Medial meniscus
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Medial meniscus | |
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Head of right tibia seen from above, showing menisci and attachments of ligaments. (Medial meniscus visible at left.) | |
Left knee-joint from behind, showing interior ligaments. | |
Latin | meniscus medialis |
Gray's | subject #93 343 |
The medial meniscus (internal semilunar fibrocartilage) is nearly semicircular in form, a little elongated from before backward, and broader behind than in front;
Contents |
[edit] Attachments
Its anterior end, thin and pointed, is attached to the anterior intercondyloid fossa of the tibia, in front of the anterior cruciate ligament;
Its posterior end is fixed to the posterior intercondyloid fossa of the tibia, between the attachments of the lateral meniscus and the posterior cruciate ligament.
[edit] Function
The medial meniscus, along with the lateral meniscus, separate the tibia and femur.
They serve as shock absorbers in the knee and increase the contact area between the tibia and femur, reducing the peak contact force experienced.
They also reduce friction between the two bones to allow smooth movement in the knee.
[edit] Injury
Acute injury to the medial meniscus fairly often accompanies an injury to the ACL or anterior cruciate ligament. As with much cartilage, the medial meniscus is slow to heal. Damage to the outer 1/3 of the meniscus will often fully heal, but the inner 2/3 of the medial meniscus has a limited blood supply and thus limited healing ability. Large tears to the outer portions of the meniscus may be repaired surgically. If the meniscus has to be removed because of injury (either because it cannot heal or because the damage is too severe) the patient has an increased risk of arthritis in the knee later in life.[1][2][3]
More chronic injury occurs with osteoarthritis, made worse by obesity and high-impact activity. The medial meniscus and the medial compartment are more commonly affected than the lateral compartment.
[edit] See also
[edit] Additional images
[edit] External links
[edit] References
- ^ http://www.arthroscopy.com/sp05005.htm
- ^ http://www.orthoassociates.com/meniscus.htm
- ^ http://orthopedics.about.com/cs/meniscusinjuries1/a/meniscus.htm
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
Joints and ligaments of lower limbs |
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coxal/hip: iliofemoral - pubofemoral - ischiofemoral - head of femur - transverse acetabular
knee-joint: patellar - popliteal (oblique, arcuate) - collateral (medial/tibial, fibular) - cruciate (anterior, posterior) - menisci (medial, lateral) talocrural/ankle: deltoid - external lateral of the ankle-joint (anterior talofibular - posterior talofibular - calcaneofibular) intertarsal-subtalar/talocalcaneal: anterior talocalcaneal - posterior talocalcaneal - lateral talocalcaneal - medial talocalcaneal - interosseous talocalcaneal intertarsal-talocalcaneonavicular: dorsal talonavicular intertarsal-calcaneocuboid: dorsal calcaneocuboid - bifurcated - long plantar - plantar calcaneocuboid intertarsal-transverse tarsal: plantar calcaneonavicular/spring cuneonavicular, cuboideonavicular, intercuneiform and cuneocuboid, tarsometatarsal/Lisfranc, intermetatarsal, metatarsophalangeal, interphalangeal |