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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-04-18

AUTHORS

Sebastian Tschauner, Erich Sorantin, Georg Singer, Robert Eberl, Annelie-Martina Weinberg, Peter Schmidt, Tanja Kraus

ABSTRACT

Purpose Different femoral origins for both the medial collateral ligament (MCL) and the lateral collateral ligament (LCL) have been reported in the growing skeleton (epiphyseal and metaphyseal). Knowledge about the exact attachment sites is mandatory for anatomically correct reconstruction. This study assesses the femoral origins of the knee collateral ligaments in skeletally immature individuals using magnetic resonance imaging (MRI).MethodsMRIs of 336 knee joints (median age 15 years (range 2–18 years), m = 209 and f = 127) were retrospectively analysed to assess the distances between the femoral origins of the MCL and LCL to the distal femoral growth plate. In 175 patients, the body sizes were additionally retrieved from medical records.ResultsBoth MCL and LCL ligament origins were invariably located on the epiphysis. Mean MCL origin–growth plate distance was 9.6 mm (SD 2.1 mm; range 2.2–13.6 mm) in boys and 8.6 mm (SD 1.5 mm; range 3.4–12.0 mm) in girls. Mean LCL origin–growth plate distance was 9.3 mm (SD 1.8 mm; range 4.3–13.0 mm) in boys and 8.2 mm (SD 1.5 mm; range 3.4–11.8 mm) in girls. The distance between the growth plate and both collateral ligaments as well as the length of the LCL correlated positively with patients’ age and body size (MCL R2 = 0.673 and 0.556, LCL R2 = 0.734 and 0.645, LCL length R2 = 0.589 and 0.741; all p < 0.001).ConclusionsDuring growth, the femoral origins of the MCL and the LCL are constantly located on the distal femoral epiphysis. There is a linear increase in the distances from the ligaments’ origins to the growth plate according to age and body size. This new information may be of clinical importance for reconstructive surgery of the knee’s collateral ligaments. More... »

PAGES

18-25

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-014-2991-8

DOI

http://dx.doi.org/10.1007/s00167-014-2991-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027999571

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24744174


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37 LCL ligament origins
38 LCL origin–growth plate distance
39 MCL origin–growth plate distance
40 MRI studies
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42 Mean MCL origin–growth plate distance
43 MethodsMRIs
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49 clinical importance
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54 distance
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