MRI evaluation of the peripheral attachments of the lateral meniscal body: the menisco-tibio-popliteus-fibular complex

Purpose: To determine, identify and measure the structures of the menisco-tibio-popliteus-fibular complex (MTPFC) with magnetic resonance imaging (MRI) in knees without structural abnormalities or a history of knee surgery. Methods: One-hundred-and-five knees without prior injury or antecedent surge...

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Detalhes bibliográficos
Autores: Morales Avalos, Rodolfo, Masferrer-Pino, Àngel, Ruiz-Chapa, Eustorgio, Padilla-Medina, José Ramón, Vilchez-Cavazos, Félix, Peña Martínez, Víctor M., Elizondo Omaña, Rodrigo E., Perelli, Simone, Guzmán-López, Santos, García-Quintanilla, Juan Francisco, Monllau García, Juan Carlos
Tipo de documento: artigo
Estado:Versión aceptada para publicación
Data de publicação:2022
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/52799
Acesso em linha:http://hdl.handle.net/10230/52799
http://dx.doi.org/10.1007/s00167-021-06633-5
Access Level:Acceso aberto
Palavra-chave:Lateral menisco-tibial ligament
Lateral meniscus
Menisco-tibio-popliteus-fibular complex
Meniscofibular ligament
Popliteo-fibular ligament
Popliteo-meniscal ligaments
Descrição
Resumo:Purpose: To determine, identify and measure the structures of the menisco-tibio-popliteus-fibular complex (MTPFC) with magnetic resonance imaging (MRI) in knees without structural abnormalities or a history of knee surgery. Methods: One-hundred-and-five knees without prior injury or antecedent surgery were analyzed by means of MRI. The average age was 50.1 years ± 14.8. All the measurements were performed by three observers. The peripherical structures of the lateral meniscus body were identified to determine the location, size, and thickness of the entire MTPFC. The distance to other "key areas" in the lateral compartment was also studied and compared by gender and age. Results: The lateral meniscotibial ligament (LMTL) was found in 97.1% of the MRIs, the popliteofibular ligament (PFL) in 93.3%, the popliteomeniscal ligaments (PML) in 90.4% and the meniscofibular ligament (MFL) in 39%. The anteroposterior distance of the LMTL in an axial view was 20.7 mm ± 3.9, the anterior thickness of the LMTL was 1.1 mm ± 0.3, and the posterior thickness of the LMTL 1.2 mm ± 0.1 and the height in a coronal view was 10.8 mm ± 1.9. The length of the PFL in a coronal view was 8.7 mm ± 2.5, the thickness was 1.4 mm ± 0.4 and the width in an axial view was 7.8 mm ± 2.2. Conclusions: The MTPFC has a constant morphological and anatomical pattern for three of its main ligaments and can be easily identified and measured in an MRI; the MFL has a lower prevalence, considering a structure difficult to identify by 1.5 T MRI.