The Anatomical Numerical Measurement of Posterior Cruciate Ligament: A Vietnamese Cadaveric Study

Authors

  • Do Van Minh Hanoi Medical University, Hanoi, Vietnam; Hanoi Medical University Hospital, Hanoi, Vietnam
  • Tran Trung Dung Hanoi Medical University, Hanoi, Vietnam; Saint Paul University Hospital, Hanoi, Vietnam
  • Ngo Van Toan Viet Duc University Hospital, Hanoi, Vietnam
  • Nguyen Huy Phuong Hanoi Medical University, Hanoi, Vietnam; Hanoi Medical University Hospital, Hanoi, Vietnam
  • Vo Sy Quyen Nang Hanoi Medical University Hospital, Hanoi, Vietnam
  • Thien Chu Dinh Institute for Research and Development, Duy Tan University, 03 Quang Trung, Danang, Vietnam

DOI:

https://doi.org/10.3889/oamjms.2019.835

Keywords:

Anatomy, Knee, Posterior cruciate ligament, Femoral footprint, Tibial footprint, Intra-articular posterior cruciate ligament

Abstract

BACKGROUND: The posterior cruciate ligament (PCL) is crucial to restrain the posterior translation of the tibia. Its anatomical structure is complex. A proper understanding of PCL anatomy may assist surgeon in reconstructing anatomically native PCL.

AIM: To describe the anatomical numerical measurement of the PCL in Vietnamese adults.

METHODS: Twenty-one fresh cadaveric knees were examined. The macroscopic details of the intra-articular PCL, the attachment of the anterolateral bundle (ALB), posteromedial bundles (PMB) to the femur and tibia were analysed. We used a digital camera to photograph the cadaveric specimens and used the ImageJ software to analyse the collected images.

RESULTS: The ALB and PMB length were 35.5 ± 2.78 and 32.6 ± 2.28 mm, respectively. The smallest and the biggest diameter of middle third of the PCL were 5.9 ± 0.71 and 10.0 ± 1.39 mm, respectively. The area of cross section of middle third of the PCL was 53.6 ± 12.37 mm2. The femoral insertion area of ALB and PMB were 88.4 ± 16.89 and 43.5 ± 8.83 mm2, respectively. The distance from the central point of femoral ALB, PMB, and total PCL insertion to the Blumensaat line were 5.5 ± 0.91, 11.5 ± 1.98, and 7.6 ± 1.42 mm, respectively. The shortest distance from medial femoral cartilage rim to the central point of femoral ALB, PMB, and total PCL insertion were 7.0 ± 0.79, 7.3 ± 0.95, and 7.8 ± 1.73 mm, respectively. The tibial insertion area of ALB and PMB were 84.5 ± 12.52 and 47.8 ± 6.20 mm2 respectively. The shortest distance from the posterior cartilage corner of the medial tibial plateau to the central point of ALB, PMB, and total PCL insertion to tibia were 8.5 ± 1.02, 9.4 ± 1.11, and 8.3 ± 1.1 mm, respectively. The central point of tibial PCL insertion was 9.7±1.08 mm below cartilage plane of the medial tibial plateau.

CONCLUSION: This study describes the detailed anatomical measurement of the PCL and its bundles in adults.

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Published

2019-12-20

How to Cite

1.
Minh DV, Dung TT, Toan NV, Phuong NH, Nang VSQ, Dinh TC. The Anatomical Numerical Measurement of Posterior Cruciate Ligament: A Vietnamese Cadaveric Study. Open Access Maced J Med Sci [Internet]. 2019 Dec. 20 [cited 2024 Mar. 28];7(24):4357-61. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.835

Issue

Section

Basic and Clinical Medical Researches in Vietnam