[Anterior dislocation of the popliteus tendon].
BACKGROUND
Review the most relevant aspects of the posterolateral corner anatomy of the knee, based on the analysis of papers that throughout the years have made important contributions to the knowledge of these structures. Last et al rejected the idea that the popliteal tendon is an isolated structure, suggesting rather that its variants are closely linked to other anatomical structures. The studies by Tria et al contributed the features of the tendon as it attaches to the lateral condyle, just to mention a couple of examples.


METHODS
This is the case of a 48 year-old female patient with a knee injury caused by an external rotation mechanism. Clinical features included pain, a protruding sensation in the lateral aspect of the knee, and voluntary pseudoblocking resulting from external rotation maneuvers. Knee arthroscopy was performed and dislocation of the popliteal tendon anterior to the lateral condyle was diagnosed, besides a longitudinal tear. The tendon was repositioned, radiofrequency was applied to both the tendon and the popliteal hiatus, and the former was kept in place with a plaster cast worn for 6 weeks.


CONCLUSIONS
Even though the isolated tear or avulsion of the tendon has already been reported, the dislocation or instability of the popliteal tendon as it relates to the lateral femoral condyle has apparently not been approached yet. As we did in this case, other authors have also confirmed the diagnosis arthroscopically, Naver in 1985, Rose in 1988, and Burstein in 1990.
Martinez Molina
Oscar
O
Jefe del Servicio de Ortopedia y Traumatología, Hospital Central Sur de PEMEX. marmolina_58@hotmail.com
D005260:Female; D006801:Humans; D031221:Knee Dislocation / Q000000981:diagnostic imaging / Q000628:therapy; D008875:Middle Aged; D011859:Radiography; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000628:therapy