament, patellar tendon, medial collateral ligament, lateral collateral ligament) in the tibiofemoral joint of female Yorkshire pigs through high-field magnetic resonance imaging throughout growth. Tissue lengths increased by 4- to 5-fold from birth to late adolescence across the tissues while tissue cross-sectional area increased by 10–20-fold. The anterior cruciate ligament and lateral collateral ligament showed allometric growth favoring change in length over change in cross-sectional area while the patellar tendon and medial collateral ligament grow in an isometric manner. Additionally, changes in the length and cross-sectional area of the anterior cruciate ligament did not increase as much as in the other ligaments and tendon of interest. Overall, these findings suggest that musculoskeletal soft tissue morphometry can vary within tissues of similar structure and within a single joint during post-natal growth.

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Section: Discussionmentioning

confidence: 99%

Tissue-specific changes in size and shape of the ligaments and tendons of the porcine knee during post-natal growth

et al. 2019

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“…These procedures, and further biomechanical studies performed in the meantime, opened the path to more “complex” reconstructive techniques that were developed during the last decade of the twentieth century and aimed at recreating the whole functional complexity of PLC [13]. The surgery for PLC reconstruction is still evolving [2]: biomechanics and anatomical studies are still ongoing, with the help of novel technologies, to better understand the peculiar features of this anatomical complex [22, 23], and despite the increasing number of trials available, it remains one of the most challenging research fields in sports medicine.…”

Section: The Pioneers Of Knee Multi‐ligament Reconstructionmentioning

confidence: 99%

Knee multi-ligament reconstruction: a historical note on the fundamental landmarks

Matteo

Tarabella

Filardo

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Several eminent surgeons made breakthroughs in knee surgery throughout the nineteenth and twentieth centuries. Before that, knee injuries were only treated conservatively and it was thanks to the progress made in the field of biomechanics and biology that new surgical treatments were proposed. The history of medicine recalls some illustrious surgeons such as Thomas Annandale and Mayo Robson who were the first to perform and describe their revolutionary experience regarding meniscal and anterior cruciate ligament surgery. Less famous are the forefathers of multi-ligament reconstructive surgery: the purpose of this paper was to shed some light on the pioneers of this particular field of orthopaedic practice, which is gaining increasing interest in current clinical practice. Level of evidence V.

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“…20 Recent MRI studies have shown an epiphyseal femoral attachment site slightly below the growth plate for both collateral ligaments at their respective epicondyles. 43,44 There are two distinct tibial insertion sites: a soft tissue attachment directly over the anterior arm of the semimembranosus and one directly onto bone just anterior to the posteromedial crest of the tibia. 10,45 The normal anatomy of Fig.…”

Section: Medial Collateral Ligamentmentioning

confidence: 99%

The Pediatric Knee: Diagnosis and Management of Ligament Injuries

Wegmann

Tschauner

Singer

et al. 2014

Semin Musculoskelet Radiol

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In the last few decades, sports injuries in pediatric and adolescent athletes have increased dramatically, with ∼ 38 million young athletes participating in organized sports annually in the United States. Starting at the age of 2 years, an increase of the incidence of knee injuries until adulthood with a peak at 6 and at 13 years of age has been observed. Due to a physiologic laxity of the ligaments, ligament injuries are uncommon in these patients, but they are getting more frequent. In the growing knee, open physis are the points of minor resistance. Therefore apophyseal injuries of the pediatric knee are more common. Diagnostics and treatment of ligament injuries of the pediatric and adolescent knees are challenging. This article presents an overview of ligament injuries in the pediatric and adolescent knee, their diagnostic work-up, and their treatment in the growing patient.

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The origin points of the knee collateral ligaments: an MRI study on paediatric patients during growth

Cited by 6 publications

References 21 publications

Tissue-specific changes in size and shape of the ligaments and tendons of the porcine knee during post-natal growth

Tissue-specific changes in size and shape of the ligaments and tendons of the porcine knee during post-natal growth

Knee multi-ligament reconstruction: a historical note on the fundamental landmarks

The Pediatric Knee: Diagnosis and Management of Ligament Injuries

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