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✅ Knee MRI Mastery/Chap 4A. Patelloefemoral joint

(Fig 4-A.10) Lateral Retinacular Complex

by MSK MRI 2024. 6. 1.

https://youtu.be/zSeR_eTKlZ0

https://youtu.be/vzxclU_34OI

 

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📌 The Lateral Patellofemoral Complex

✅ Primary Component

  • The primary component of the lateral patellofemoral complex is the lateral patellofemoral ligament, which extends from the lateral patella and adjacent patellar tendon to the femur, specifically distal-anterior to the lateral femoral epicondyle.

✅ Secondary Stabilizers

  • Lateral patellomeniscal ligament: spanning from the inferolateral patella to the lateral meniscus anterior horn.
  • Lateral patellotibial ligament: extending from the inferolateral patella to the adjacent tibia near the Gerdy tubercle.

✅ Importance

  • The lateral patellofemoral complex plays a crucial role in both lateral and medial patellar displacement. 
  • Due to concerns about iatrogenic medial patellar instability, many surgeons now perform a controlled retinacular "lengthening" procedure instead of a traditional lateral "release" procedure.

✅ Layers

  • The lateral retinacular complex is more robust and less frequently injured compared to the medial retinacular complex. It consists of three layers:
  1. The deep fascia forming the superficial layer
  2. Contributions from the vastus lateralis obliquus, quadriceps aponeurosis, and iliotibial band forming the intermediate layer (including the lateral patellofemoral ligament)
  3. The joint capsule accounting for the deep layer

 

➡️References:

  1. Radiographics. 2023 Jun;43(6):e220177
  2. Skeletal Radiol. 2018 Aug;47(8):1069-1086

 

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#LateralPatellofemoralComplex, #KneeAnatomy, #PatellofemoralLigament, #PatellofemoralInstability, #PatellofemoralPain, #KneeInjuries, #OrthopedicSurgery, #RetinacularRelease, #QuadricepsAnatomy, #IliotibialBand