Li C-H, Ricketts D, Wang X-S, Yu T-B, Qi C, Zhu Y-L
Department of Orthopedics, Affiliated Hospital of Qingdao University, Qingdao, China.
Folia Morphol (Warsz). 2018;77(2):356-361. doi: 10.5603/FM.a2018.0028. Epub 2018 Mar 23.
Repair and reconstruction of the medial patellofemoral ligament (MPFL) has been undertaken for the treatment of patellar instability. For successful surgery detailed knowledge of the anatomy of the ligament is required. The aim of this study was to describe the origin, structure and insertion of the MPFL.
We studied cadaveric knees from 30 Chinese adults. We studied the origin, course and insertion of the MPFL.
We found that the MPFL was composed of two main strands, superficial and deep. We also found that the insertion of the MPFL into the femur had three common patterns. All three were located between the adductor tubercle and the proximal part of superficial medial collateral ligament.
We have added to the anatomical knowledge of the structure of the MPFL. Our study has implications for guiding bone tunnel positioning during MPFL reconstruction surgery. (Folia Morphol 2018; 77, 2: 356-361).
内侧髌股韧带(MPFL)的修复与重建已用于治疗髌骨不稳。要成功进行手术,需要详细了解该韧带的解剖结构。本研究的目的是描述MPFL的起源、结构和附着点。
我们研究了30例中国成年人的尸体膝关节。我们研究了MPFL的起源、走行和附着点。
我们发现MPFL由两条主要束组成,即浅层和深层。我们还发现MPFL在股骨上的附着点有三种常见模式。所有三种模式均位于内收肌结节与浅层内侧副韧带近端之间。
我们增加了对MPFL结构的解剖学认识。我们的研究对指导MPFL重建手术中的骨隧道定位具有重要意义。(《形态学杂志》2018年;77卷,第2期:356 - 361页)