By PD Dr. Werner Müller (auth.)
This new treatise is the main awesome piece of labor at the knee and its linked ligaments at present on hand. by no means ahead of have I visible such an in depth learn of the biomechanics of the knee with this sort of finished overview of the literature. the 1st element of the publication, which bargains with the useful anatomy (structure and biomechanics), instantly signals the reader to the need of knowing the typical advance ment and motion of the comparable buildings, essentially emphasizing that profitable prognosis and remedy can't rather be anticipated; the numerous who wish a simple common method of every one vintage challenge may possibly locate this tough to simply accept. research what Werner Muller has written and examine it together with your personal findings from repeated dissection of anatomical specimens. the writer is going directly to tension that to have a true clutch of reconstructive surgical procedure of the ligaments, one needs to be accurately accustomed to the pathology and the fix of acute lesions. In no opposite direction can one discover ways to realize persistent difficulties. as soon as this step has been mastered it may be noticeable that the reconstructive tactics that Muller advocates do, for the main half, persist with the legislation of Nature instead of create the type of abnormalities which frequently disrupt ordinary anatomical func tion.
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This new treatise is the main amazing piece of labor at the knee and its linked ligaments presently to be had. by no means earlier than have I visible such an in depth learn of the biomechanics of the knee with any such complete overview of the literature. the 1st component to the e-book, which offers with the sensible anatomy (structure and biomechanics), instantly signals the reader to the need of realizing the traditional strengthen ment and motion of the similar constructions, basically emphasizing that profitable prognosis and remedy can't rather be anticipated; the various who wish a simple general method of each one vintage challenge may possibly locate this tough to simply accept.
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Additional resources for The Knee: Form, Function, and Ligament Reconstruction
Thus, the subsequent motion of the articular surfaces apparently is predetermined to a large degree by the early presence of the cruciate ligaments (Fig. 20). 19b intercondylar roof angle of 40° is also evi- mechanism and form the nucleus of knee dent in the lO-week-old embryo (see also joint kinematics. Both Trillat and Menschik Fig. 24). Distinct menisci are also present. have confirmed in their films that the diviThey are still discoid in shape and are fused sion of a cruciate ligament abolishes the gear with the upper tibial surface.
But whether the paths are precisely circular or not does not really concern us here, inasmuch as nature has confirmed the validity of the laws by the actual sites of the ligament insertions. The ligaments insert at the sites that theory would predict, and the course of the ligaments also conforms to theory (Fig. 43). 30 pivot cubic Fig. 44. The theoretical course of the medial collateral ligament and its position in relation to the Burmester curve. In our simplified scheme after Menschik , the tibia is moved relative to the stationary femur.
There is a corresponding posterior shift of the meniscus which enables these fibers to maintain isometry. The attachment of the posterior part of the MCL to the semimembranosus tendon is clearly visible (v. Hochstetter) ants are more frequent. This question is still being investigated in systematic studies of anatomic material. Just as Lahlaidi  reported a wide range of variation for the meniscofemoral ligament extending from the posterior meniscus horn to the posterior cruciate ligament, the entire posterolateral aspect of the joint is subject to great variability.