The popliteus tendon goes from the bottom back of the thighbone across the back of the knee to the top front of the shinbone. Partial tendon release for treatment of a symptomatic. Snapping of the popliteus tendon should be recognized as a cause of lateral popping in the knee. Meaning of popliteal tendon transposition medical term. The popliteus tendon attachment on the femur was always anterior. Feb 03, 2020 popliteus poplihtus tenosynovitis tenosinovitis is a tear in the popliteus tendon. The contribution provided by the popliteus tendon in patients undergoing tka is poorly defined. Arthroscopic management of popliteal tendon dysfunction in. Apr 08, 2015 the popliteus muscle is a band of muscular tissue located in the leg. Popliteus poplihtus tenosynovitis tenosinovitis is a tear in the popliteus tendon.
Popliteus muscle exercises may help rehabilitate knee function when this muscle has been damaged. Reported causes include an anomalous insertion of the tendon, 12,16,18 trauma at the insertion site of the tendon, 4 and an abnormality of the fibular head. Popliteus tendonitis, or tenosynovitis, is a tear in the popliteus tendon. The innervation is supplied by the tibial nerve l5s2. Snapping of the biceps femoris tendon over the fibular head is an uncommon condition.
The popliteal tendon is commonly released during balancing for coronal deformity. The aims of this study are 1 to compare patientoriented outcome scores of patients who suffered an iatrogenic injury to the popliteus tendon with a control group without such an injury and 2. Clinically it is important we know the type of tissue for purposes of maximizing rehabilitation and surgical techniques. Want help learning about the popliteus muscle and other muscles of the lower extremity. Isolated popliteus muscle rupture with neurovascular. Popliteus tendonitis differential diagnosis of the knee. A patient afflicted with the popliteal fossa syndrome will complain of a great deal of pain behind that knee, usually describing it as a feeling of great pressure and swelling. It tends to cause posterolateral knee pain on exercise e. Allarthroscopic anatomic repair of an avulsed popliteus. This report describes two skeletally immature male patients who presented with knee injuries without ligamentous instability and were subsequently diagnosed with isolated popliteus tendon avulsion fractures.
It is important in unlocking the knee from a fully straightened position. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The popliteal entrapment syndrome is a developmental disorder resulting in an anomalous relationship between the popliteal artery and muscle structures in the popliteal fossa. Popliteus tenosynovitis aftercare instructions what you. It could be iliotibial friction syndrome, meniscus tear, degenerative joint disease, or even a loose fragment in the joint. A 49yearold man who was an avid hiker was referred to our office, complaining of snapping and pain at the lateral aspect of his left knee for 1 year.
This condition is rarely seen in nonathletes as in this case. It is the only muscle in the posterior back compartment of the lower leg that acts just on the knee and not on the ankle. Popliteus ruptures are usually associated with acute or chronic posterolateral instability of the knee. Popliteus muscle treatment king brand healthcare products. Tearing and inflammation of the popliteus tendon and occurs most commonly in runners that produce oblique lateral rotary stresses to the knee or those who run down hill frequently dutton. Download scientific diagram different types of popliteus tendon pt attachment in the right knees. Apr 08, 2020 despite its funny name, the popliteus muscle has an important role in internally rotating your knee. No journals or texts have hypothesized that the opl is a tendon. The crucial components for posterolateral stability include.
Successful nonoperative treatment of isolated popliteus. The first step to healing your popliteus muscle is avoiding the activity that caused the injury. The popliteal tendon should be evaluated as a possible cause of lateral knee pain and dysfunction after knee arthroplasty. Snapping popliteus tendon orthopedic physical therapy research. Popliteal tendinopathy tendinitis refers to an overuse injury of the popliteal tendon. The pmtl is an intricate anatomic conglomerate made up of the popliteus muscle, the pfl, the femoral insertion of the popliteus tendon, the popliteomeniscal fascicles and soft tissue attachments to the lateral meniscus, and the proximal tibia. Popliteal tendon transposition definition of popliteal. Popliteus tendon resection during total knee arthroplasty. Popliteal definition of popliteal by the free dictionary. Posterior thigh, popliteal region and posterior leg. Case report isolated rupture and repair of the popliteus tendon geoffrey h. Popliteus hiatus ph exposed, popliteus tendon pt divided and.
Different types of popliteus tendon pt attachment in the right knees. An mri revealed a soft tissue mass posterior to the lateral meniscus, adjacent to the popliteus tendon measuring 2. Isolated rupture of the popliteus muscle with painful. He denied any history of trauma or injury but did report a gradual onset of symptoms, which interfered with his daily activities.
Diagnosing and treating popliteal tendinopathy after total. May 31, 2015 to describe the patterns of injury associated with injury to the popliteofibular ligament injury. The popliteus muscle and tendon stabilize the posterolateral corner of the knee and prevent anterior translation, especially during downhill running muche. Isolated popliteal tendon avulsion fractures are relatively uncommon in the pediatric population as other posterolateral lateral structures are often involved. In this report, the case of a 21yearold female with a painful snapping of the left knee is. Unexplainable knee pain may follow knee replacement surgery. Popliteus definition of popliteus by medical dictionary. T1 popliteus tendon resection during total knee arthroplasty. Arthroscopic diagnosis of the snapping popliteus tendon. If you want to heal as quickly as possible, you need something more aggressive. Looking for online definition of popliteal tendon transposition in the medical dictionary. Pdf arthroscopic management of popliteal tendon dysfunction. The popliteus tendon goes from the back of your thighbone across the back of your knee.
Download scientific diagram popliteus hiatus ph exposed, popliteus tendon pt divided and reflected with its popliteomeniscal ligament superior and. You need our lower extremity muscle anatomy revision chart. This case study describes a woman who presented with a 7year history of pain and audible clicking at her lateral left knee when moving the knee through 20 to 30 degrees knee flexion. You need the same healing tools that allow professional athletes to get back into the game so soon. If you continue browsing the site, you agree to the use of cookies on this website. Flexes leg at knee use these diagrams, labelling exercises and interactive quizzes to learn the muscles of the leg faster. The popliteus is a small muscle which is located at the back of your knee. Isolated rupture and repair of the popliteus tendon. The popliteus muscle is a muscle located in the leg of the human body, behind the knee. Injuries to this muscle can occur for a variety of reasons. The syndrome of the snapping popliteus tendon is a rare cause of lateral knee pain and may be difficult to diagnose, leading to patients undergoing inappropriate therapy or surgical intervention. Anatomy of the popliteus muscle everything you need to. Over time, they may improve compromised movement and relieve pain at the back of the knee. If you take the time to rest now, you will notice much faster healing, though rest alone will not accelerate recovery.
In open chain movements when the involved limb is not in contact with the ground, the popliteus muscle medially rotates the tibia on the femur. Its courses near the adductor canal and the adductor hiatus, distinctive open areas. The tendon of the popliteus passes through the popliteal hiatus, entering the knee joint and inserting into the lateral femoral condyle at the end of the popliteal sulcus. Jun 01, 2012 the diagnosis of a popliteus tendon injury can be made either by using magnetic resonance imaging or arthroscopically by examining the footprint and driving the arthroscope between the popliteal. Pain and snapping along the outside border of the knee can be caused by a variety of problems. Awareness will allow accurate diagnosis and treatment, avoiding unnecessary diagnostic arthroscopy. The authors report the case of a 21yearold woman who sustained a femoral avulsion of the popliteus tendon in a motor vehicle accident. It is easily confused with more common sources of mechanical symptoms. The popliteus tendon and its fascicles at the popliteal hiatus. Apr 08, 2015 the popliteal artery branches off from the femoral artery. In this report, we describe the arthroscopic findings of the snapping popliteus tendon. Giant cell tumour of knee popliteus muscle synovial sheath ncbi. The muscle inserts into a triangular area along the posteromedial aspect of the proximal tibial metaphysic above the soleal line. The tibial nerve, poplite al artery, and popliteal vein are superficial to the popliteus muscle as they exit the popliteal fossa deep to the fibrous soleus arch figure.
The popliteal tendon has a significant attachment to the fibula, the popliteofibular ligament. Pdf snapping popliteal tendon in a 21yearold female. Oct 12, 2015 the role of the popliteal tendon in knee stability continues to be debated. The popliteus is the smallest and most superior muscle of the deep posterior compartment of the leg.
Snapping popliteus tendon in a 21yearold female j orthop sports phys ther 2008. A tendon is a cord of tough tissue that connects muscles to bones. Popliteal definition, of or relating to the ham, or part of the leg back of the knee. Apr 21, 2020 in the course it lies within a compact fascia between the popliteal fossa and the joint capsule secured by the arcuate popliteal ligament. Popliteus tendinopathy has a similar mri appearance to tendinopathy in other locations albeit a rare site. A tendon is a thick cord of tough tissue that connects your muscles to your bones. There are variable aponeurotic attachments to the posterior horn of the lateral meniscus and fibular head. Isolated rupture of the popliteus musculotendinous unit is an uncommon injury.
The muscle wraps around the bottom half of the femur, or thighbone. Popliteal fossa syndrome advanced therapy institute. This study suggests the opl be considered the oblique popliteal tendon as a result of the macro and micro evidence revealed. Although we know the structure is important in native knees,9 its role in knee stability after arthroplasty is less clear. The popliteus tendon had a constant broadbased femoral attachment at the most proximal and anterior fifth of the popliteal sulcus. Snapping popliteus tendon syndrome is the main differential diagnosis of lateral snapping of the knee, occurring between 0 and 90 flexion of the knee and resulting from the abrupt extrusion of the tendon along the edge of the popliteal groove. May 18, 2016 popliteal fossa maj dr poonam singh dept of anatomy naihs slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.