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The knee - Interactive Atlas of Cross-Sectional Anatomy

Atlas-MR


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Method


  • This atlas of cross sectional anatomy of the knee is based on imagery by magnetic resonance (IRM). Each anatomical structure is labeled in an interactive way. This tool is at the same time useful for the training and teaching of the anatomy, but also with the experts to illustrate a course or an explanation of a pathology to a patient, in particular within the framework of the ruptures of the cross ligaments or the lesions of the meniscuses.
  • This software is open and free for any public curious about anatomy, but it was particularly conceived for the radiologists, the rheumatologists, the orthopedic surgeons, the general practitioners, the students and external in medicine (assistance with the preparation of the boarding school), and the manipulators in radiology.

Cross-sectional anatomy: IRM of the knee

  • A MRI of knee on a healthy subject was performed in the 3 plans of space (coronal, axial, sagittal) commonly used in osteoarticular imagery, with two weightings most commonly used to explore the musculo-skeletal pathology of the knee: spin-echo T1 and proton-density with fat saturation sequences.
  • The images obtained were exported in JPEG starting from data DICOM stored on the PACS (Picture Archiving and Communicating System).
  • The images were postprocessed with Adobe Photoshop (realignment, reduction of size in order to adapt to the electronic format).
  • The interactive and dynamic contents were added with Macromedia Flash.

Illustrations: 3D osseous model of the knee

  • We added 3D illustrations of the bones of the knee (femur, tibia, fibula (peroneal) and patella (kneecap)) that were labeled. They were created by volume rendering from a CT-scan of the knee. These illustrations allow basic anatomical recalls in anatomy of the knee and make it possible to be located more easily on an IRM by using the osseous cross-references.

Anatomy out of cuts of ankle and the foot in IRM: to post the anatomical legends

  • The menu “anatomical structures” allows the user to visualize only the labels of interest:
    • Os
    • Articulations
    • Ligaments
    • Muscles
    • Tendos
    • Fascia
    • Arteries
    • Veins
    • Nerves
  • The menu “weightings” makes it possible to choose the type of sequence IRM to be viewed: spin-echo T1 or proton-density with fat saturation sequences.
  • The menu “plans” allows to choose the visualization of the knee in one of the 3 plans of space: axial, coronal, sagittal and to reach the osseous 3D volume renderings.
  • The left side menu, provides cross-references to help for a better orientation in space for the user. This one moreover is facilitated by a medical illustration of the osseous skeleton based on a 3D illustration by volume rendering.

Labeled anatomical structures


List of labels (languages = English, French and Latin (terminologia anatomica)):

  • Adductor tubercle
  • Anatomical structures
  • Anterior cruciate ligament
  • Anterior intercondylar area
  • Anterior intermuscular septum of leg
  • Anterior meniscofemoral ligament
  • Anterior surface
  • Anterior tibial artery
  • Anterior tibial veins
  • Apex of head
  • Apex of patella
  • Arcuate popliteal ligament
  • Arteries
  • Articular facet
  • Articular surface
  • Articularis genus; Articular muscle of knee
  • Base of patella
  • Biceps femoris
  • Biceps femoris (Long head)
  • Biceps femoris (Short head)
  • Common fibular nerve
  • Deep fascia of leg
  • Extensor digitorum longus
  • Fabella
  • Fascia
  • Fascia lata
  • Femur; Thigh bone
  • Fibula
  • Fibular articular facet
  • Fibular collateral ligament
  • Fibularis longus
  • Gastrocnemius (Lateral head)
  • Gastrocnemius (Medial head)
  • Gerdy's tubercule
  • Gracilis
  • Great saphenous vein
  • Groove for popliteus
  • Head
  • Iliotibial tract
  • Infrapatellar fat pad
  • Infrapatellar synovial fold
  • Intercondylar eminence
  • Intercondylar fossa
  • Interosseous membrane of leg
  • Joint
  • Lateral condyle
  • Lateral epicondyle
  • Lateral femoral intermuscular septum
  • Lateral intercondylar tubercle
  • Lateral meniscus
  • Lateral patellar retinaculum
  • Lateral sural cutaneous nerve
  • Lateral surface
  • Ligaments
  • Medial condyle
  • Medial epicondyle
  • Medial intercondylar tubercle
  • Medial meniscus
  • Medial patellar retinaculum
  • Medial sural cutaneous nerve
  • Medial surface
  • Muscular branches (Tibial nerve)
  • Neck
  • Nerves
  • Oblique popliteal ligament
  • Patella
  • Patellar surface
  • Plantaris
  • Plica synovialis mediopatellaris
  • Plica synovialis suprapatellaris
  • Popliteal artery
  • Popliteal surface
  • Popliteal vein
  • Popliteus
  • Posterior cruciate ligament
  • Posterior intercondylar area
  • Posterior intermuscular septum of leg
  • Posterior meniscofemoral ligament
  • Posterior surface
  • Posterior tibial artery
  • Posterior tibial veins
  • Quadriceps femori
  • Rectus femoris
  • Rectus femoris (Tendon)
  • Saphenous nerve
  • Sartorius
  • Sartorius (Tendon)
  • Semimembranosus
  • Semitendinosus
  • Small saphenous vein; Short saphenous vein
  • Soleal line
  • Soleus
  • Superior articular surface
  • Suprapatellar bursa
  • Sural communicating branch
  • Sural veins
  • Tendon
  • Tibia
  • Tibial collateral ligament
  • Tibial nerve
  • Tibial tuberosity
  • Tibialis anterior
  • Tibialis posterior
  • Transverse ligament of knee
  • Vastus intermedius
  • Vastus lateralis
  • Vastus medialis
  • Veins

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Mistake : anterior meniscal femoral ligament ,  January 30, 2008

By Antoine Micheau

Nicola Bees has reported me that the anterior meniscal femoral ligament was incorrectly labelled. It will be changed for e-anatomy v2.0.

- Humphrey ligament: (anterior meniscofemoral ligament);
- is less than 1/3 the diameter of the PCL;
- arises from the posterior horn of the lateral meniscus, runs anterior to the to the PCL and inserts at the distal edge of the femoral PCL attachment;
- may be confused for the PCL during arthroscopy;
- in this situation, tug on the ligament while observing for motion of the lateral meniscus;


Adapted from : [url] />

A. Micheau - MD


Relevant comment ?  YesNo


A good tool, but not complete,  January 06, 2008

By roi du boomerang et du squash

Congratulations for your work, but it would have been fun to have more anatomical illustrations of the knee.
By the way, a lot of thanks to Denis to have created this system of comments ;-)


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Author(s)
Micheau A, Hoa D
Last modification
01 / 06 / 2008