Abstract
The medial supporting structures of the knee can be divided into three layers [1]. Layer 1 consists of the deep crural fascia that is seen on MR images as a thin low-intensity structure on all MR sequences (Fig. 3.1). Anteriorly, the deep crural fascia joins the superficial layer of MCL into the medial patellar retinaculum that appears on MR images as a low-signal-intensity structure that extends from the vastus medialis muscle to the tibia inferiorly (Fig. 3.2) [2]. In some cases, two band-like structures may be seen [2].
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References
Warren LA, Marshall JL, Girgis F. The prime static stabilizer of the medical side of the knee. J Bone Joint Surg Am. 1974;56(4):665–74.
De Maeseneer M, et al. Three layers of the medial capsular and supporting structures of the knee: MR imaging-anatomic correlation. Radiographics. 2000;20(Spec No):S83–9.
Ruiz ME, Erickson SJ. Medial and lateral supporting structures of the knee. Normal MR imaging anatomy and pathologic findings. Magn Reson Imaging Clin N Am. 1994;2(3):381–99.
LaPrade RF, et al. The anatomy of the medial part of the knee. J Bone Joint Surg Am. 2007;89(9):2000–10.
Robinson JR, et al. The posteromedial corner revisited. An anatomical description of the passive restraining structures of the medial aspect of the human knee. J Bone Joint Surg Br. 2004;86(5):674–81.
De Maeseneer M, et al. MR imaging of the medial collateral ligament bursa: findings in patients and anatomic data derived from cadavers. AJR Am J Roentgenol. 2001;177(4):911–7.
Starok M, et al. Normal patellar retinaculum: MR and sonographic imaging with cadaveric correlation. AJR Am J Roentgenol. 1997;168(6):1493–9.
Haimes JL, et al. Role of the medial structures in the intact and anterior cruciate ligament-deficient knee. Limits of motion in the human knee. Am J Sports Med. 1994;22(3):402–9.
Ritchie JR, et al. Isolated sectioning of the medial and posteromedial capsular ligaments in the posterior cruciate ligament-deficient knee. Influence on posterior tibial translation. Am J Sports Med. 1998;26(3):389–94.
Bauer KL, Stannard JP. Surgical approach to the posteromedial corner: indications, technique, outcomes. Curr Rev Musculoskelet Med. 2013;6(2):124–31.
Sims WF, Jacobson KE. The posteromedial corner of the knee: medial-sided injury patterns revisited. Am J Sports Med. 2004;32(2):337–45.
Beall DP, et al. Magnetic resonance imaging of the collateral ligaments and the anatomic quadrants of the knee. Radiol Clin North Am. 2007;45(6):983–1002, vi.
Schweitzer ME, et al. Medial collateral ligament injuries: evaluation of multiple signs, prevalence and location of associated bone bruises, and assessment with MR imaging. Radiology. 1995;194(3):825–9.
House CV, Connell DA, Saifuddin A. Posteromedial corner injuries of the knee. Clin Radiol. 2007;62(6):539–46.
Geiger D, et al. Posterolateral and posteromedial corner injuries of the knee. Radiol Clin North Am. 2013;51(3):413–32.
Duffy PS, Miyamoto RG. Management of medial collateral ligament injuries in the knee: an update and review. Phys Sportsmed. 2010;38(2):48–54.
Wang JC, Shapiro MS. Pellegrini-Stieda syndrome. Am J Orthop (Belle Mead NJ). 1995;24(6):493–7.
Theivendran K, Lever CJ, Hart WJ. Good result after surgical treatment of Pellegrini-Stieda syndrome. Knee Surg Sports Traumatol Arthrosc. 2009;17(10):1231–3.
Mendes LF, et al. Pellegrini-Stieda disease: a heterogeneous disorder not synonymous with ossification/calcification of the tibial collateral ligament-anatomic and imaging investigation. Skeletal Radiol. 2006;35(12):916–22.
Frank C, Schachar N, Dittrich D. Natural history of healing in the repaired medial collateral ligament. J Orthop Res. 1983;1(2):179–88.
Stoller DW, Anderson LJ, Cannon WD. The knee. In: Stoller DW, editor. Magnetic resonance imaging in orthopaedics and sports medicine, vol. 1. 3rd ed. Philadepllphia: Lippincott Williams & Wilkins; 2007.
Phisitkul P, et al. MCL injuries of the knee: current concepts review. Iowa Orthop J. 2006;26:77–90.
Frick MA, Collins MS, Adkins MC. Postoperative imaging of the knee. Radiol Clin North Am. 2006;44(3):367–89.
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Bolog, N.V., Andreisek, G., Ulbrich, E.J. (2015). Medial Collateral Ligament (MCL) and Medial Supporting Structures. In: MRI of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-319-08165-6_3
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DOI: https://doi.org/10.1007/978-3-319-08165-6_3
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