膝蓋靭帯
WordNet
- any connection or unifying bond
- a sheet or band of tough fibrous tissue connecting bones or cartilages or supporting muscles or organs
- a small flat triangular bone in front of the knee that protects the knee joint (同)kneecap, kneepan
PrepTutorEJDIC
- 靱帯(じんたい)(骨と骨を結びつてけ関節の動きを調節する)
- =kneecap
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/09/14 11:01:33」(JST)
[Wiki en表示]
| Patellar ligament |
|---|
|
Right knee-joint. Anterior view. (Ligamentum patellae visible at bottom left, below patella.) |
| Details |
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| From |
patella |
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| To |
tuberosity of the tibia |
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| Identifiers |
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| Latin |
ligamentum patellae |
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| MeSH |
D017847 |
|---|
| TA |
A03.6.08.015 |
|---|
| FMA |
44581 |
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|
Anatomical terminology [edit on Wikidata] |
The patellar ligament is the distal portion of the common tendon of the quadriceps femoris, which is continued from the patella to the tibial tuberosity. It is also sometimes called the patellar tendon[1] as it is a continuation of the quadriceps tendon.
Structure
The patellar ligament is a strong, flat, ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris. It is about 4.5 cm long in adults (range from 3 to 6 cm).[2]
The medial and lateral portions of the quadriceps tendon pass down on either side of the patella to be inserted into the upper extremity of the tibia on either side of the tuberosity; these portions merge into the capsule, as stated above, forming the medial and lateral patellar retinacula.
The posterior surface of the patellar ligament is separated from the synovial membrane of the joint by a large infrapatellar pad of fat, and from the tibia by a bursa.
Clinical significance
The patellar ligament can be injured in a patellar tendon rupture.
It can be used as a tissue source in the repair of other ligaments. In the event of a torn anterior cruciate ligament, the patellar ligament can be used in the rehabilitation process. In this case, the middle one third of the patellar ligament is harvested and inserted through tunnels that are drilled into the femur and tibia. The portion of the patellar ligament is then drawn through these tunnels in the bone and will be affixed to the bone via screws. The recovery process takes approximately 4–6 months upon the completion of surgery.[3] This patellar ligament method of reconstruction was traditionally the gold standard graft for anterior cruciate ligament reconstruction, and is still one of the more preferred methods.[4][5][6][7]
Its insertion on the tibia is the location of Osgood–Schlatter disease.
See also
- Patellar reflex
- Patellar tendinitis
Additional images
Sagittal section of right knee-joint.
Capsule of right knee-joint (distended). Lateral aspect.
PATELLAR LIGAMENT.Deep dissection. Anterior view.
References
This article incorporates text in the public domain from page 340 of the 20th edition of Gray's Anatomy (1918)
- ^ "Patellar tendon definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms". medterms.com. Retrieved 19 April 2018.
- ^ Navali AM, Jafarabadi MA (2015). "Is There Any Correlation Between Patient Height and Patellar Tendon Length?". Arch Bone Jt Surg. 3 (2): 99–103. PMC 4468619 . PMID 26110175.
- ^ MedlinePlus Encyclopedia ACL reconstruction
- ^ Shaerf, Daniel A.; Pastides, Philip S.; Sarraf, Khaled M.; Willis-Owen, Charles A. (2014-01-18). "Anterior cruciate ligament reconstruction best practice: A review of graft choice". World Journal of Orthopedics. 5 (1): 23–29. doi:10.5312/wjo.v5.i1.23. PMC 3952691 . PMID 24649411.
- ^ Zakko, Philip; van Eck, Carola F.; Guenther, Daniel; Irrgang, James J.; Fu, Freddie H. (2015-07-17). "Can we predict the size of frequently used autografts in ACL reconstruction?". Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA. 25: 3704–3710. doi:10.1007/s00167-015-3695-4. ISSN 1433-7347. PMID 26183732.
- ^ http://www.aaos.org/news/aaosnow/apr12/cover1.asp[full citation needed]
- ^ "Bone Patellar Bone ACL Reconstruction - Wheeless' Textbook of Orthopaedics". Retrieved 2008-10-23.
External links
- Anatomy figure: 15:01-04 at Human Anatomy Online, SUNY Downstate Medical Center - "Muscles of the anterior (extensor) compartment of the leg."
- lljoints at The Anatomy Lesson by Wesley Norman (Georgetown University) (antkneejointopenflexed)
Joints and ligaments of the human leg |
|---|
| Hip |
- femoral (iliofemoral
- pubofemoral
- ischiofemoral)
- head of femur
- transverse acetabular
- acetabular labrum
- capsule
- zona orbicularis
|
|---|
| Knee | | Tibiofemoral |
- Capsule
- Anterior meniscofemoral ligament
- Posterior meniscofemoral ligament
- extracapsular: popliteal
- collateral
- medial/tibial
- fibular/lateral
- intracapsular: cruciate
- menisci
- transverse
- anterolateral
|
|---|
| Patellofemoral |
- Patellar ligament
- Infrapatellar fat pad
|
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|
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| Tibiofibular | | Superior tibiofibular |
- anterior of the head of the fibula
- posterior of the head of the fibula
|
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| Inferior tibiofibular |
- Anterior tibiofibular
- Posterior tibiofibular
- Interosseous membrane of leg
|
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|
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| Foot | | Talocrural and ankle |
- medial: medial of talocrural joint/deltoid
- anterior tibiotalar
- posterior tibiotalar
- tibiocalcaneal
- tibionavicular
- lateral: lateral collateral of ankle joint
- anterior talofibular
- posterior talofibular
- calcaneofibular
|
|---|
| Subtalar/talocalcaneal |
- anterior/posterior
- lateral/medial
- interosseous
|
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| Transverse tarsal | | Talocalcaneonavicular |
- dorsal talonavicular
- plantar calcaneonavicular/spring
- bifurcated (calcaneonavicular)
|
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| Calcaneocuboid |
- dorsal calcaneocuboid
- long plantar
- plantar calcaneocuboid
- bifurcated (calcaneocuboid)
|
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|
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| Distal intertarsal | | Cuneonavicular | |
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| Cuboideonavicular | |
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| Intercuneiform |
- plantar
- dorsal
- interosseous
|
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|
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| Other | | Tarsometatarsal/Lisfranc | |
|---|
| Intermetatarsal/metatarsal |
- plantar
- dorsal
- interosseous
- superficial transverse
- deep transverse
|
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| Metatarsophalangeal | |
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| Interphalangeal | |
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|
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| Arches | |
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|
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UpToDate Contents
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English Journal
- Operative vs conservative treatment of traumatic patellar dislocation: results of a prospective randomized controlled clinical trial.
- Petri M, Liodakis E, Hofmeister M, Despang FJ, Maier M, Balcarek P, Voigt C, Haasper C, Zeichen J, Stengel D, Krettek C, Frosch KH, Lill H, Jagodzinski M.SourceTrauma Department, Hannover Medical School (MHH), Carl-Neuberg-Straße 1, 30625, Hannover, Germany, petri.maximilian@mh-hannover.de.
- Archives of orthopaedic and trauma surgery.Arch Orthop Trauma Surg.2013 Feb;133(2):209-13. doi: 10.1007/s00402-012-1639-8. Epub 2012 Nov 9.
- INTRODUCTION: Patellar dislocation is a common knee injury with mainly lateral dislocations, leading to ruptures of the medial patellofemoral ligament in most of the cases. Even though several prognostic factors for patellofemoral instability have been identified so far, the appropriate therapy for
- PMID 23138693
- Acute patellar dislocation. What to do?
- Panni AS, Vasso M, Cerciello S.SourceDepartment of Science for Health, University of Molise, Via Francesco De Sanctis, Campobasso, Italy, a.schiavone@iol.it.
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA.Knee Surg Sports Traumatol Arthrosc.2013 Feb;21(2):275-8. doi: 10.1007/s00167-012-2347-1. Epub 2012 Dec 15.
- Acute patellar dislocation is a common knee injury that occurs most often in adolescents, frequently associated with sporting and physical activities. Patellar re-dislocation after the first episode appears to depend primarily on the medial patellofemoral ligament injury which represents the primary
- PMID 23242381
- Arthroscopic transtibial single-bundle posterior cruciate ligament reconstruction using patellar tendon graft compared with hamstring tendon graft.
- Lin YC, Chen SK, Liu TH, Cheng YM, Chou PP.SourceDepartment of Orthopaedic Surgery, Kaohsiung Medical University Hospital, 100 Tz-You 1st Road, Kaohsiung, 80708, Taiwan.
- Archives of orthopaedic and trauma surgery.Arch Orthop Trauma Surg.2013 Jan 24. [Epub ahead of print]
- PURPOSE: The purpose of this study was to compare the outcomes of arthroscopic transtibial single-bundle posterior cruciate ligament reconstruction using autologous patellar tendon and hamstring tendon grafts.METHODS: From 1998 to 2007, 59 patients with symptomatic isolated posterior cruciate ligame
- PMID 23344423
Japanese Journal
- Force ratios in the quadriceps tendon and ligamentum patellae
★リンクテーブル★
[★]
- 英
- patellar ligament (N,K)
- ラ
- ligamentum patellae
- 同
- 膝蓋腱 patellar tendon
- 図：N.488,489
- 膝蓋骨と脛骨粗面を結ぶ靭帯
- 大腿直筋からの腱の一部ともつながっている
[★]
膝蓋骨
- 関
- patella、patellar