Medial Gutter Knee

Medial femoral condyle cartilage.

Medial gutter knee.

It is a broad flat and almost triangular band with a large femoral attachment on the posterosuperior aspect of the epicondyle. Medial tibial plateau cartilage. It is one of the medial patellar stabilizers together with the medial retinaculum and the vastus medialis oblique muscle 5. In some cases an anteromedial plica may become a source of pathology for the knee joint.

When considering a pseudotear from the insertion of one of the meniscofemoral ligaments one needs to follow the ligament through the intercondylar notch to the pcl on sequential sagittal images. Its fibres run obliquely anteriorly and inferiorly to insert at the medial aspect of the tibia just behind and slightly under the insertions of the. No evidence of meniscal tear. 15 25 anterior ligament of humphry or posterior ligament of wrisberg to the pcl fig.

Use the other hand to concurrently sweep away fluid from the medial gutter. It can happen over time to people who run ride a. The displaced meniscal fragment was isointense with and in continuity with the parent meniscus in all patients. One of the four folds the medial plica sometimes gets irritated from an injury or if you overuse your knee.

Two patients had prominent findings of meniscal tissue in the medial gutter on sagittal mr images figs. This plica is a normal anatomical variant in many patients and is often asymptomatic. This is known as plica syndrome. The medial patellofemoral ligament mpfl belongs to the anterior medial supporting structures of the knee 1 3 and it is the main structure preventing the patella from lateral displacement at 50 60 restraining force 1 7 9.

Diagnostic arthroscopy is a crucial skill for diagnosing intra articular disorders of the knee including meniscal synovial ligamentous and articular cartilage pathology. With knee flexed to 90 move to medial compartment. Mild chondroid lesion read more. Two methods can be used to assess for joint effusion in the knee.

3c and 4 4. Stabilizer of the medial side of the knee. About 40 of knees have medial plica originating from the medial retinaculum and inserting onto the fat pad. The sweep test milk the suprapatella pouch keeping the hand firmly pressed on the distal thigh to ensure all fluid is pushed and retained within the knee joint.

Pouch medial gutter lateral gutter medial compart ment lateral compartment intercondylar notch and posterior medial and posterior lateral compartments. Best seen with 70 degree scope placed through notch modified gillquist view with knee in figure four position finish in lateral. It originates on the medial femoral condyle and runs obliquely across the knee in the intercondylar notch fig. Dr joachim feger et al.