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Vet Comp Orthop Traumatol 2003; 16(01): 26-31
DOI: 10.1055/s-0038-1632751
Original Research
Schattauer GmbH

The meniscofemoral ligament

Effect on cranio-caudal and rotatory laxity in the ovine stifle
C. M. Gupte
1   Departments of Mechanical Engineering, Bioengineering and Musculoskeletal Surgery, University of London, UK
,
D. Jeevan
2   Department of Clinical Medical Student, University of London, UK
,
A. M. J. Bull
3   Department of Bioengineering, University of London, UK
,
A. A. Amis
4   Departments of Mechanical Engineering and Musculoskeletal Surgery, Imperial College, University of London, UK
› Author AffiliationsThis study was funded by The Smith and Nephew Foundation and The Royal College of Surgeons of Edinburgh. We thank Professor FW Heatley and Mr P Aichroth for their invaluable advice.
Further Information

Publication History

Received 20 May 2002

Accepted 26 July 2002

Publication Date:
08 February 2018 (online)

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Summary

Purpose

A cadaveric study of ovine stifles was performed to examine the contribution of the meniscofemoral ligament to the cranio-caudal and internal-external rotatory laxity of this joint in sheep.

Methods

Twenty ovine stifles were harvested, denuded of muscular attachments, and the femur and tibia fixed in bone pots. These were inserted into a four degree-of-freedom rig incorporated into a materials testing machine. Forces up to a maximum of 100N were applied in the cranial and caudal directions, and the resultant translations and coupled rotations measured. Tibial internal and external rotations in response to a 6Nm torque were also measured. These parameters were assessed at 30, 60, 90 and 110 degrees of flexion in twenty intact stifles. In ten stifles a small posterior arthrotomy was used to divide the caudal cruciate ligament (CCL), followed by division of the meniscofemoral ligament (MFL). The sequence of division was reversed for a further ten stifles. The effects of each intervention on the above parameters were evaluated.

Results

Division of the MFL resulted in an increase in caudal translation at all angles of flexion in both the intact and CCL deficient stifle. There was also an increase in internal rotation of the tibia after application of a 6Nm torque. This was significant at 30 and 110 degrees of flexion in the intact stifle and at all angles of flexion in the CCL-deficient stifle.

Conclusions

These results indicate a secondary role for the MFL in the cranio-caudal and internal/external rotatory stability of the ovine stifle joint. This is the first study demonstrating a functional role for the MFL in any species, and may have a bearing on stifle injuries.

Keywords

Knee injury - caudal cruciate ligament - posterior cruciate ligament - meniscofemoral ligament - lateral meniscus - stifle joint
 

  • References

  • 1 Allen MJ, Houlton JE, Adams SB, Rushton N. The surgical anatomy of the stifle joint in sheep. Vet Surg 1998; 27: 596-605.
    CrossrefPubMedGoogle Scholar
  • 2 Amis AA, Scammell BE. Biomechanics of intra-articular and extra-articular reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 1993; 75: 812-7.
    PubMedGoogle Scholar
  • 3 Arnoczky S. The anterior cruciate ligament: current and future concepts. Jackson D, teven P. Arnoczky. New York: Raven Press; 1993
    Google Scholar
  • 4 Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study. J Bone Joint Surg Am 1980; 62: 259-70.
    CrossrefPubMedGoogle Scholar
  • 5 Candiollo L, Gautero G. Morphologie et fonction des ligaments ménisco-femoraux de l’articulation de genou chez l’homme. acta anat 1959; 38: 304-23.
    CrossrefPubMedGoogle Scholar
  • 6 Clancy WGJ, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD. Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure. J Bone Joint Surg Am 1983; 65: 310-22.
    CrossrefPubMedGoogle Scholar
  • 7 Dandy DJ, Pusey RJ. The long-term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg Br 1982; 64: 92-4.
    PubMedGoogle Scholar
  • 8 Daniel D, Stone M. KT-1000 Antero-posterior Displacement Measurements. Daniel D, Akeson W, O’Connor J. Knee Ligaments; structure, function, injury and repair. New York: Raven Press; 1990: 427-47.
    Google Scholar
  • 9 Fujie H, Mabuchi K, Woo SL, Livesay GA, Arai S, Tsukamoto Y. The use of robotics technology to study human joint kinematics: a new methodology. J Biomech Eng 1993; 115: 211-7.
    CrossrefPubMedGoogle Scholar
  • 10 Harner CD, Hoher J. Evaluation and treatment of posterior cruciate ligament injuries. Am J Sports Med 1998; 26: 471-82.
    CrossrefPubMedGoogle Scholar
  • 11 Heller L, Langman J. The menisco-femoral ligaments of the human knee. J Bone Joint Surg.Br 1964; 46-B: 307-13.
    PubMedGoogle Scholar
  • 12 Kusayama T, Harner CD, Carlin GJ, Xerogeanes JW, Smith BA. Anatomical and biomechanical characteristics of human meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc 1994; 02: 234-7.
    CrossrefPubMedGoogle Scholar
  • 13 Last R. The popliteus muscle and the lateral meniscus. J. Bone Joint Surg. Br 1950; 32: 93-9.
    PubMedGoogle Scholar
  • 14 May N. The Anatomy of the sheep. Brisbane, Queensland: University of Queensland Press; 1964
    Google Scholar
  • 15 Nickel R, Schummer A, Seiferle E, Frewein J, Wilkins H, Wille K. The Locomotor System of Domestic Mammals. Translated by Siller WaSW. Berlin, Verlag Paul Parey, 1986
    PubMedGoogle Scholar
  • 16 Piziali RL, Rastegar J, Nagel DA, Schurman DJ. The contribution of the cruciate ligaments to the load-displacement characteristics of the human knee joint. J Biomech Eng 1980; 102: 277-83.
    CrossrefPubMedGoogle Scholar
  • 17 Radford W, Amis A, Stead A. The ovine stifle as a model for human cruciate ligament surgery. Vet Comp Orthop Traumatol 1996; 09: 134-9.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Radoïévitch S. Les ligaments des ménisques interarticulaires du genou. annals of anatomy and pathology 1931; 08: 400-13.
    PubMedGoogle Scholar
  • 19 Seedhom B, Dowson D, Wright V, Longton E. Geometry ans contact in normal and artificial knee joints. Wear 1972; 20: 189-99.
    CrossrefPubMedGoogle Scholar
  • 20 Viidik A, Sandqvist L. Influence of post-mortal storage on the tensile strength characteristics and histology of ligaments. Acta Orthop Scand 1965; 79S: 1-35.
    PubMedGoogle Scholar
  • 21 Woo SL-Y, Orlando CA, Camp JF, Akeson WH. Effects of postmortem storage by freezing on ligament tensile behavior. J Biomech 1986; 19: 399-404.
    CrossrefPubMedGoogle Scholar