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Knee MRI Mastery/Chap 3.Collateral Ligaments

(Fig 3-B.13) Popliteus Myotendinous Junction Injury

https://youtu.be/-Vl_F8M-mYQ

https://youtu.be/6WOItzqJj1g

 

📌 Popliteus Injuries

  • Most popliteus tears are extra-articular, involving the muscle or myotendinous portion
  • Less common: injuries to the tendon within the popliteal hiatus or near femoral insertion
  • Musculotendinous junction or femoral insertion injuries are common in high-grade posterolateral corner (PLC) injuries
  • Isolated popliteus injuries represent <10% of cases

Imaging Findings Extra-articular tears:

  • Muscle or myotendinous portion tears
  • Strain/grade II lesion at myotendinous junction (white arrows)
  • Extensive circumferential soft tissue edema
  • Popliteus tendon appears intact

 

MRI Findings Injury appearance varies by location and severity:

  • Abnormal signal in popliteus muscle
  • Irregular tendon contour with peritendinous edema
  • Tendon avulsion from femoral attachment

 

Radiographics.2000 Oct;20 Spec No:S91-S102.

Radiol Clin North Am. 2018 Nov;56(6):935-951

 

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