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Variations in meniscofemoral ligaments at anatomical study and MR imaging.

Authors
Cho, JM; Suh, JS; Na, JB; Cho, JH; Kim, Y; Yoo, WK; Lee, HY; Chung, IH
Citation
Skeletal radiology, 28(4):189-195, 1999
Journal Title
Skeletal radiology
ISSN
0364-23481432-2161
Abstract
PURPOSE: To demonstrate variations in the meniscofemoral ligaments (ligaments of Wrisberg and Humphrey) at anatomical study and magnetic resonance (MR) imaging.



DESIGN: Twenty-eight cadaveric knees were partially dissected for the examination of the meniscofemoral ligaments. One hundred knee MR examinations were reviewed by two experienced musculoskeletal radiologists. Proximal variations in the meniscofemoral ligaments at MR imaging were classified into three types according to the attachment site: type I, medial femoral condyle; type II, proximal half of the posterior cruciate ligament (PCL); type III, distal half of the PCL. Distal variations were classified into vertical or oblique types according to the orientation of the intermediate signal at the interface of the ligament and lateral meniscus.



RESULTS: At anatomical study, six cases showed variations in the proximal insertion site of the meniscofemoral ligaments. At MR imaging 93 cases had one or more meniscofemoral ligaments, giving a total of 107 ligaments: 90 ligaments of Wrisberg and 17 ligaments of Humphrey. Forty-one ligaments of Wrisberg were type I, 28 type II, 19 type III, and with two indeterminate type, while 6 ligaments of Humphrey were type I and the remaining 11 were indeterminate. Seven cases showed no meniscofemoral ligament. Of the 107 meniscofemoral ligaments, the distal insertion orientation was of vertical type in 10 ligaments, oblique type in 70 and unidentified in 27.



CONCLUSION: An understanding of the high incidence of meniscofemoral ligament variations may help in the interpretation of knee MR studies.
MeSH terms
AdolescentAdultAgedChildFemaleFemur Head/anatomy & histologyHumansKnee Joint/anatomy & histology*Ligaments, Articular/anatomy & histology*Magnetic Resonance Imaging*MaleMiddle AgedPosterior Cruciate Ligament/anatomy & histology
PMID
10384988
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
AJOU Authors
조, 재현
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