CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 206-210
DOI: 10.1055/s-0042-1749199
Revisão Sistemática e Metanálise
Joelho

Anatomy of the Medial Meniscotibial Ligament of the Knee: A Systematic Review[*]

Article in several languages: português | English
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
2   Grupo de Cirurgia do Joelho, Cínica Articular, Fortaleza, CE, Brasil
,
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
,
1   Divisão de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil
2   Grupo de Cirurgia do Joelho, Cínica Articular, Fortaleza, CE, Brasil
,
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
4   Departamento de Ciências da Saúde, Universidade Federal Rural do Semi-Árido - UFERSA, Mossoró, RN, Brasil
,
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
,
3   Divisão de Ortopedia e Traumatologia, Hospital Tarcísio Maia, Mossoró, RN, Brasil
4   Departamento de Ciências da Saúde, Universidade Federal Rural do Semi-Árido - UFERSA, Mossoró, RN, Brasil
› Author Affiliations
Financial Support The authors declare that they have not received financial support from public, private, or non-profit sources for the conduction of the present study.

Abstract

Objectives To perform a systematic review of the literature on the anatomy of the medial meniscotibial ligaments (MTLs), and to present the most accepted findings, as well as the evolution of the anatomical knowledge on this structure.

Materials and Methods An electronic search was conducted in the MEDLINE/PubMed, Google Scholar, EMBASE and Cochrane library databases with no date restrictions. The following index terms were used in the search: anatomy AND meniscotibial AND ligament AND medial. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We included anatomical studies of the knee were included, such as cadaver dissections, histological and/or biological investigations, and/or imaging of the medial MTL anatomy.

Results Eight articles that met the inclusion criteria were selected. The first article was published in 1984 and the last, in 2020. The total sample in the 8 articles was of 96 patients. Most studies are purely descriptive in terms of the macroscopic morphological and microscopic histological findings. Two studies evaluated the biomechanical aspects of the MTL, and one, the anatomical correlation with the magnetic resonance imaging examination.

Conclusion The main function of the medial MTL, a ligament that originates in the tibia and is inserted in the lower meniscus, is to stabilize and maintain the meniscus in its position on the tibial plateau. However, there is a limited amount of information regarding medial MTLs, primarily in terms of anatomy, especially vascularization and innervation.

* Worked developed at Institute Doctor José Frota, Fortaleza, Ceará, Brazil.




Publication History

Received: 05 December 2021

Accepted: 28 March 2022

Article published online:
10 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Jeong JJ, Oh SB, Ji JH, Park SJ, Ko MS. Immediate arthroscopy following ORIF for tibial plateau fractures provide early diagnosis and treatment of the combined intra-articular pathologies. Knee Surg Sports Traumatol Arthrosc 2019; 27 (10) 3327-3333
  • 2 El-Khoury GY, Usta HY, Berger RA. Meniscotibial (coronary) ligament tears. Skeletal Radiol 1984; 11 (03) 191-196
  • 3 Peltier A, Lording T, Maubisson L, Ballis R, Neyret P, Lustig S. The role of the meniscotibial ligament in posteromedial rotational knee stability. Knee Surg Sports Traumatol Arthrosc 2015; 23 (10) 2967-2973
  • 4 LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L. The anatomy of the medial part of the knee. J Bone Joint Surg Am 2007; 89 (09) 2000-2010
  • 5 Hauch KN, Villegas DF, Haut Donahue TL. Geometry, time-dependent and failure properties of human meniscal attachments. J Biomech 2010; 43 (03) 463-468
  • 6 Seitz A, Kasisari R, Claes L, Ignatius A, Dürselen L. Forces acting on the anterior meniscotibial ligaments. Knee Surg Sports Traumatol Arthrosc 2012; 20 (08) 1488-1495
  • 7 Millar AP. Meniscotibial ligament strains: a prospective survey. Br J Sports Med 1991; 25 (02) 94-95
  • 8 Liu F, Yue B, Gadikota HR. et al. Morphology of the medial collateral ligament of the knee. J Orthop Surg Res 2010; 5: 69
  • 9 De Maeseneer M, Van Roy F, Lenchik L, Barbaix E, De Ridder F, Osteaux M. Three layers of the medial capsular and supporting structures of the knee: MR imaging-anatomic correlation. Radiographics 2000; 20 (Spec No): S83-S89
  • 10 Griffith CJ, LaPrade RF, Johansen S, Armitage B, Wijdicks C, Engebretsen L. Medial knee injury: Part 1, static function of the individual components of the main medial knee structures. Am J Sports Med 2009; 37 (09) 1762-1770
  • 11 DePhillipo NN, Moatshe G, Chahla J. et al. Quantitative and Qualitative Assessment of the Posterior Medial Meniscus Anatomy: Defining Meniscal Ramp Lesions. Am J Sports Med 2019; 47 (02) 372-378
  • 12 Cavaignac E, Sylvie R, Teulières M. et al. What Is the Relationship Between the Distal Semimembranosus Tendon and the Medial Meniscus? A Gross and Microscopic Analysis From the SANTI Study Group. Am J Sports Med 2021; 49 (02) 459-466