Yeo In-Seung, Hong Ju-Eun, Yang Hun-Mu
Department of Anatomy, College of Medicine, The Soonchunhyang University of Korea, Dongnam-Gu, Cheonan-si, 31151, Chungcheongnam-do, Republic of Korea.
Translational Research Unit for Anatomy and Analgesia, Seoul, Republic of Korea.
Sci Rep. 2025 Feb 25;15(1):6762. doi: 10.1038/s41598-025-88037-w.
The anterior cruciate ligament consists of two bundles, the anteromedial and posterolateral bundles, which are frequently associated with meniscal dysfunction. Despite previous studies investigating the relationship between biomechanical instability and injury, a comprehensive histological analysis of the anatomical aspects contributing to injury and degenerative changes and the structural connectivity between the anterior cruciate ligament and the meniscus is lacking. Masson's trichrome, pentachrome, Safranin-O, and modified Verhoeff-Van Gieson histological stains and microcomputed tomography were used in this analysis. The anteromedial bundle of the anterior cruciate ligament is tightly connected to the medial meniscus via articular cartilage, whereas the posterolateral bundle is loosely connected to the transition zone of the lateral meniscus via connective tissue. Due to the differences in the structural connectivity between the meniscus and each anterior cruciate ligament bundle, the degree of deformation of the space between the two bundles varies significantly with knee flexion angle. Furthermore, the two bundles exhibit histological differences in the ratio of elastic fibers to collagen at regions. Specifically, the ratios of the upper and lower parts were 11.36 ± 0.90% and 4.87 ± 0.34%, respectively, for the anteromedial bundle, and 10.33 ± 0.37% and 5.32 ± 0.78%, respectively, for the posterolateral bundle.
前交叉韧带由前内侧束和后外侧束两束组成,它们常与半月板功能障碍相关。尽管先前有研究探讨生物力学不稳定与损伤之间的关系,但缺乏对导致损伤和退变变化的解剖学方面以及前交叉韧带与半月板之间结构连接的全面组织学分析。本分析使用了马松三色染色法、五色染色法、番红O染色法和改良韦尔霍夫-范吉森组织学染色法以及微型计算机断层扫描。前交叉韧带的前内侧束通过关节软骨与内侧半月板紧密相连,而后外侧束通过结缔组织与外侧半月板的过渡区松散相连。由于半月板与前交叉韧带各束之间结构连接的差异,两束之间间隙的变形程度随膝关节屈曲角度有显著变化。此外,两束在弹性纤维与胶原比例的区域组织学上存在差异。具体而言,前内侧束上部和下部的比例分别为11.36±0.90%和4.87±0.34%,后外侧束分别为10.33±0.37%和5.32±0.78%。