Download PDF
J Knee Surg 2014; 27(06): 485-488
DOI: 10.1055/s-0034-1367729
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diagnosis and Treatment of Intraoperative Popliteus Tendon Impingement

Anatoly Kazakin
1   Tufts University School of Medicine, Boston, Massachusetts
,
Sumon Nandi
1   Tufts University School of Medicine, Boston, Massachusetts
2   Department of Orthopedic Surgery, New England Baptist Hospital, Boston, Massachusetts
,
James Bono
1   Tufts University School of Medicine, Boston, Massachusetts
2   Department of Orthopedic Surgery, New England Baptist Hospital, Boston, Massachusetts
› Author Affiliations
Further Information

Publication History

10 May 2013

10 December 2013

Publication Date:
28 January 2014 (online)

    Permissions and Reprints

Abstract

Herein, we describe a simple, effective strategy for diagnosing and treating intraoperative popliteus tendon impingement during total knee arthroplasty (TKA). When lateral impingement is detected intraoperatively during TKA, manual isolation of the popliteus tendon can help determine the cause. Using this technique, the etiology of intraoperative lateral impingement during TKA was never misdiagnosed and the popliteus tendon was never unnecessarily released. The technique described allows for accurate diagnosis of intraoperative lateral impingement during TKA and the prevention of unnecessary popliteus resection.

Keywords

popliteus - total knee arthroplasty - knee - impingement - technique
 

  • References

  • 1 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (4) 780-785
    CrossrefPubMedGoogle Scholar
  • 2 Allardyce TJ, Scuderi GR, Insall JN. Arthroscopic treatment of popliteus tendon dysfunction following total knee arthroplasty. J Arthroplasty 1997; 12 (3) 353-355
    CrossrefPubMedGoogle Scholar
  • 3 Barnes CL, Scott RD. Popliteus tendon dysfunction following total knee arthroplasty. J Arthroplasty 1995; 10 (4) 543-545
    CrossrefPubMedGoogle Scholar
  • 4 Dennis DA. Evaluation of painful total knee arthroplasty. J Arthroplasty 2004; 19 (4) (Suppl. 01) 35-40
    PubMedGoogle Scholar
  • 5 Kesman TJ, Kaufman KR, Trousdale RT. Popliteus tendon resection during total knee arthroplasty: an observational report. Clin Orthop Relat Res 2011; 469 (1) 76-81
    CrossrefPubMedGoogle Scholar
  • 6 Peters CL, Severson E, Crofoot C, Allen B, Erickson J. Popliteus tendon release in the varus or neutral knee: prevalence and potential etiology. J Bone Joint Surg Am 2008; 90 (Suppl. 04) 40-46
    CrossrefPubMedGoogle Scholar
  • 7 Kanamiya T, Whiteside LA, Nakamura T, Mihalko WM, Steiger J, Naito M. Ranawat Award paper. Effect of selective lateral ligament release on stability in knee arthroplasty. Clin Orthop Relat Res 2002; 404 (404) 24-31
    CrossrefPubMedGoogle Scholar
  • 8 Krackow KA, Mihalko WM. Flexion-extension joint gap changes after lateral structure release for valgus deformity correction in total knee arthroplasty: a cadaveric study. J Arthroplasty 1999; 14 (8) 994-1004
    CrossrefPubMedGoogle Scholar
  • 9 Matsueda M, Gengerke TR, Murphy M, Lew WD, Gustilo RB. Soft tissue release in total knee arthroplasty. Cadaver study using knees without deformities. Clin Orthop Relat Res 1999; 366 (366) 264-273
    CrossrefPubMedGoogle Scholar
  • 10 de Simone V, Demey G, Magnussen RA, Lustig S, Servien E, Neyret P. Iatrogenic popliteus tendon injury during total knee arthroplasty results in decreased knee function two to three years postoperatively. Int Orthop 2012; 36 (10) 2061-2065
    CrossrefPubMedGoogle Scholar
  • 11 Southmayd W, Quigley TB. The forgotten popliteus muscle. Its usefulness in correction of anteromedial rotatory instability of the knee. A preliminary report. Clin Orthop Relat Res 1978; 130 (130) 218-222
    PubMedGoogle Scholar
  • 12 Ullrich K, Krudwig WK, Witzel U. Posterolateral aspect and stability of the knee joint. I. Anatomy and function of the popliteus muscle-tendon unit: an anatomical and biomechanical study. Knee Surg Sports Traumatol Arthrosc 2002; 10 (2) 86-90
    CrossrefPubMedGoogle Scholar
  • 13 Feipel V, Simonnet ML, Rooze M. The proximal attachments of the popliteus muscle: a quantitative study and clinical significance. Surg Radiol Anat 2003; 25 (1) 58-63
    CrossrefPubMedGoogle Scholar
  • 14 Chun YM, Kim SJ, Kim HS. Evaluation of the mechanical properties of posterolateral structures and supporting posterolateral instability of the knee. J Orthop Res 2008; 26 (10) 1371-1376
    CrossrefPubMedGoogle Scholar
  • 15 Mann RA, Hagy JL. The popliteus muscle. J Bone Joint Surg Am 1977; 59 (7) 924-927
    PubMedGoogle Scholar
  • 16 Nyland J, Lachman N, Kocabey Y, Brosky J, Altun R, Caborn D. Anatomy, function, and rehabilitation of the popliteus musculotendinous complex. J Orthop Sports Phys Ther 2005; 35 (3) 165-179
    CrossrefPubMedGoogle Scholar
  • 17 Otani T, Fujii K, Ozawa M , et al. Impingement after total knee arthroplasty caused by cement extrusion and proximal tibiofibular instability. J Arthroplasty 1998; 13 (5) 589-591
    CrossrefPubMedGoogle Scholar
  • 18 Gaine WJ, Mohammed A. Osteophyte impingement of the popliteus tendon as a cause of lateral knee joint pain. Knee 2002; 9 (3) 249-252
    CrossrefPubMedGoogle Scholar
  • 19 Whiteside LA. Selective ligament release in total knee arthroplasty of the knee in valgus. Clin Orthop Relat Res 1999; 367 (367) 130-140
    CrossrefPubMedGoogle Scholar