Universität zu Köln

Stein, Gregor ORCID: 0000-0002-0443-4573, Koebke, Juergen, Faymonville, Christoph, Dargel, Jens, Mueller, Lars Peter and Schiffer, Gereon (2011). The relationship between the medial collateral ligament and the medial meniscus: a topographical and biomechanical study. Surg. Radiol. Anat., 33 (9). S. 763 - 767. PARIS: SPRINGER FRANCE. ISSN 0930-1038

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Abstract

The functional influence of the medial collateral ligament on the medial meniscus is still discussed controversially. Commonly, a strong fixation of the meniscus by the collateral ligament is described. Injury to the medial meniscus is explained by its reduced mobility due to its strong adherence to the medial collateral ligament. The analysis of 10 plastinated series of the medial femorotibial compartment prove that only few fibres of the ligament radiate into the meniscus. To define the possible contribution of these fibers to the stability of the medial meniscus, experiments on two fresh frozen knee joints were performed. The distal femur was separated by cutting the capsule. The medial collateral ligament was detached carefully from its femoral insertion. The tibial head with both menisci was fixed in a clamping system. A translucent, exact acrylic glass copy of the femoral component to which the medial collateral ligament was reinserted, allowed studying the behaviour of the medial meniscus under axial compression (500 N). Firstly, stress was applied while the collateral ligament was proximally fixed and under tension; then the same experiment was performed after femoral detachment of collateral ligament. All plastinated series revealed only some deep and tender fibrous bundles of the medial collateral ligament radiating into the medial meniscus proximally and posteriorly. The behaviour of medial meniscus was exactly the same in both stress experiment series. The conclusion is that there is no relevant influence of the medial collateral ligament on the stability of the medial meniscus.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stein, Gregor UNSPECIFIED orcid.org/0000-0002-0443-4573 UNSPECIFIED Koebke, Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED Faymonville, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Dargel, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffer, Gereon UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-486836
DOI:	10.1007/s00276-011-0814-x
Journal or Publication Title:	Surg. Radiol. Anat.
Volume:	33
Number:	9
Page Range:	S. 763 - 767
Date:	2011
Publisher:	SPRINGER FRANCE
Place of Publication:	PARIS
ISSN:	0930-1038
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HUMAN KNEE; JOINT; OSTEOARTHRITIS; INJURY; LOAD Multiple languages Anatomy & Morphology; Radiology, Nuclear Medicine & Medical Imaging; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48683