📌 MPFL: It’s Not One Ligament.

https://youtube.com/shorts/C9JzEoyZF1o

 

✅ More structured MSK MRI guidance is available in my book,

Visualizing MSK Radiology: A Practical Guide to Radiology Mastery on Amazon.

https://www.amazon.com/dp/B0DJGMHMFS

1) MPFL = TWO Components

Not one band, but a two-part complex:

• Transverse component
  • From the medial femoral epicondyle → adductor tubercle
  
  
• Oblique decussation component
  • From the superficial MCL
  
  

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2) Common Insertion

Both components merge and insert onto the medial patella
(plus deep fibers of the vastus medialis).

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3) Key MRI Tips

• The transverse portion is thin → often subtle or hard to see
  
  
• The oblique portion frequently shows edema or tearing
  → even without lateral patellar dislocation
  
  
• Superficial MCL injury?
  → Check the oblique MPFL component (high association)
  
  

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🎯 Dr. Slothic’s One-Line Pearl

“The MPFL is a two-part complex, and the oblique portion tears more often than you expect— even without patellar dislocation.”

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#MSKRadiology, #KneeMRI, #MPFL, #PatellarInstability, #RadiologyEducation, #Orthopedics, #Patellofemoral, #MRIAnatomy, #DrSlothic, #ImagingPearls

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#MPFL, #KneeLigament, #sMCL, #KneeMRI, #FemoralAttachment, #KneeAnatomy, #Orthopedics, #LigamentInjury, #MedicalImaging