Anterolateral ligament

Anterolateral ligament
From Lateral epicondyle of the femur
To Anterolateral aspect of the proximal tibia

Anatomical terminology

The anterolateral ligament (ALL) is a ligament on the lateral aspect of the human knee, anterior to the fibular collateral ligament.[1]

Perhaps the earliest account of the ALL was written by French surgeon Paul Segond in 1879, in which he described a ligamentous structure between the lateral femur and tibia.[2][3]

Claes and Bellemans (2013) found that the ALL originates at the lateral epicondyle of the femur, and inserts at the anterolateral aspect of the proximal tibia.[1] However, Vincent et al. (2012) reported the origin to be the lateral femoral condyle.[4]

Clinical relevance

The ALL, which is presumed to occur in at least 97% of the human population,[1][4] seems to stabilize medial rotation of the knee.[1]

The "pivot shift" phenomenon in anterior cruciate ligament injury patients may be ascribed to additional trauma to the ALL.[1] The anterior cruciate ligament (ACL) is a major ligament of the human knee. Also, the Segond fracture is probably a bony avulsion of the anterolateral ligament.

References

  1. 1 2 3 4 5 Claes, S.; Vereecke, E.; Maes, M.; Victor, J.; Verdonk, P.; Bellemans, J. (Oct 2013). "Anatomy of the anterolateral ligament of the knee.". J Anat 223 (4): 321–8. doi:10.1111/joa.12087. PMID 23906341.
  2. Segond P (1879) Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. Progrès Médical (Paris) (accessible from ), 1-85.
  3. "Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse, par Paul Segond,". Retrieved November 6, 2013.
  4. 1 2 Vincent, J. P.; Magnussen, R. A.; Gezmez, F.; et al. (January 2012). "The anterolateral ligament of the human knee: An anatomic and histologic study". Knee Surg Sports Traumatol Arthrosc 20 (1): 147–52. doi:10.1007/s00167-011-1580-3. PMID 21717216.

External links

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