Inclination of the patellar ligament in relation to flexion angle in stifle joints of dogs without degenerative joint disease

Renate Dennler Tierklinik Dennler AG, Poststrasse 2, 8910 Affoltern am Albis, Switzerland, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.

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Nicolas M. Kipfer Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.

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Slobodan Tepic Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.

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Michael Hassig Herd Health Management, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.

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Pierre M. Montavon Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.

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Abstract

Objective—To measure the angles between the patellar ligament and the tibial plateau and between the patellar ligament and the common tangent at the tibiofemoral contact point (TFCP) throughout the full range of motion of the stifle joint in dogs and determine the flexion angles at which the patellar ligament is perpendicular to the tibial plateau or to the common tangent.

Sample Population—16 hind limbs from cadavers of 9 adult dogs without radiographically detectable degenerative joint disease.

Procedures—Mediolateral radiographic views of the stifle joints from full extension through full flexion were obtained (10° increments). Angles between the tibial and femoral long axes (β), between the patellar ligament and the tibial plateau γ), and between the patellar ligament and the common tangent at TFCP (α) were measured. Data were analyzed via simple linear regression.

Results—In canine stifle joints, angles γ and α decreased linearly with increasing flexion (angle β). The patellar ligament was perpendicular to the tibial plateau and perpendicular to the common tangent at the TFCP at 90° and 110° of flexion, respectively.

Conclusions and Clinical Relevance—By use of the conventionally defined tibial plateau, data suggest that at approximately 90° of flexion in stifle joints of dogs, shear force in the sagittal plane exerted on the proximal portion of the tibia shifts the loading from the cranial to the caudal cruciate ligament. Analyses involving the common tangent at the TFCP (a more anatomically representative reference point) identified this crossover point at approximately 110° of joint flexion.

Abstract

Objective—To measure the angles between the patellar ligament and the tibial plateau and between the patellar ligament and the common tangent at the tibiofemoral contact point (TFCP) throughout the full range of motion of the stifle joint in dogs and determine the flexion angles at which the patellar ligament is perpendicular to the tibial plateau or to the common tangent.

Sample Population—16 hind limbs from cadavers of 9 adult dogs without radiographically detectable degenerative joint disease.

Procedures—Mediolateral radiographic views of the stifle joints from full extension through full flexion were obtained (10° increments). Angles between the tibial and femoral long axes (β), between the patellar ligament and the tibial plateau γ), and between the patellar ligament and the common tangent at TFCP (α) were measured. Data were analyzed via simple linear regression.

Results—In canine stifle joints, angles γ and α decreased linearly with increasing flexion (angle β). The patellar ligament was perpendicular to the tibial plateau and perpendicular to the common tangent at the TFCP at 90° and 110° of flexion, respectively.

Conclusions and Clinical Relevance—By use of the conventionally defined tibial plateau, data suggest that at approximately 90° of flexion in stifle joints of dogs, shear force in the sagittal plane exerted on the proximal portion of the tibia shifts the loading from the cranial to the caudal cruciate ligament. Analyses involving the common tangent at the TFCP (a more anatomically representative reference point) identified this crossover point at approximately 110° of joint flexion.

Contributor Notes

Address correspondence to Dr. Montavon.
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