Oransky M, Canero G, Maiotti M
Department of Orthopedics, Catholic University of the Sacred Heart, Rome, Italy.
Anat Rec. 1989 Dec;225(4):347-54. doi: 10.1002/ar.1092250411.
The development of the structures in the posterolateral corner of the knee was studied in fifteen human embryos and seventeen fetuses by means of serial sections in the coronal and sagittal planes. The attachments of the lateral meniscus and fibular head to the popliteal tendon and muscle are formed during the process of cavitation that forms the bursa. The connection between the tendon and the posterior border of the lateral meniscus forms obliquely to follow the direction of the muscle and tendon. The edge of the bursa is limited by attachments that connect the tendon to the lateral meniscus and fibular head. In this study, no direct ligamentous continuity was found to exist between the posterolateral femur and tibia during development. The only ligament that indirectly connects the lateral femur posteriorly to the proximal segment of the tibia, which has never been reported in human development, is the one that links the popliteal tendon to the fibular head. We have designated this the popliteo fibular ligament which was also found in adult specimens. This ligament should not be confused with the arcuate popliteal ligament.
通过冠状面和矢状面的连续切片,对15例人类胚胎和17例胎儿膝关节后外侧角的结构发育进行了研究。在形成滑囊的空化过程中,外侧半月板和腓骨头与腘肌腱和肌肉的附着得以形成。肌腱与外侧半月板后缘之间的连接呈倾斜状,以顺应肌肉和肌腱的方向。滑囊边缘由连接肌腱与外侧半月板和腓骨头的附着结构所限定。在本研究中,在发育过程中未发现股骨后外侧与胫骨之间存在直接的韧带连续性。唯一一条将股骨外侧向后间接连接至胫骨近端节段的韧带(此前在人类发育过程中从未有过报道),是连接腘肌腱与腓骨头的韧带。我们将其命名为腘腓韧带,在成年标本中也发现了该韧带。这条韧带不应与弓形腘韧带相混淆。