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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 4, 527-534.
doi: 10.1302/0301-620X.90B4.20085  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Anatomy of the lateral retinaculum of the knee

A. M. Merican, BM MS(Orth), Associate Professor1; and A. A. Amis, DSc(Eng), Professor2

1 Department of Orthopaedic Surgery, University of Malaya Medical Center, 59100 Kuala Lumpur, Malaysia.
2 Departments of Mechanical Engineering and Musculoskeletal Surgery, Imperial College London, South Kensington Campus, London SW7 2AZ, UK.

Correspondence should be sent to Professor A. A. Amis; e-mail: a.amis{at}imperial.ac.uk

Anatomical descriptions of the lateral retinaculum have been published, but the attachments, name or even existence of its tissue bands and layers are ill-defined. We have examined 35 specimens of the knee. The deep fascia is the most superficial layer and the joint capsule is the deepest. The intermediate layer is the most substantial and consists of derivatives of the iliotibial band and the quadriceps aponeurosis. The longitudinal fibres of the iliotibial band merge with those of the quadriceps aponeurosis adjacent to the patella. These longitudinal fibres are reinforced by superficial arciform fibres and on the deep aspect by transverse fibres of the iliotibial band. The latter are dense and provide attachment of the iliotibial band to the patella and the tendon of vastus lateralis obliquus.

Our study identifies two important new findings which are a constant connection of the deep fascia to the quadriceps tendon superior and lateral to the patella, and, a connection of the deeper transverse fibres to the tendon of vastus lateralis obliquus.




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 J Bone Joint Surg BrHome page
R. Clifton, C. Y. Ng, and R. W. Nutton
What is the role of lateral retinacular release?
J Bone Joint Surg Br, January 1, 2010; 92-B(1): 1 - 6.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General