Vieira, Thais Dutra, Pioger, Charles, Frank, Florent, Saithna, Adnan 
ORCID: 0000-0002-2408-5307, Cavaignac, Etienne, Thaunat, Mathieu and Sonnery-Cottet, Bertrand
(2019)
Arthroscopic Dissection of the Distal Semimembranosus Tendon: An Anatomical Perspective on Posteromedial Instability and Ramp Lesions.
ARTHROSCOPY TECHNIQUES, 8 (9).
E987-E991.
|
Text
Arthroscopic Dissection of the Distal Semimembranosus Tendon An Anatomical Perspective on Posteromedial Instability and Ramp.pdf - Published version Download (1MB) | Preview |
Abstract
Ramp lesions are increasingly recognized as a hallmark of posteromedial knee instability. Although the precise mechanisms through which these lesions occur is not completely understood, the distal semimembranosus complex has been implicated in their pathogenesis due to its attachment to the posterior horn of the medial meniscus (PHMM). Arthroscopic dissection of the distal semimembranosus tendon, and the application of traction to it, results in posterior translation of the PHMM and stretching of the meniscocapsular region. This demonstrates a mechanism through which ramp lesions can occur. Furthermore, the subsequent open dissection highlights the complex anatomical relationships of the distal semimembranosus tendon complex, particularly its tensioning effect on the posterior oblique ligament. The clinical relevance of this is that when a ramp lesion occurs, it is likely to be part of a spectrum of posteromedial injury and it should be considered a hallmark of posteromedial instability rather than an isolated meniscocapsular injury.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 2.1 Biological and endogenous factors, 2 Aetiology, Musculoskeletal |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 29 Nov 2019 11:23 |
| Last Modified: | 17 Mar 2024 05:27 |
| DOI: | 10.1016/j.eats.2019.05.008 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3064024 |
Dimensions
Dimensions
