Daggett Matthew, Busch Kyle, Sonnery-Cottet Bertrand
Kansas City University, Kansas City, Missouri, U.S.A.
Centre Orthopedique Santy, Generale de Sante, Hopital Jean Mermoz, Lyon, France.
Arthrosc Tech. 2016 Feb 22;5(1):e185-8. doi: 10.1016/j.eats.2015.10.019. eCollection 2016 Feb.
Recent investigations into the structure and function of the anterolateral ligament (ALL) have resulted in renewed interest in the role of the lateral extra-articular structures in rotational control of the knee. With increased focus on the ALL, debate about the anatomic characteristics, the functional role in knee stability, and even the existence of this lateral structure has ensued. This article describes our dissection method for the ALL. Through careful dissection and precise elevation of the iliotibial band, the ALL can be clearly identified as a distinct structure with an attachment near the lateral epicondyle on the femur and an insertion in a fan-like fashion onto the tibia, between the Gerdy tubercle and the fibular head. This investigation provides the surgeon with anatomic landmarks to use during surgical reconstruction of the ALL.
近期对前外侧韧带（ALL）结构和功能的研究，重新引发了人们对膝关节外侧关节外结构在旋转控制中作用的关注。随着对ALL关注度的增加，关于其解剖特征、在膝关节稳定性中的功能作用，甚至这种外侧结构是否存在的争论也随之而来。本文描述了我们对ALL的解剖方法。通过仔细解剖和精确掀起髂胫束，ALL可被清晰识别为一个独特结构，其附着于股骨外侧髁附近，呈扇形插入胫骨，位于Gerdy结节和腓骨头之间。本研究为外科医生在ALL手术重建过程中提供了解剖学标志。
