✅ Knee MRI Mastery/Chap 3.Collateral Ligaments

(Fig 3-B.22) Arcuate and Fabellofibular Ligament Tears

MSK MRI 2024. 5. 22. 15:42

https://youtu.be/4_L3OANdAmQ

 

https://youtu.be/6WOItzqJj1g

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✅ Fabellofibular Ligament

  • Originates from the fabella, runs vertically parallel to the lateral collateral ligament, and attaches to the fibular styloid process.

 

✅ Arcuate Ligament

  • Thickening/reinforcement of the posterolateral capsule
  • Y-shaped, runs to the apex of the fibular styloid process
  • Lateral limb attaches to lateral femoral condyle and posterolateral joint capsule
  • Medial limb attaches to posterior capsule and oblique popliteal ligament

 

✅ Visualizing These Ligaments on MRI

  • Difficult to visualize arcuate and fabellofibular ligaments on MRI, even when present
  • More conspicuous on non-fat-saturated MRI as surrounded by adipose tissue

📌 Identifying Ligament Injuries

  • Increased pericapsular signal surrounding posterolateral capsule on fat-suppressed, fluid-sensitive MRI suggests injury
  • In this case, more severe injuries with disruption of posterolateral capsule
  • Tears of fabellofibular and arcuate ligaments evident

 

Radiographics. 2016 Oct;36(6):1776-1791.

RadioGraphics 2014; 34:496–513

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

Stoller's Orthopaedics and Sports Medicine: The Knee

 

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