This paper is only available as a PDF. To read, Please Download here.
Abstract
A morphological cadaveric study was carried out to gain exact data concerning location,
shape, and size of the meniscal insertions to bone. Ninety-two knee joints were dissected
(46 donors; age 18 to 58 years). Peripheral length of the menisci, including their
insertion ligaments, was measured. The peripheral length was 111 ± 14 mm for the medial
and 111 ± 10 for the lateral meniscus. The tibial insertion ligaments for the medial
meniscus were fixed in areas that could be defined by bony landmarks. The posterior
insertion area measured 80 ± 10 mm2, the anterior insertion area measured 139 ± 43 mm2. Bony tibial insertions of the lateral meniscus were less well defined. The posterior
meniscofemoral ligament (Wrisberg) was found in 76% of the knees: the anterior meniscofemoral
ligament (Humphry) was found in 50% of the specimens. The meniscofemoral ligaments
in the right knee and the left knee of the same individual were frequently different.
The anterior transverse ligament was found in 64% of the specimens. We concluded that
an anatomical attachment of a medial meniscus substitute should be possible but to
restore the lateral meniscus anatomically would be far more complicated.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Meniscal replacement using a cryopreserved allograft.Trans Orthop Res Soc. 1984; 9: 222
- Meniscal Allografts: Where do we stand?.in: Ewing JW Articular cartilage and knee joint function. Raven, New York1990: 129-136
- Meniscal replacement using a cryopreserved allograft.Clin Orthop. 1990; 252: 121-128
- Meniscal transplantation in the human knee: A preliminary report.Arthroscopy. 1991; 7: 57-62
- Meniscal transplantation using fresh and cryoprserved allografts—An experimental study in goats.Am J Sports Med. 1992; 20: 644-656
- Meniskustransplantation.Hefte zur Unfallheilkunde. 1988; 199: 61-67
- Medial meniscus replacement by a tendon autograft.J Bone Joint Surg Br. 1992; 74: 910-917
- Future directions.in: Collagen-based prosthesis for meniscal regeneration. Ed 3. Clin Orthop. 252. 1969: 129-135
- The fate of human meniscal allograft.in: Ewing JW Articular cartilage and knee joint function. Basic science and arthroscopy. Raven, New York1990: 147-152
- Replacement of the medial rabbit meniscus with different artifical substitutes.Trans Orthop Res Soc. 1992; 17: 624
- The cruciate ligaments of the knee joint.Clin Orthop. 1975; 106: 216-231
- Anatomy of the anterior cruciate ligament.Clin Orthop. 1983; 172: 19-25
- Functional anatomy of the anterior cruciate ligament and a rational for reconstruction.J Bone Joint Surg Am. 1985; 67: 257-261
- Ligament, tendon and joint capsule insertions.in: Woo SL-Y Buckwalter J Injury and repair of the musculoskeletal soft tissue. American Academy of Orthopaedic Surgeons, Park Ridge, IL1988 (chap 4)
- Anatomy of the cruciate ligaments and their function in extension and flexion of the human joint.Am J Anat. 1989; 84: 165-176
- The attachments and length pattern of the anterior and posterior cruciate ligaments in man.Anat Anz. 1989; 168: 82
- A treatise on the human skeleton.Macmillan, Cambridge1858
- The lateral menisco-femoral ligament of the knee.Bull Hosp Jt Dis Orthop Inst. 1956; 17: 176-182
- The meniscofemoral ligaments of the human knee.J Bone Joint Surg Br. 1964; 46: 307-313
- Gross and vascular anatomy of the meniscus and its role in meniscal healing, regeneration and remodelling.in: Mow VC Arnoczky SP Jackson DW Knee meniscus: Basic and clinical foundations. Raven, New York1992: 1-14
- Measurement of the rotatory stability of the knee joint.in: Chapchal G Injuries of the ligaments and their repair. Thieme, Stuttgart1977: 116-122
- Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images.Am J Sports Med. 1991; 19: 210-216
- Motion of the meniscus during knee flexion.in: Mow VC Arnoczky SP Jackson DW Knee meniscus: Basic and clinical foundations. Raven, New York1992: 75-89
- The load-bearing function of the menisci: A preliminary study.in: Ingwersen OS Vanlinge B VanRens TJG Rosingh GE Veraart BEEMJ LeVan D The knee joint. Exerpta Medica and New York, Amsterdam1974: 37-42
- Load-bearing mode of the knee joint.Clin Orthop. 1980; 149: 283-290
- Clinical and experimental study of lesions of semilunar cartilages of the knee joint.J Bone Joint Surg. 1927; 9: 515-523
- Über eine einfache Methode zur Feststellung und Abbildung der Umrisse der Muskelansätze.Anat Anz. 1907; 30: 64-69
- Knee joint changes afte meniscectomy.J Bone Joint Surg Br. 1948; 30: 664-670
- Late results after meniscectomy.J Bone Joint Surg Am. 1969; 51: 517-526
- Mechanical changes in the knee after meniscectomy.J Bone Joint Surg Am. 1975; 58: 599-604
- Longterm follow-up of meniscectomy in athletes.J Bone Joint Surg Br. 1987; 69: 80-83
- Comparison of functional and non-functional tendon grafts.J Bone Joint Surg Am. 1972; 54: 1745-1753
- Meniscus transplantation—Experimental study, clinical report, arthroscopic findings.in: Müller W Hackenbruch Surgery and arthorscopy of the knee. Second Congress of the European Society of Knee Surgery and Arthroscopy. Springer-Verlag, Berlin, Heildelberg1988: 380-388
- Mechanik der menschilchen Gehwerkzeuge.Dieterichsche Buchandling, Göttingen1836
- Morphologie et fonction des ligaments menisco-femoraux de l'articulation du genou chez l'homme.Acta Anat. 1959; 38: 304-323
- Arhtroscopic management of the cruciate ligaments.in: McGinty JB Operative arthroscopy. Raven, New York1991: 389-416
- Les ligaments des ménisques interarticulaires du genou.Ann d'anatomie pathol et d' anatomie hormonale medi-cochirurgicale. 1931; 8: 400-408
Article Info
Footnotes
☆Awarded the John Joyce Award at the International Arthroscopy Association Meeting in Toronto, May 1991, where it was presented by Dr. Kohn
Identification
Copyright
© 1995 Published by Elsevier Inc.
