Medial Patellofemoral Ligament (MPFL): Difference between revisions

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== Description ==
== Description ==
The Medial Patellofemoral Ligament (MPFL) is an hour-glass shaped ligament made of bands of retinacular tissue. The MPFL plays a significant role in the stabilization of the medial aspect of the patella. Especially during the early stages of knee flexion, the MPFL is a critical component in patellar tracking and stability within the trochlear groove <ref name=":0">Aframian A, Smith TO, Tennent TD, Cobb JP, Hing CB. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5698363/ Origin and insertion of the medial patellofemoral ligament: a systematic review of anatomy.] Knee Surgery, Sports Traumatology, Arthroscopy. 2017 Dec 1;25(12):3755-72.</ref>.


=== Attachments  ===
=== Attachments  ===
The medial patellofemoral ligament is located within the second layer of three soft tissue layers within the medial aspect of the knee<ref name=":1">Krebs C, Tranovich M, Andrews K, Ebraheim N. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990246/ The medial patellofemoral ligament: Review of the literature.] Journal of Orthopaedics. 2018 Jun;15(2):596.</ref>. The MPFL originates from a triangular space running between the adductor tubercle, medial femoral condyle and gastconemius tubercle, superior to the superficial medial collateral ligament (MCL)<ref name=":0" /><ref name=":1" /> The MPFL inserts onto the superomedial aspect of the patella<ref name=":0" />. The proximal insertion extends to the quadriceps tendon while the distal insertion crosses deep to the distal vastus medialia obliquus (VMO)<ref name=":1" />.


== Function  ==
== Function  ==
The main function of the medial patellofemoral ligament is to provide restraint to the patella during early knee flexion (0-30 degrees)<ref name=":1" />. It acts in maintaining appropriate patellar tracking within the trochlear groove, while providing 50-60% of the restraining force against lateral displacement<ref name=":0" /><ref name=":1" />.


== Clinical relevance ==
== Clinical relevance ==

Revision as of 20:28, 17 September 2020

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (17/11/2020)

Original Editor - User Name

Top Contributors - Beverly Klinger, Kim Jackson and Wendy Snyders

Description[edit | edit source]

The Medial Patellofemoral Ligament (MPFL) is an hour-glass shaped ligament made of bands of retinacular tissue. The MPFL plays a significant role in the stabilization of the medial aspect of the patella. Especially during the early stages of knee flexion, the MPFL is a critical component in patellar tracking and stability within the trochlear groove [1].

Attachments[edit | edit source]

The medial patellofemoral ligament is located within the second layer of three soft tissue layers within the medial aspect of the knee[2]. The MPFL originates from a triangular space running between the adductor tubercle, medial femoral condyle and gastconemius tubercle, superior to the superficial medial collateral ligament (MCL)[1][2] The MPFL inserts onto the superomedial aspect of the patella[1]. The proximal insertion extends to the quadriceps tendon while the distal insertion crosses deep to the distal vastus medialia obliquus (VMO)[2].

Function[edit | edit source]

The main function of the medial patellofemoral ligament is to provide restraint to the patella during early knee flexion (0-30 degrees)[2]. It acts in maintaining appropriate patellar tracking within the trochlear groove, while providing 50-60% of the restraining force against lateral displacement[1][2].

Clinical relevance[edit | edit source]

Assessment[edit | edit source]

Treatment[edit | edit source]

Resources[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Aframian A, Smith TO, Tennent TD, Cobb JP, Hing CB. Origin and insertion of the medial patellofemoral ligament: a systematic review of anatomy. Knee Surgery, Sports Traumatology, Arthroscopy. 2017 Dec 1;25(12):3755-72.
  2. 2.0 2.1 2.2 2.3 2.4 Krebs C, Tranovich M, Andrews K, Ebraheim N. The medial patellofemoral ligament: Review of the literature. Journal of Orthopaedics. 2018 Jun;15(2):596.