In a tight knee it may be necessary to go back to the suprapatellar pouch to enter the lateral gutter.
Lateral gutter knee.
There are two menisci in the knee.
Brought directly into the lateral gutter to check for loose bodies.
A positive sign indicates 1 the presence of femoral avulsion tears of the popliteal tendon or concomitant lateral collateral ligament 2 the presence of repairable posterolateral corner tears and 3 the enablement of mini open surgery for the.
Meniscus injuries are quite common and occur in patients of all ages.
Feng h 1 zhang h hong l wang xs zhang j.
In conclusion the lateral gutter drive through sign observed from the lateral gutter of the knee joint is a reliable arthroscopic indicator of a femoral attachment tear of the plc.
A medial inside and a lateral outside meniscus.
Acute avulsions of the popliteus tendon and the lateral collateral ligament ofthe femur peel off lesion are common and can both be missed during preoperativeassessment and later overlooked during.
These structures act as shock absorbers that decrease the stress seen by the articular cartilage found on the end of the thigh bone and leg bone.
The lateral patellar plica is the least common of the four knee plicae.
1 30 lateral plicae originate from the lateral joint capsule coursing in the lateral gutter of the knee attaching to the infrapatellar fat pad.
This study suggests using the sign to guide the placement of incisions and the repair procedure.
From taos orthopaedic institute taos new mexico u s a.
An arthroscopic indicator of acutefemoral avulsion of the popliteus tendon in knee joints.
The lateral gutter drive through visualized during diagnostic arthroscopy is described as entering of the arthroscope into the posterolateral compartment through the interval between the popliteal tendon and the lateral femoral condyle.
The authors report the following potential conflict of interest or source of.
Found an incidence of 20 7 on arthroscopy and 50 at cadaveric dissection.
The patellofemoral joint occurs where the patella and the femur meet behind the kneecap and comprises the third compartment of the knee.
54 7 and a gentle milking maneuver should be performed to assess for the presence of loose bodies that may move back and forth within the popliteal hiatus.
The popliteal hiatus should be identified in this area fig.
The tibiofemoral joint which is the main hinge joint of the knee occurs where the femur meets the tibia and includes an inner medial compartment and an outer lateral compartment.
Lateral gutter the lateral gutter should be visualized and again a similar inspection to the medial gutter should be performed looking for synovitis loose bodies and marginal osteophytes.
An injury can occur as a result of.