| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
From the Cincinnati Sportsmedicine and Orthopaedic Center and the Noyes Biomechanics Laboratories, Department of Biomedical Engineering, University of Cincinnati, Cincinnati, Ohio
* Address correspondence and reprint requests to Frank R. Noyes, MD, Cincinnati Sportsmedicine and Orthopaedic Center, 311 Straight Street, Cincinnati, OH 45219
Background: Previous descriptions of the insertion site of the posterior cruciate ligament are inadequate.
Hypothesis: More than one reference system is required to adequately represent the anatomy of the femoral attachment.
Study Design: Descriptive anatomic study.
Methods: Twelve cadaveric specimens were evaluated by using two measurement methods relative to the femoral articular cartilage margin and two methods relative to the intercondylar femoral roof.
Results: Reference lines perpendicular to the articular cartilage best defined the 12- and 1-o’clock positions, and those perpendicular to the articular cartilage or parallel to the femoral shaft best defined the 2-, 3-, and 4-o’clock positions. The angle of the proximal attachment to the roof was 88° ± 5.5°. The posterior cruciate ligament was a continuum of fibers rather than two distinct bundles, and its attachment showed variability in shape and thickness, extending past the midline in the notch (11:21 ± 15 minutes to 4:12 ± 20 minutes, right knee).
Conclusions: More than one measurement system is required to accurately describe the femoral origin of the posterior cruciate ligament.
Clinical Relevance: Accurate assessment of the anatomy is crucial for successful surgical reconstruction of the posterior cruciate ligament femoral attachment.
This article has been cited by other articles:
|
|
 |
|
  O. V. Lopes Jr., M. Ferretti, W. Shen, M. Ekdahl, P. Smolinski, and F. H. Fu Topography of the Femoral Attachment of the Posterior Cruciate Ligament J. Bone Joint Surg. Am., February 1, 2008; 90(2): 249 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. D. Farrow, M. R. Chen, D. R. Cooperman, B. N. Victoroff, and D. B. Goodfellow Morphology of the Femoral Intercondylar Notch J. Bone Joint Surg. Am., October 1, 2007; 89(10): 2150 - 2155. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. L. Markolf, B. T. Feeley, S. R. Jackson, and D. R. McAllister Biomechanical Studies of Double-Bundle Posterior Cruciate Ligament Reconstructions J. Bone Joint Surg. Am., August 1, 2006; 88(8): 1788 - 1794. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. L. Markolf, B. T. Feeley, S. R. Jackson, and D. R. McAllister Where Should the Femoral Tunnel of a Posterior Cruciate Ligament Reconstruction Be Placed to Best Restore Anteroposterior Laxity and Ligament Forces? Am. J. Sports Med., April 1, 2006; 34(4): 604 - 611. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Petersen, S. Lenschow, A. Weimann, M. J. Strobel, M. J. Raschke, and T. Zantop Importance of Femoral Tunnel Placement in Double-Bundle Posterior Cruciate Ligament Reconstruction: Biomechanical Analysis Using a Robotic/Universal Force-Moment Sensor Testing System Am. J. Sports Med., March 1, 2006; 34(3): 456 - 463. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Noyes and S. Barber-Westin Posterior Cruciate Ligament Replacement with a Two-Strand Quadriceps Tendon-Patellar Bone Autograft and a Tibial Inlay Technique J. Bone Joint Surg. Am., June 1, 2005; 87(6): 1241 - 1252. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Noyes and S. D. Barber-Westin Posterior Cruciate Ligament Revision Reconstruction, Part 1: Causes of Surgical Failure in 52 Consecutive Operations Am. J. Sports Med., May 1, 2005; 33(5): 646 - 654. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Noyes and S. D. Barber-Westin Posterior Cruciate Ligament Revision Reconstruction, Part 2: Results of Revision Using a 2-Strand Quadriceps Tendon-Patellar Bone Autograft Am. J. Sports Med., May 1, 2005; 33(5): 655 - 665. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. M. Wind Jr, J. A. Bergfeld, and R. D. Parker Evaluation and Treatment of Posterior Cruciate Ligament Injuries: Revisited Am. J. Sports Med., October 1, 2004; 32(7): 1765 - 1775. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
