An anatomic study of the lateral patellofemoral ligament

Objective: The lateral patellofemoral ligament (LPFL) is part of the lateral retinaculum cut during arthroscopic or open release. We investigated its anatomic and morphometric characteristics. Materials and methods: We identified the LPFL insertion point on the condyle in vertical and sagittal plane...

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Main Authors: Sercan Capkin, Gulsah Zeybek, Ipek Ergur, Can Kosay, Amac Kiray
Format: Article
Language:English
Published: AVES 2017-01-01
Series:Acta Orthopaedica et Traumatologica Turcica
Online Access:http://www.sciencedirect.com/science/article/pii/S1017995X16300220
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author Sercan Capkin
Gulsah Zeybek
Ipek Ergur
Can Kosay
Amac Kiray
author_facet Sercan Capkin
Gulsah Zeybek
Ipek Ergur
Can Kosay
Amac Kiray
author_sort Sercan Capkin
collection DOAJ
description Objective: The lateral patellofemoral ligament (LPFL) is part of the lateral retinaculum cut during arthroscopic or open release. We investigated its anatomic and morphometric characteristics. Materials and methods: We identified the LPFL insertion point on the condyle in vertical and sagittal planes in 32 adult cadaveric knees. We measured its length and width at the insertion point. We located the midpoint of this point and measured from it to the distal and posterior condylar ends. We measured anterior-posterior and proximal-distal lateral condylar lengths. We evaluated the insertion point shape on the lateral femoral condyle. Degree of relationship between variables was assessed using Pearson's correlation coefficient. p < 0.05 was considered statistically significant. Results: The LPFL mean length was 23.2 mm, and mean width at the insertion point was 15.6 mm. Regarding its insertion into the lateral condyle, central insertions were more frequent (vertical plane: 53.1% central and sagittal plane: 75% central). A significant positive correlation was evident between the LPFL length and width at the insertion point (p = 0.05). Thus, the LPFL length was proportional to its width at the insertion point. A significant positive correlation was found between the anterior-posterior condylar length and width of the LPFL at the insertion point (p = 0.017). Therefore, greater anterior-posterior condylar length equates to a larger area of insertion on the condyle. Conclusion: Greater width of the LPFL at the insertion point corresponds to greater LPFL and anterior-posterior lateral condylar lengths. Keywords: Anatomic study, Lateral patellofemoral ligament, Lateral condyle of the femur
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spelling doaj-art-cd9b1e359c2c44b4b5470b252f8a14832025-08-20T03:39:14ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-01-01511737610.1016/j.aott.2016.07.009An anatomic study of the lateral patellofemoral ligamentSercan Capkin0Gulsah Zeybek1Ipek Ergur2Can Kosay3Amac Kiray4Hinis Sehit Yavuz Yurekseven State Hospital, Department of Orthopaedics and Traumatology, Erzurum, Turkey; Corresponding author.Dokuz Eylul University School of Medicine, Department of Anatomy, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Anatomy, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Orthopaedics and Traumatology, Izmir, TurkeyDokuz Eylul University School of Medicine, Department of Anatomy, Izmir, TurkeyObjective: The lateral patellofemoral ligament (LPFL) is part of the lateral retinaculum cut during arthroscopic or open release. We investigated its anatomic and morphometric characteristics. Materials and methods: We identified the LPFL insertion point on the condyle in vertical and sagittal planes in 32 adult cadaveric knees. We measured its length and width at the insertion point. We located the midpoint of this point and measured from it to the distal and posterior condylar ends. We measured anterior-posterior and proximal-distal lateral condylar lengths. We evaluated the insertion point shape on the lateral femoral condyle. Degree of relationship between variables was assessed using Pearson's correlation coefficient. p < 0.05 was considered statistically significant. Results: The LPFL mean length was 23.2 mm, and mean width at the insertion point was 15.6 mm. Regarding its insertion into the lateral condyle, central insertions were more frequent (vertical plane: 53.1% central and sagittal plane: 75% central). A significant positive correlation was evident between the LPFL length and width at the insertion point (p = 0.05). Thus, the LPFL length was proportional to its width at the insertion point. A significant positive correlation was found between the anterior-posterior condylar length and width of the LPFL at the insertion point (p = 0.017). Therefore, greater anterior-posterior condylar length equates to a larger area of insertion on the condyle. Conclusion: Greater width of the LPFL at the insertion point corresponds to greater LPFL and anterior-posterior lateral condylar lengths. Keywords: Anatomic study, Lateral patellofemoral ligament, Lateral condyle of the femurhttp://www.sciencedirect.com/science/article/pii/S1017995X16300220
spellingShingle Sercan Capkin
Gulsah Zeybek
Ipek Ergur
Can Kosay
Amac Kiray
An anatomic study of the lateral patellofemoral ligament
Acta Orthopaedica et Traumatologica Turcica
title An anatomic study of the lateral patellofemoral ligament
title_full An anatomic study of the lateral patellofemoral ligament
title_fullStr An anatomic study of the lateral patellofemoral ligament
title_full_unstemmed An anatomic study of the lateral patellofemoral ligament
title_short An anatomic study of the lateral patellofemoral ligament
title_sort anatomic study of the lateral patellofemoral ligament
url http://www.sciencedirect.com/science/article/pii/S1017995X16300220
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