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Historical perspective on the “discovery” of the anterolateral ligament of the knee

  • Historical Paper
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

There is a lively debate about the existence, origins and discoverer of the anterolateral ligament of the knee. The complex anatomy of the lateral aspect of the knee has made it difficult to differentiate between various structures such as the iliotibial band, capsulo-osseous layer, Kaplan’s fibres and the anterolateral capsule. The “discovery” of a new anterolateral structure in 2013 was the culmination of many historical studies. In 1879, Paul Ferdinand Segond described a tibial plateau fracture in which he noted a pearly band reinforcing the joint capsule. Other anatomists had their suspicions about this ligament; it was described by Vallois in 1914 in his thesis and extensively studied by Jost in 1921. References to it can be found in comparative anatomy studies. This historical review serves as a reminder that understanding and treating knee sprains is not something new.

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References

  1. Bonnet A (1845) Traité des maladies des articulations. C. Savy Jeune, Lyon

    Google Scholar 

  2. Cavaignac E, Wytrykowski K, Reina N, Pailhe R, Murgier J, Faruch M, Chiron P (2016) Ultrasonographic identification of the anterolateral ligament of the knee. Arthroscopy 32(1):120–126

    Article  PubMed  Google Scholar 

  3. Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J (2013) Anatomy of the anterolateral ligament of the knee. J Anat 223(4):321–328

    Article  PubMed  PubMed Central  Google Scholar 

  4. Daggett M, Busch K, Sonnery-Cottet B (2016) Surgical dissection of the anterolateral ligament. Arthrosc Tech 5(1):e185–e188

    Article  PubMed  PubMed Central  Google Scholar 

  5. Daggett M, Claes S, Helito CP, Imbert P, Monaco E, Lutz C, Sonnery-Cottet B (2016) The role of the anterolateral structures and the ACL in controlling laxity of the intact and ACL-deficient knee: letter to the editor. Am J Sports Med 44(4):NP14–NP15

    Article  PubMed  Google Scholar 

  6. Davis DS, Post WR (1997) Segond fracture: lateral capsular ligament avulsion. J Orthop Sports Phys Ther 25(2):103–106

    Article  CAS  PubMed  Google Scholar 

  7. Dietz GW, Wilcox DM, Montgomery JB (1986) Segond tibial condyle fracture: lateral capsular ligament avulsion. Radiology 159(2):467–469

    Article  CAS  PubMed  Google Scholar 

  8. Dodds AL, Halewood C, Gupte CM, Williams A, Amis AA (2014) The anterolateral ligament: anatomy, length changes and association with the Segond fracture. Bone Joint J 96-B(3):325–331

    Article  CAS  PubMed  Google Scholar 

  9. Guenther D, Griffith C, Lesniak B, Lopomo N, Grassi A, Zaffagnini S, Fu FH, Musahl V (2015) Anterolateral rotatory instability of the knee. Knee Surg Sports Traumatol Arthrosc 23(10):2909–2917

    Article  PubMed  Google Scholar 

  10. Haims AH, Medvecky MJ, Pavlovich R Jr, Katz LD (2003) MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. AJR Am J Roentgenol 180(3):647–653

    Article  PubMed  Google Scholar 

  11. Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, Demange MK (2014) MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol 43(10):1421–1427

    Article  PubMed  Google Scholar 

  12. Helito CP, Bonadio MB, Rozas JS, Wey JM, Pereira CA, Cardoso TP, Pecora JR, Camanho GL, Demange MK (2016) Biomechanical study of strength and stiffness of the knee anterolateral ligament. BMC Musculoskelet Disord 17(1):193

    Article  PubMed  PubMed Central  Google Scholar 

  13. Henle J (1872) Bänderlhre. In: Handbuch der systematischen Anatomie des Menschen, Braunschweig. 8vo. Band III, abth.2, Lief. I.Nervenlehre

  14. Hewison CE, Tran MN, Kaniki N, Remtulla A, Bryant D, Getgood AM (2015) Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: a systematic review of the literature. Arthroscopy. doi:10.1016/j.arthro.2015.04.089

    PubMed  Google Scholar 

  15. Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg Am 58(2):173–179

    Article  CAS  PubMed  Google Scholar 

  16. Ingham SJ, de Carvalho RT, Martins CA, Lertwanich P, Abdalla RJ, Smolinski P, Lovejoy CO, Fu FH (2015) Anterolateral ligament anatomy: a comparative anatomical study. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-015-3956-2

    Google Scholar 

  17. Ireland J, Trickey EL (1980) Macintosh tenodesis for anterolateral instability of the knee. J Bone Joint Surg Br 62(3):340–345

    CAS  PubMed  Google Scholar 

  18. Irvine GB, Dias JJ, Finlay DB (1987) Segond fractures of the lateral tibial condyle: brief report. J Bone Joint Surg Br 69(4):613–614

    CAS  PubMed  Google Scholar 

  19. Johnson LL (1979) Lateral capsular ligament complex: anatomical and surgical considerations. Am J Sports Med 7(3):156–160

    Article  CAS  PubMed  Google Scholar 

  20. Jost A (1921) Sur la morphogénèse et le rôle fonctionnel des ligaments épicondylo-méniscaux du genou. In: Compte rendu de la société de biologie, vol LXXXIV

  21. Kennedy MI, Claes S, Fuso FA, Williams BT, Goldsmith MT, Turnbull TL, Wijdicks CA, LaPrade RF (2015) The anterolateral ligament: an anatomic, radiographic, and biomechanical analysis. Am J Sports Med 43(7):1606–1615

    Article  PubMed  Google Scholar 

  22. Kittl C, El-Daou H, Athwal KK, Gupte CM, Weiler A, Williams A, Amis AA (2016) The role of the anterolateral structures and the ACL in controlling laxity of the intact and ACL-deficient knee. Am J Sports Med 44(2):345–354

    Article  PubMed  Google Scholar 

  23. Kittl C, El-Daou H, Athwal KK, Gupte CM, Weiler A, Williams A, Amis AA (2016) The role of the anterolateral structures and the ACL in controlling laxity of the intact and ACL-deficient knee: response. Am J Sports Med 44(4):NP15–NP18

    Article  PubMed  Google Scholar 

  24. LaPrade RF (2016) Editorial commentary: defining the anatomy of the anterolateral aspect of the knee among experts is clearly needed. Arthroscopy 32(5):842–843

    Article  PubMed  Google Scholar 

  25. Lemaire M, Combelles F (1980) Plastic repair with fascia lata for old tears of the anterior cruciate ligament (author’s transl). Rev Chir Orthop Reparatrice Appar Mot 66(8):523–525

    CAS  PubMed  Google Scholar 

  26. Losee RE, Johnson TR, Southwick WO (1978) Anterior subluxation of the lateral tibial plateau. A diagnostic test and operative repair. J Bone Joint Surg Am 60(8):1015–1030

    Article  CAS  PubMed  Google Scholar 

  27. Lubowitz JH, Provencher MT, Brand JC, Rossi MJ (2014) The knee anterolateral ligament. Arthroscopy 30(11):1385–1388

    Article  PubMed  Google Scholar 

  28. Lutz C, Sonnery-Cottet B, Niglis L, Freychet B, Clavert P, Imbert P (2015) Behavior of the anterolateral structures of the knee during internal rotation. Orthop Traumatol Surg Res 101(5):523–528

    Article  CAS  PubMed  Google Scholar 

  29. Lutz C, Sonnery-Cottet B, Imbert P, Barbosa NC, Tuteja S, Jaeger JH (2016) Combined anterior and anterolateral stabilization of the knee with the iliotibial band. Arthrosc Tech 5(2):e251–e256

    Article  PubMed  PubMed Central  Google Scholar 

  30. Moorman CT III, LaPrade RF (2005) Anatomy and biomechanics of the posterolateral corner of the knee. J Knee Surg 18(2):137–145

    Article  PubMed  Google Scholar 

  31. Morel CHDM (1883) Manuel de l’anatomiste (anatomie descriptive et dissection), Paris

  32. Mouret J (1891) Considérations sur l’anatomie du genou et étude des luxations des cartilages semi-lunaires, Montpellier

  33. Musahl V, Rahnemai-Azar AA, van Eck CF, Guenther D, Fu FH (2016) Anterolateral ligament of the knee, fact or fiction? Knee Surg Sports Traumatol Arthrosc 24(1):2–3

    Article  PubMed  Google Scholar 

  34. Nitri M, Rasmussen MT, Williams BT, Moulton SG, Cruz RS, Dornan GJ, Goldsmith MT, LaPrade RF (2016) An in vitro robotic assessment of the anterolateral ligament, part 2: anterolateral ligament reconstruction combined with anterior cruciate ligament reconstruction. Am J Sports Med 44(3):593–601

    Article  PubMed  Google Scholar 

  35. Parsons EM, Gee AO, Spiekerman C, Cavanagh PR (2015) The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med 43(3):669–674

    Article  PubMed  PubMed Central  Google Scholar 

  36. Parsons EM, Gee AO, Spiekerman C, Cavanagh PR (2015) The biomechanical function of the anterolateral ligament of the knee: response. Am J Sports Med 43(8):NP22

    Article  PubMed  Google Scholar 

  37. Poirier PCA (1912) Traité d’anatomie humaine, 3° édition, Paris

  38. Porrino J Jr, Maloney E, Richardson M, Mulcahy H, Ha A, Chew FS (2015) The anterolateral ligament of the knee: MRI appearance, association with the Segond fracture, and historical perspective. AJR Am J Roentgenol 204(2):367–373

    Article  PubMed  Google Scholar 

  39. Rasmussen MT, Nitri M, Williams BT, Moulton SG, Cruz RS, Dornan GJ, Goldsmith MT, LaPrade RF (2016) An in vitro robotic assessment of the anterolateral ligament, part 1: secondary role of the anterolateral ligament in the setting of an anterior cruciate ligament injury. Am J Sports Med 44(3):585–592

    Article  PubMed  Google Scholar 

  40. Ruiz N, Filippi GJ, Gagniere B, Bowen M, Robert HE (2016) The comparative role of the anterior cruciate ligament and anterolateral structures in controlling passive internal rotation of the knee: a biomechanical study. Arthroscopy 32(6):1053–1062

    Article  PubMed  Google Scholar 

  41. Saiegh YA, Suero EM, Guenther D, Hawi N, Decker S, Krettek C, Citak M, Omar M (2015) Sectioning the anterolateral ligament did not increase tibiofemoral translation or rotation in an ACL-deficient cadaveric model. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-015-3787-1

    PubMed  Google Scholar 

  42. Schon JM, Moatshe G, Brady AW, Serra Cruz R, Chahla J, Dornan GJ, Turnbull TL, Engebretsen L, LaPrade RF (2016) Anatomic anterolateral ligament reconstruction of the knee leads to overconstraint at any fixation angle. Am J Sports Med. doi:10.1177/0363546516652607

    Google Scholar 

  43. Seebacher JR, Inglis AE, Marshall JL, Warren RF (1982) The structure of the posterolateral aspect of the knee. J Bone Joint Surg Am 64(4):536–541

    Article  CAS  PubMed  Google Scholar 

  44. Segond P (1879) Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. Bureaux du progrès médical 7:297–341

    Google Scholar 

  45. Smith JO, Yasen SK, Lord B, Wilson AJ (2015) Combined anterolateral ligament and anatomic anterior cruciate ligament reconstruction of the knee. Knee Surg Sports Traumatol Arthrosc 23(11):3151–3156

    Article  PubMed  Google Scholar 

  46. Sonnery-Cottet B, Archbold P, Rezende FC, Neto AM, Fayard JM, Thaunat M (2014) Arthroscopic identification of the anterolateral ligament of the knee. Arthrosc Tech 3(3):e389–e392

    Article  PubMed  PubMed Central  Google Scholar 

  47. Sonnery-Cottet B, Daggett M, Lutz C, Imbert P, Thaunat M (2015) Outcomes after combined ACL and ALL reconstruction: response. Am J Sports Med 43(7):NP17–NP18

    Article  PubMed  Google Scholar 

  48. Sonnery-Cottet B, Lutz C, Daggett M, Dalmay F, Freychet B, Niglis L, Imbert P (2016) The involvement of the anterolateral ligament in rotational control of the knee. Am J Sports Med 44(5):1209–1214

    Article  PubMed  Google Scholar 

  49. Spencer L, Burkhart TA, Tran MN, Rezansoff AJ, Deo S, Caterine S, Getgood AM (2015) Biomechanical analysis of simulated clinical testing and reconstruction of the anterolateral ligament of the knee. Am J Sports Med 43(9):2189–2197

    Article  PubMed  Google Scholar 

  50. Strickler FP (1937) A satisfactory method of repairing crucial ligaments. Ann Surg 105(6):912–916

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Tavlo M, Eljaja S, Jensen JT, Siersma VD, Krogsgaard MR (2015) The role of the anterolateral ligament in ACL insufficient and reconstructed knees on rotatory stability: a biomechanical study on human cadavers. Scand J Med Sci Sports 26(8):960–966

    Article  PubMed  Google Scholar 

  52. Terry GC, LaPrade RF (1996) The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med 24(6):732–739

    Article  CAS  PubMed  Google Scholar 

  53. Terry GC, Hughston JC, Norwood LA (1986) The anatomy of the iliopatellar band and iliotibial tract. Am J Sports Med 14(1):39–45

    Article  CAS  PubMed  Google Scholar 

  54. Vallois HV (1914) Etude anatomique de l’articulation du genou chez les primates. Abeille, Montpellier

    Google Scholar 

  55. Vincent JP, Magnussen RA, Gezmez F, Uguen A, Jacobi M, Weppe F, Al-Saati MF, Lustig S, Demey G, Servien E, Neyret P (2012) The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc 20(1):147–152

    Article  PubMed  Google Scholar 

  56. Weitbrecht J (1752) Desmographie ou description des ligaments du corps humain avec figures. Durand, Paris

    Google Scholar 

  57. Zein AM (2015) Step-by-step arthroscopic assessment of the anterolateral ligament of the knee using anatomic landmarks. Arthrosc Tech 4(6):e825–e831

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Musculoskeletal Institute, Hôpital Pierre Paul Riquet, CHU Toulouse Purpan, 1 Place Baylac, 31000, Toulouse, France

    Etienne Cavaignac, David Ancelin, Philippe Chiron, Jean-Louis Tricoire & Karine Wytrykowski

  2. Anatomy Laboratory, Faculty of Medicine, Toulouse, France

    Jean-Louis Tricoire & Elodie Chantalat

  3. Radiology Department, Hôpital Pierre Paul Riquet, CHU Toulouse, Toulouse, France

    Marie Faruch

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  1. Etienne Cavaignac
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  2. David Ancelin
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  3. Philippe Chiron
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Correspondence to Etienne Cavaignac.

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Cavaignac, E., Ancelin, D., Chiron, P. et al. Historical perspective on the “discovery” of the anterolateral ligament of the knee. Knee Surg Sports Traumatol Arthrosc 25, 991–996 (2017). https://doi.org/10.1007/s00167-016-4349-x

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