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J Knee Surg 2018; 31(01): 068-074
DOI: 10.1055/s-0037-1600089
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Function of the Anterior Intermeniscal Ligament

Trent M. Guess
1   Department of Physical Therapy, University of Missouri, Columbia, Missouri
2   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
,
Swithin S. Razu
3   Department of Bioengineering, University of Missouri, Columbia, Missouri
,
Keiichi Kuroki
4   Thompson Laboratory for Regenerative Orthopaedics, University of Missouri, Columbia, Missouri
,
James L. Cook
2   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
4   Thompson Laboratory for Regenerative Orthopaedics, University of Missouri, Columbia, Missouri
› Author Affiliations
Further Information

Publication History

04 November 2016

06 February 2017

Publication Date:
29 March 2017 (online)

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Abstract

The function and importance of the anterior intermeniscal ligament (AIML) of the knee are not fully known. The purpose of this study was to evaluate the biomechanical and sensorimotor function of the AIML. Computational analysis was used to assess AIML and tibiomeniscofemoral biomechanics under combined translational and rotational loading applied during dynamic knee flexion–extension. Histologic and immunohistochemical examination was used to identify and characterize neural elements in the tissue. The computational models were created from anatomy and passive motion of two female subjects and histologic examinations were conducted on AIMLs retrieved from 10 fresh-frozen cadaveric knees. It was found that AIML strain increased with compressive knee loading and that external rotation of the tibia unloads the AIML, suppressing the relationship between AIML strain and compressive knee loads. Extensive neural elements were located throughout the AIML tissue and these elements were distributed across the three AIML anatomical types. The AIMLs have a beneficial influence on knee biomechanics with decreased meniscal load sharing with AIML loss. The AIML plays a significant biomechanical and neurologic role in the sensorimotor functions of the knee. The major role for the AIML may primarily involve its neurologic function.

Keywords

knee - meniscus - anterior intermeniscal ligament - biomechanics - sensorimotor
 

  • References

  • 1 Nelson EW, LaPrade RF. The anterior intermeniscal ligament of the knee. An anatomic study. Am J Sports Med 2000; 28 (01) 74-76
    CrossrefPubMedGoogle Scholar
  • 2 Paci JM, Scuderi MG, Werner FW, Sutton LG, Rosenbaum PF, Cannizzaro JP. Knee medial compartment contact pressure increases with release of the type I anterior intermeniscal ligament. Am J Sports Med 2009; 37 (07) 1412-1416
    CrossrefPubMedGoogle Scholar
  • 3 Poh SY, Yew KS, Wong PL. , et al. Role of the anterior intermeniscal ligament in tibiofemoral contact mechanics during axial joint loading. Knee 2012; 19 (02) 135-139
    CrossrefPubMedGoogle Scholar
  • 4 Markolf KL, Jackson SR, McAllister DR. Force measurements in the medial meniscus posterior horn attachment: effects of anterior cruciate ligament removal. Am J Sports Med 2012; 40 (02) 332-338
    CrossrefPubMedGoogle Scholar
  • 5 Yildirim FB, Soyuncu Y, Oguz N, Aydin AT, Sindel M, Ustunel I. Anterior intermeniscal ligament: an ultrastructural study. Ann Anat 2007; 189 (05) 510-514
    CrossrefPubMedGoogle Scholar
  • 6 Guess TM, Razu S, Jahandar H. Evaluation of knee ligament mechanics using computational models. J Knee Surg 2016; 29 (02) 126-137
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Blankevoort L, Huiskes R. Ligament-bone interaction in a three-dimensional model of the knee. J Biomech Eng 1991; 113 (03) 263-269
    CrossrefPubMedGoogle Scholar
  • 8 Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Ménétrey J. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2006; 14 (03) 204-213
    CrossrefPubMedGoogle Scholar
  • 9 Osti M, Tschann P, Künzel KH, Benedetto KP. Anatomic characteristics and radiographic references of the anterolateral and posteromedial bundles of the posterior cruciate ligament. Am J Sports Med 2012; 40 (07) 1558-1563
    CrossrefPubMedGoogle Scholar
  • 10 Park SE, DeFrate LE, Suggs JF, Gill TJ, Rubash HE, Li G. The change in length of the medial and lateral collateral ligaments during in vivo knee flexion. Knee 2005; 12 (05) 377-382
    CrossrefPubMedGoogle Scholar
  • 11 Hartshorn T, Otarodifard K, White EA, Hatch III GF. Radiographic landmarks for locating the femoral origin of the superficial medial collateral ligament. Am J Sports Med 2013; 41 (11) 2527-2532
    CrossrefPubMedGoogle Scholar
  • 12 Liu F, Gadikota HR, Kozánek M. , et al. In vivo length patterns of the medial collateral ligament during the stance phase of gait. Knee Surg Sports Traumatol Arthrosc 2011; 19 (05) 719-727
    CrossrefPubMedGoogle Scholar
  • 13 Liu F, Yue B, Gadikota HR. , et al. Morphology of the medial collateral ligament of the knee. J Orthop Surg 2010; 5: 69
    CrossrefPubMedGoogle Scholar
  • 14 Guess TM, Razu S, Jahandar H, Stylianou A. Predicted loading on the menisci during gait: the effect of horn laxity. J Biomech 2015; 48 (08) 1490-1498
    CrossrefPubMedGoogle Scholar
  • 15 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
    CrossrefPubMedGoogle Scholar
  • 16 Tibor LM, Marchant Jr MH, Taylor DC, Hardaker Jr WT, Garrett Jr WE, Sekiya JK. Management of medial-sided knee injuries, part 2: posteromedial corner. Am J Sports Med 2011; 39 (06) 1332-1340
    CrossrefPubMedGoogle Scholar
  • 17 Wijdicks CA, Ewart DT, Nuckley DJ, Johansen S, Engebretsen L, Laprade RF. Structural properties of the primary medial knee ligaments. Am J Sports Med 2010; 38 (08) 1638-1646
    CrossrefPubMedGoogle Scholar
  • 18 Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J. Anatomy of the anterolateral ligament of the knee. J Anat 2013; 223 (04) 321-328
    CrossrefPubMedGoogle Scholar
  • 19 Kennedy MI, Claes S, Fuso FA. , et al. The anterolateral ligament: an anatomic, radiographic, and biomechanical analysis. Am J Sports Med 2015; 43 (07) 1606-1615
    CrossrefPubMedGoogle Scholar
  • 20 Guess TM, Thiagarajan G, Kia M, Mishra M. A subject specific multibody model of the knee with menisci. Med Eng Phys 2010; 32 (05) 505-515
    CrossrefPubMedGoogle Scholar
  • 21 Wilmes P, Anagnostakos K, Weth C, Kohn D, Seil R. The reproducibility of radiographic measurement of medial meniscus horn position. Arthroscopy 2008; 24 (06) 660-668
    CrossrefPubMedGoogle Scholar
  • 22 Wilmes P, Pape D, Kohn D, Seil R. The reproducibility of radiographic measurement of lateral meniscus horn position. Arthroscopy 2007; 23 (10) 1079-1086
    CrossrefPubMedGoogle Scholar
  • 23 Kohn D, Moreno B. Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy 1995; 11 (01) 96-103
    CrossrefPubMedGoogle Scholar
  • 24 Hauch KN, Villegas DF, Haut Donahue TL. Geometry, time-dependent and failure properties of human meniscal attachments. J Biomech 2010; 43 (03) 463-468
    CrossrefPubMedGoogle Scholar
  • 25 Grood ES, Suntay WJ. A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 1983; 105 (02) 136-144
    CrossrefPubMedGoogle Scholar
  • 26 Biedert RM, Stauffer E, Friederich NF. Occurrence of free nerve endings in the soft tissue of the knee joint. A histologic investigation. Am J Sports Med 1992; 20 (04) 430-433
    CrossrefPubMedGoogle Scholar