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👉 🎓 Need a Mentor to Master MSK MRI? https://my.onlinemskfellowship.com/bi... 📚 Join 2k radiologists in my free MSK community here: https://my.onlinemskfellowship.com/0Z... -------- I debunk the arcuate ligament in the knee as a misnamed structure and show the importance of the popliteofibular ligament (PFL). Injuries to the posterolateral corner are important to recognize so that ACL surgeries don't fail. For radiologists, the arcuate ligament has often considered the holy grail of knee MRI reporting... Not anymore! -------- References: Porrino J, Sharp JW, Ashimolowo T, Dunham G. An Update and Comprehensive Review of the Posterolateral Corner of the Knee. Radiol Clin North Am. 2018 Nov;56(6):935-951. doi: 10.1016/j.rcl.2018.06.006. Epub 2018 Sep 17. PMID: 30322491. https://pubmed.ncbi.nlm.nih.gov/30322... Lee J, Papakonstantinou O, Brookenthal KR, Trudell D, Resnick DL. Arcuate sign of posterolateral knee injuries: anatomic, radiographic, and MR imaging data related to patterns of injury. Skeletal Radiol. 2003 Nov;32(11):619-27. doi: 10.1007/s00256-003-0679-0. Epub 2003 Oct 1. PMID: 14520502. https://pubmed.ncbi.nlm.nih.gov/14520... Vieira ELC, Vieira EÁ, Aguiar RA, Lopes CS, Steffen AM, Cohen M. Are the popliteofibular ligament, the arcuate ligament, and the fibular insertion of the popliteus muscle the same structure? An anatomic and terminological study. J Anat. 2022 Aug;241(2):478-483. doi: 10.1111/joa.13663. Epub 2022 Apr 9. PMID: 35396715; PMCID: PMC9296030. https://pubmed.ncbi.nlm.nih.gov/35396... Temponi EF, de Carvalho Júnior LH, Saithna A, Thaunat M, Sonnery-Cottet B. Incidence and MRI characterization of the spectrum of posterolateral corner injuries occurring in association with ACL rupture. Skeletal Radiol. 2017 Aug;46(8):1063-1070. doi: 10.1007/s00256-017-2649-y. Epub 2017 Apr 20. PMID: 28424850. https://pubmed.ncbi.nlm.nih.gov/28424... Bolog N, Hodler J. MR imaging of the posterolateral corner of the knee. Skeletal Radiol. 2007 Aug;36(8):715-28. doi: 10.1007/s00256-006-0271-5. Epub 2007 Mar 2. PMID: 17334760. https://pubmed.ncbi.nlm.nih.gov/17334... Collins MS, Bond JR, Crush AB, Stuart MJ, King AH, Levy BA. MRI injury patterns in surgically confirmed and reconstructed posterolateral corner knee injuries. Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):2943-9. doi: 10.1007/s00167-015-3738-x. Epub 2015 Aug 4. PMID: 26239863. https://pubmed.ncbi.nlm.nih.gov/26239... Recondo JA, Salvador E, Villanúa JA, Barrera MC, Gervás C, Alústiza JM. Lateral stabilizing structures of the knee: functional anatomy and injuries assessed with MR imaging. Radiographics. 2000 Oct;20 Spec No:S91-S102. doi: 10.1148/radiographics.20.suppl_1.g00oc02s91. PMID: 11046165. https://pubmed.ncbi.nlm.nih.gov/11046... Thaunat M, Pioger C, Chatellard R, Conteduca J, Khaleel A, Sonnery-Cottet B. The arcuate ligament revisited: role of the posterolateral structures in providing static stability in the knee joint. Knee Surg Sports Traumatol Arthrosc. 2014 Sep;22(9):2121-7. doi: 10.1007/s00167-013-2643-4. Epub 2013 Aug 31. PMID: 23996070. https://pubmed.ncbi.nlm.nih.gov/23996... LaPrade RF, Morgan PM, Wentorf FA, Johansen S, Engebretsen L. The anatomy of the posterior aspect of the knee. An anatomic study. J Bone Joint Surg Am. 2007 Apr;89(4):758-64. doi: 10.2106/JBJS.F.00120. PMID: 17403797. https://pubmed.ncbi.nlm.nih.gov/17403... Huang GS, Yu JS, Munshi M, Chan WP, Lee CH, Chen CY, Resnick D. Avulsion fracture of the head of the fibula (the "arcuate" sign): MR imaging findings predictive of injuries to the posterolateral ligaments and posterior cruciate ligament. AJR Am J Roentgenol. 2003 Feb;180(2):381-7. doi: 10.2214/ajr.180.2.1800381. PMID: 12540438. https://pubmed.ncbi.nlm.nih.gov/12540... Thanks for watching and keep learning!