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The ligamentum mucosum: A new classification.

Bartosz Gonera1, Konrad Kurtys1, Grzegorz Wysiadecki2

  • 1Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland.

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|October 6, 2022
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Summary

The ligamentum mucosum (LM) is a knee joint structure often overlooked. This study classified LM types, finding Type IIa potentially linked to anterior knee pain and anterior cruciate ligament injuries.

Keywords:
articularknee jointlower limbsurgery

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Area of Science:

  • Orthopedic Surgery
  • Human Anatomy
  • Knee Joint Biomechanics

Background:

  • The ligamentum mucosum (LM) was historically considered a vestigial remnant in the knee.
  • Recent research highlights its potential clinical significance in knee joint pathology.

Purpose of the Study:

  • To classify the morphological and histological variations of the ligamentum mucosum.
  • To propose a new, clinically relevant classification system for the LM.

Main Methods:

  • Dissection and morphological assessment of 51 formalin-fixed knee specimens.
  • Histological analysis and morphometric measurements of identified LM types.

Main Results:

  • The ligamentum mucosum was present in 66.7% of specimens.
  • Three distinct types (I, IIa/IIb, III) were identified based on morphology and attachments.
  • Type IIa, a bifurcated ligament attaching to the anterior cruciate ligament, was noted as clinically significant.

Conclusions:

  • The ligamentum mucosum exhibits significant anatomical variability, likely due to evolutionary factors.
  • A new classification system for LM is proposed, aiding clinical diagnosis.
  • Type IIa LM may be implicated in anterior knee pain and anterior cruciate ligament injuries.