Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament
PURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL) in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The mac...
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Sociedade Brasileira de Ortopedia e Traumatologia
2013-04-01
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doaj-4270fddac63142a899ae00abf5b8542e2020-11-24T22:20:26ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia0102-36161982-43782013-04-01482186190Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligamentJulio Cesar GaliHeetor Campora de Sousa OliveiraAdriano Bordini CamargoCarlos Rodrigo Barbosa MartinsPhelipe Augusto Cintra da SilvaEdie Benedito CaetanoPURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL) in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The macroscopic details of the femoral insertions of the PCL's anterolateral (AL) and posteromedial (PM) bundles were analyzed in 24 cadaver knees. The specimens were photographed with a digital camera and the images obtained were studied using the software ImageJ. The bundles' insertion areas were measured in square millimeters, and the length of the structures and the distances between significant points were measured in millimeters. RESULTS: The PCL's femoral insertion average total area was 87.29 ± 31.42 mm².The mean insertion's areas of the AL and PM bundles were, respectively, 47.13 ± 19.14 and 40.67 ± 16.19 mm². In 95.8% of the examined knees was verified the presence of the medial intercondylar ridge and in 83.3% of the knees was noted the medial bifurcated ridge. The average length of the medial intercondylar ridge was 20.54 ± 2.26 mm and the medial bifurcated ridge's average length was 7.62 ± 2.35 mm. CONCLUSIONS: The AL had a femoral insertion area larger than the PM bundle; these bundles' insertion areas were lower than those previously described in the literature. There were important individual variations related to the area of the bundles in the samples, suggesting that there should be an individual recommendation for anatomical reconstructions of the PCL with single or double femoral tunnels.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000200186FêmurLigamento cruzado posteriorProcedimentos ortopédicosFemurPosterior Cruciate LigamentOrthopaedic Procedures |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Julio Cesar Gali Heetor Campora de Sousa Oliveira Adriano Bordini Camargo Carlos Rodrigo Barbosa Martins Phelipe Augusto Cintra da Silva Edie Benedito Caetano |
spellingShingle |
Julio Cesar Gali Heetor Campora de Sousa Oliveira Adriano Bordini Camargo Carlos Rodrigo Barbosa Martins Phelipe Augusto Cintra da Silva Edie Benedito Caetano Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament Revista Brasileira de Ortopedia Fêmur Ligamento cruzado posterior Procedimentos ortopédicos Femur Posterior Cruciate Ligament Orthopaedic Procedures |
author_facet |
Julio Cesar Gali Heetor Campora de Sousa Oliveira Adriano Bordini Camargo Carlos Rodrigo Barbosa Martins Phelipe Augusto Cintra da Silva Edie Benedito Caetano |
author_sort |
Julio Cesar Gali |
title |
Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
title_short |
Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
title_full |
Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
title_fullStr |
Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
title_full_unstemmed |
Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
title_sort |
anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament |
publisher |
Sociedade Brasileira de Ortopedia e Traumatologia |
series |
Revista Brasileira de Ortopedia |
issn |
0102-3616 1982-4378 |
publishDate |
2013-04-01 |
description |
PURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL) in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The macroscopic details of the femoral insertions of the PCL's anterolateral (AL) and posteromedial (PM) bundles were analyzed in 24 cadaver knees. The specimens were photographed with a digital camera and the images obtained were studied using the software ImageJ. The bundles' insertion areas were measured in square millimeters, and the length of the structures and the distances between significant points were measured in millimeters. RESULTS: The PCL's femoral insertion average total area was 87.29 ± 31.42 mm².The mean insertion's areas of the AL and PM bundles were, respectively, 47.13 ± 19.14 and 40.67 ± 16.19 mm². In 95.8% of the examined knees was verified the presence of the medial intercondylar ridge and in 83.3% of the knees was noted the medial bifurcated ridge. The average length of the medial intercondylar ridge was 20.54 ± 2.26 mm and the medial bifurcated ridge's average length was 7.62 ± 2.35 mm. CONCLUSIONS: The AL had a femoral insertion area larger than the PM bundle; these bundles' insertion areas were lower than those previously described in the literature. There were important individual variations related to the area of the bundles in the samples, suggesting that there should be an individual recommendation for anatomical reconstructions of the PCL with single or double femoral tunnels. |
topic |
Fêmur Ligamento cruzado posterior Procedimentos ortopédicos Femur Posterior Cruciate Ligament Orthopaedic Procedures |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000200186 |
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