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The coronary ligaments function to connect parts of the outside, inferior edges of the medial and lateral menisci to the joint capsule of the knee. The medial meniscus also has firm attachments laterally to the intercondylar area of the tibia and medially to the tibial collateral ligament .
The meniscofemoral ligament is longer than the meniscotibial ligament, which is shorter and thicker in nature. [2] The meniscofemoral ligament is a primary internal rotation stabilizer and a secondary external rotation stabilizer, activated when the sMCL fails. [3] [9] The meniscotibial ligament acts to secondarily stabilize internal rotation.
Structures found in the posterolateral corner include the tibia, fibula, lateral femur, iliotibial band (IT band), the long and short heads of the biceps femoris tendon, the fibular (lateral) collateral ligament (FCL), the popliteus tendon, the popliteofibular ligament, the lateral gastrocnemius tendon, and the fabellofibular ligament.
The lateral meniscus is grooved laterally for the tendon of the popliteus, which separates it from the fibular collateral ligament.. Its anterior end is attached in front of the intercondyloid eminence of the tibia, lateral to, and behind, the anterior cruciate ligament, with which it blends; the posterior end is attached behind the intercondyloid eminence of the tibia and in front of the ...
Depending on the type and location of the tear, the patient's age, and physician's preference, injured menisci are usually either repaired or removed, in part or completely (meniscectomy). Each has its advantages and disadvantages. Many studies show the meniscus serves a purpose and therefore doctors will attempt to repair when possible.
In this situation, a tug on the ligament while observing for motion of the lateral meniscus can be used to tell the two apart. [citation needed] Anterior meniscofemoral ligament, together with posterior meniscofemoral ligament, meniscotibial ligament, and the popliteomeniscal fascicles, stabilises the posterolateral part of the lateral meniscus ...
A meniscal repair has a higher success rate given an adequate blood supply to the peripheral rim. [36] [failed verification] The interior of the meniscus is avascular, but the blood supply can penetrate up to about 6 millimetres (0.24 in). Therefore, meniscus tears that occur near the peripheral rim are able to heal after a meniscal repair. [1]
The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.