Doctors have discovered a new body part a previously unknown ligament present in 97 per cent of all human knees.
The finding could explain why people with repaired knee injuries find the joint sometimes gives way during exercise. This ligament found by two knee surgeons at University Hospitals Leuven,Belgium appears to play an important role in patients with anterior cruciate ligament (ACL) tears.
Despite a successful ACL repair surgery and rehabilitation,some patients with ACL-repaired knees continue to experience so-called ‘pivot shift’,or episodes where the knee ‘gives way’ during activity.
For the last four years,orthopedic surgeons Dr Steven Claes and Professor Dr Johan Bellemans have been conducting research into serious ACL injuries in an effort to find out why.
Their starting point: an 1879 article by a French surgeon that postulated the existence of an additional ligament located on the anterior of the human knee.
That postulation turned out to be correct: the Belgian
doctors are the first to identify the previously unknown ligament after a broad cadaver study using macroscopic dissection techniques. Their research shows that the ligament,which was given the name anterolateral ligament (ALL),is present in 97 per cent of all human knees.
Subsequent research shows that pivot shift,the giving away of the knee in patients with an ACL tear,is caused by an injury in the ALL ligament.
The Anatomical Society praised the research as “very refreshing” and commended the researchers for reminding the medical world that,despite the emergence of advanced technology,our knowledge of the basic anatomy of the human body is not yet exhaustive.
The research questions current medical thinking about serious ACL injuries and could signal a breakthrough in the treatment of patients with serious ACL injuries. Claes and Bellemans are currently working on a surgical technique to correct ALL injuries. Those results will be ready in several years. ACL tears are common among athletes in pivot-heavy sports such as soccer,basketball,skiing and football.