Anatomy, magnetic resonance and arthroscopy of the popliteal hiatus of the knee: normal aspect and pathological conditions

Alberto Grassi, Nicola Pizza, Gian Andrea Lucidi, Luca Macchiarola, Massimiliano Mosca, Stefano Zaffagnini

Research output: Contribution to journalReview articlepeer-review

Abstract

The popliteal hiatus is a complex region, formed by the confluence of various structures connecting the meniscus, popliteal tendon, tibia and fibula.The main structures that can be found are the three popliteomeniscal fascicles (anterior, postero-inferior and postero-superior), the lateral and posterior meniscotibial ligaments, the popliteofibular ligament and the meniscofibular fascicle.These structures can be identified in most cases using magnetic resonance imaging, and their 'static' assessment can be performed.Arthroscopic assessment is useful in identifying and testing 'dynamically' the integrity of the structures around the popliteal hiatus.Injuries or abnormalities of the popliteal hiatus and its structures could result in meniscal hypermobility and subluxation; however, these injuries are often unrecognized.Possible abnormalities in this region, apart from the well-known bucket-handle meniscal tear, are the Wrisberg Type III discoid meniscus, and meniscal fascicles tears. Cite this article: EFORT Open Rev 2021;6:61-74. DOI: 10.1302/2058-5241.6.200089.

Original languageEnglish
Pages (from-to)61-74
Number of pages14
JournalEFORT Open Reviews
Volume6
Issue number1
DOIs
Publication statusPublished - Jan 4 2021

Keywords

  • anatomy
  • arthroscopy
  • lateral meniscus
  • magnetic resonance imaging
  • popliteal hiatus
  • popliteus tendon

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