Injury to the posterolateral structures of the knee, including the
popliteus tendon and arcuate complex, frequently results in poorly
understood patterns of instability. To evaluate the static function of
these tissues, we used a mechanical testing apparatus that allowed five
degrees of freedom to test seventeen specimens from human cadavera at
angles of flexion that ranged from zero to 90 degrees. Selective section of
the lateral collateral ligament, popliteus-arcuate (deep) ligament complex,
anterior cruciate ligament, and posterior cruciate ligament was performed.
At all angles of flexion, the lateral collateral ligament and deep ligament
complex functioned together as the principal structures preventing varus
rotation and external rotation of the tibia, while the posterior cruciate
ligament was the principal structure preventing posterior translation.
However, at angles of flexion of 30 degrees or less, the amount of
posterior translation after section of only the lateral collateral ligament
and the deep structures was similar to that noted after isolated section of
the posterior cruciate ligament. Isolated section of the posterior cruciate
ligament did not affect varus or external rotation of the tibia at any
position of flexion of the knee. When the posterior cruciate ligament was
sectioned after the lateral collateral ligament and deep ligament complex
had been cut, a large increase in posterior translation and varus rotation
resulted at all angles of flexion. In addition, at angles of flexion of
more than 30 degrees, external rotation of the tibia also increased. The
application of internal tibial torque resulted in no increase in tibial
rotation after isolated section of the anterior cruciate ligament or
combined section of the lateral collateral ligament and deep ligament
complex. However, combined section of all three structures increased
internal rotation at 30 and 60 degrees of flexion. The increases in
external rotation that were produced by section of the lateral collateral
ligament and deep ligament complex were not changed by the addition of the
section of the anterior cruciate ligament.