関: patellar tendon

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
near or relating to the patella or kneecap; "patellar tendon"

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）』「2016/02/12 12:35:43」(JST)

wiki en

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.

Structure

The patellar ligament is a strong, flat, ligament, about 5 cm in length, 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.

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.

It is also sometimes called the "patellar tendon".^[1]

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.^[2] The Patellar Ligament method of reconstructing the Anterior Cruciate Ligament is the most common and most preferred method of reconstruction.^[3]^[4]

It is the location of Osgood-Schlatter disease.

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 the 20th edition of Gray's Anatomy (1918)

^ Patellar tendon definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms
^ MedlinePlus Encyclopedia ACL reconstruction
^ 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

The KNEEguru - educational site packed with knee content with sections on patellar problems
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)

This ligament-related article is a stub. You can help Wikipedia by expanding it.

UpToDate Contents

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1. 慢性膝関節痛または損傷がみられる小児または思春期のアスリートに対するアプローチ approach to the child or adolescent athlete with chronic knee pain or injury
2. 膝蓋骨外側脱臼の認識および初期マネージメント recognition and initial management of lateral patellar dislocations
3. 膝の疼痛がみられる運動選手または活動的な成人に対するアプローチ approach to the athlete or active adult with knee pain
4. 成人における急性膝痛の放射線評価 radiologic evaluation of the acutely painful knee in adults
5. 小児または思春期のアスリートにおける急性膝関節痛および傷害の外傷性原因 traumatic causes of acute knee pain and injury in the child or adolescent athlete

English Journal

Synthetic grafts for anterior cruciate ligament reconstruction.

Longo UG, Rizzello G, Berton A, Fumo C, Maltese L, Khan WS, Denaro V.SourceDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy. g.longo@unicampus.it.
Current stem cell research & therapy.Curr Stem Cell Res Ther.2013 Nov;8(6):429-37.
Several artificial biomaterials are available as ligament grafts. No ideal prosthesis mimicking natural human tissue have been found to date. The emerging field of tissue engineering holds the promise to use artificial ligaments as a viable alternative to the patellar or hamstring tendon autografts.
PMID 24016326

A two- and five-year follow-up of clinical outcome after ACL reconstruction using BPTB or hamstring tendon grafts: a prospective intervention outcome study.

Heijne A, Hagströmer M, Werner S.SourceDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, SE-141 86 Huddinge, 23100, Stockholm, Sweden, annette.heijne@ki.se.
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA.Knee Surg Sports Traumatol Arthrosc.2013 Oct 26. [Epub ahead of print]
PURPOSE: The aim of the present study was to evaluate and compare objective and subjective outcome in patients 2 and 5 years after anterior cruciate ligament (ACL) reconstruction with either bone-patellar tendon-bone (BPTB) or hamstring grafts. The second aim was to report the prevalence of re- and
PMID 24158448

Anatomic medial patellofemoral ligament reconstruction using patellar suture anchor fixation for recurrent patellar instability.

Song SY, Kim IS, Chang HG, Shin JH, Kim HJ, Seo YJ.SourceDepartment of Orthopaedic Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, 40, Seokwoo-dong, Hwaseong, Gyeonggi-do, 445-170, Republic of Korea.
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA.Knee Surg Sports Traumatol Arthrosc.2013 Oct 24. [Epub ahead of print]
PURPOSE: The purpose of this study was to prospectively evaluate clinical and radiographic outcomes following anatomic medial patellofemoral ligament (MPFL) reconstruction using patellar suture anchor fixation for recurrent patellar instability.METHODS: Twenty patients (20 knees) were enrolled in t
PMID 24154711

Japanese Journal

臨床室下腿切断術後の反復性膝蓋骨脱臼に対して内側膝蓋大腿靱帯再建術を施行した1例

整形外科 = Orthopedic surgery 68(9), 985-988, 2017-08
NAID 40021281374

最新原著レビュー反復性膝蓋骨脱臼患者に対する内側膝蓋大腿靱帯再建術後の内・外側膝蓋骨支持機構の経時的剛性の変化

整形外科 = Orthopedic surgery 68(7), 691-696, 2017-07
NAID 40021251577

膝蓋靭帯断裂に対してFiberTapeを併用し靭帯縫合した1例

中部日本整形外科災害外科学会雑誌 60(2), 341-342, 2017
NAID 130005936973

Related Pictures

★リンクテーブル★

リンク元	「膝蓋靭帯」「patellar tendon」
関連記事	「patellar」

「膝蓋靭帯」

Patellar ligament
	Right knee-joint. Anterior view. (Ligamentum patellae visible at bottom left, below patella.)
Details
From	patella
To	tuberosity of the tibia
Identifiers
Latin	ligamentum patellae
MeSH	A02.513.514.475
Dorlands; /Elsevier	l_09/12492768
TA	A03.6.08.015
FMA	44581
	Anatomical terminology [edit on Wikidata]