Morphological Description of the Embryonic to Fetal Development of the Menisco- Tibio-Popliteus-Fibular Complex and the Anterolateral Ligament

AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-10-05T16:33:21Z
Fecha de publicación2024-01-01
ResumenBackground: Little information is available on the embryology of the structures that connect the lateral meniscus to its nearby structures (proximal tibia, fibular head, and popliteus tendon), which restrict lateral meniscal extrusion.Purpose: To describe the menisco-tibio-popliteus-fibular complex (MTPFC)-conformed by the lateral meniscotibial ligament (LMTL), popliteofibular ligament, meniscofibular ligament, and the 2 popliteomeniscal ligaments (superior and inferior)-and anterolateral ligament (ALL) of the knee in human embryos/fetuses from weeks 9 to 37 of gestation.Study Design: Descriptive laboratory study.Methods: The authors analyzed 36 formalin-fixed embryos/fetus knees, ranging between weeks 9 and 37 of gestation. All had normal external morphological characteristics. A microdissection was performed by meticulously searching the structures of the MTPFC and the ALL, their anatomic relationships, and their appearance over time. Histological sections were taken of the entire knee, the lateral meniscus, the ALL, and the LMTL to observe its structure from its early stages, junctions, and cellularity. In addition, the composition and orientation of the fibers were evaluated.Results: The MTPFC was not found in the youngest knees (9 weeks). The ligaments of this complex could not be seen until week 11 of development. Moreover, the ALL was a consistent finding from the 13th week of development onward. All the ligaments of the MTPFC were seen between developmental weeks 11 and 16 in all the specimens. The histological results showed that the histology of the ALL showed dense connective tissue organized into thick bundles of collagen fibers in its central portion, with a parallel and undulating arrangement and the anterolateral capsule demonstrated 3 easily distinguishable layers corresponding to the fibrous membrane, the subsynovial membrane formed by loose connective tissue, and the synovial membrane.Conclusion: All the structures of the MTPFC were visualized from week 11, with the LMTL being the first to form. Moreover, the ALL was a consistent finding from week 13 of development onward.Clinical Relevance: Understanding the embryological development of the MTPFC and the ALL of the knee is clinically relevant, as it can provide crucial insights into the pathogenesis of knee conditions and inform treatment strategies. By elucidating the timeline and characteristics of these structures' formation, clinicians can better diagnose and manage conditions affecting the lateral meniscus and related structures, ultimately improving patient outcomes and surgical interventions.es_ES
Doihttps://doi.org/10.1177/23259671241302770es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/5184
Idiomaenes_ES
EditorialSAGE PUBLICATIONS INCes_ES
RelaciónOrthopaedic Journal of Sports Medicinees_ES
URL relacionadohttps://doi.org/10.1177/23259671241302770es_ES
DerechosAcceso abierto (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_abf2es_ES
FuenteOrthopaedic Journal of Sports Medicine
Palabra claveanatomyes_ES
Palabra clavedevelopmentes_ES
Palabra claveembryoes_ES
Palabra claveformationes_ES
Palabra clavekneees_ES
Palabra clavelateral/posterolateral knee ligamentses_ES
Palabra clavelateral meniscuses_ES
TítuloMorphological Description of the Embryonic to Fetal Development of the Menisco- Tibio-Popliteus-Fibular Complex and the Anterolateral Ligamentes_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorMorales-Avalos, Rodolfo
AutorLopez-Serna, Norberto
AutorErosa-Villarreal, Roger Armando
AutorPadilla-Medina, Jose Ramon
AutorCortes-alvarez, Catalina Damaris
AutorTorres-Gonzalez, Vladimira
AutorHuesca-Perez, Hector A.
AutorMunoz-Garza, Ana Karen
AutorMartinez-Guajardo, Karla V.
AutorSoto-Dominguez, Adolfo
AutorMonllau, Joan Carles
AutorMorales-Avalos, Rodolfoes_ES
AutorLopez-Serna, Norbertoes_ES
AutorErosa-Villarreal, Roger Armandoes_ES
AutorPadilla-Medina, Jose Ramones_ES
AutorCortes-alvarez, Catalina Damarises_ES
AutorTorres-Gonzalez, Vladimiraes_ES
AutorHuesca-Perez, Hector A.es_ES
AutorMunoz-Garza, Ana Karenes_ES
AutorMartinez-Guajardo, Karla V.es_ES
AutorSoto-Dominguez, Adolfoes_ES
AutorMonllau, Joan Carleses_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número12es_ES
URL relacionadahttps://doi.org/10.1177/23259671241302770
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen12es_ES

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