Popliteofibular ligament

Ligamentum popliteofibulare

A short, strong band at the back and outer side of the knee joining the popliteus tendon to the fibular head.

At a glance

English
Popliteofibular ligament
Latin (TA2)
Ligamentum popliteofibulare
System
Ligament
Side
Paired, left and right

About the popliteofibular ligament

The popliteofibular ligament is a short but strong band in the posterolateral corner of the knee. It leaves the tendon of popliteus near the point where the muscle becomes tendon, behind the outer femoral condyle, and runs downwards and laterally to the fibular head, fixing to the back and inner side of its apex (the styloid process).

It has two divisions, an anterior and a posterior, which together form a firm link between the fibula and the popliteus tendon. Through this link the fibula is tied indirectly to the femur, because the popliteus tendon itself attaches to a groove on the lateral femoral condyle. The ligament lies deep to the fibular collateral ligament and the arcuate popliteal ligament, inside the network of structures at the outer back of the knee.

It is one of the main static stabilisers of the posterolateral corner, together with the fibular collateral ligament and the popliteus tendon. Its chief action is to resist external rotation of the tibia on the femur. It also helps to restrain varus angulation and backward movement of the tibia, working alongside the posterior cruciate ligament.

Although small and once overlooked, the ligament is now recognised as important. When the posterolateral corner is torn, often with cruciate injuries, the knee rotates outwards too much and feels unstable on turning. Reconstruction techniques for this corner are designed to restore the popliteofibular ligament as well as the fibular collateral ligament, because failing to address it can lead to persistent instability and failure of a cruciate graft.

Attachments and function

Attaches from
The popliteus tendon near its musculotendinous junction.
Attaches to
The back and inner side of the fibular apex (styloid process).
Function
Resists external rotation of the tibia and helps restrain varus and backward displacement at the knee.

Anthromica

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