Tendinous insertion of semimembranosus muscle into the lateral meniscus

Surg Radiol Anat. 1997;19(6):365-9. doi: 10.1007/BF01628503.

Abstract

Forty-two cadaver knees were used for morphologic and MRI observations of the tendinous distal expansions of the semimembranosus m. and the posterior capsular structures of the knee. A tendinous branch of the semimembranosus m. inserting into the posterior horn of the lateral meniscus was found in 43.2% of the knees dissected, besides five already known insertional branches; capsular, direct, anterior and inferior, as well as the oblique popliteal ligament. The tendon had three morphologic types; thin, broad and round. All three types moved the lateral meniscus posteriorly when pulled on. Thus, the semimembranosus m. may also have a protective function for the lateral meniscus as well as the already well established function of protecting the medial meniscus in knee flexion. When a semimembranosus tendon attachment to the posterior horn of the lateral meniscus is present, its normal insertion is difficult to differentiate from a lateral meniscus tear in MRI and this may cause misdiagnosis.

MeSH terms

  • Genetic Variation
  • Humans
  • Knee / anatomy & histology*
  • Magnetic Resonance Imaging
  • Menisci, Tibial / anatomy & histology*
  • Tendons / anatomy & histology