Insertion orientation of terminal vastus lateralis obliquus and vastus medialis obliquus muscle fibers in human knees

Bennett, William F.; Doherty, Neville; Hallisey, Michael J.; Fulkerson, John P.

doi:10.1002/ca.980060302

Cited by 23 publications

(18 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In comparison, the pennation angle reported by Hallisey et al (1987), Bennett et al (1993) and Weinstabl et al (1989) showed a clear trend towards a more obliquely directed fascicular orientation in the distal part of the VL muscle. Hallisey et al (1987) determined the pennation angle in 41 cadaveric knees and reported a mean value of 48.58 and 38.68 for the pennation angle of VLO in male and female specimens, respectively.…”

Section: Muscle Architecturementioning

confidence: 64%

“…In eight anatomical studies, the pennation angle of VL was investigated, providing a wide range of reported values (Lieb and Perry, 1968;Reider et al, 1981;Wickiewicz et al, 1983;Hallisey et al, 1987;Weinstabl et al, 1989;Friederich and Brand, 1990;Bennett et al, 1993;Andrikoula et al, 2006). Reider et al (1981) stated that fascicles of VL approached the patella at a mean angle of 318 (range 228-458), similar to that reported by Andrikoula et al (2006).…”

Section: Muscle Architecturementioning

confidence: 73%

“…Of greatest interest were two studies which provided a large amount of architectural data on the human lower limb muscles, including measurements of muscle length, fascicular length, PCSA and pennation angle for VL (Wickiewicz et al, 1983;Friederich and Brand, 1990) and two others which specifically described the nerve supply of this muscle (Linss et al, 1990;Patil et al, 2007). Six scientific papers only reported on the distal part of VL (Reider et al, 1981;Hallisey et al, 1987;Weinstabl et al, 1989;Bennett et al, 1993;Bevilaqua-Grossi et al, 2004;Andrikoula et al, 2006) with three studies dividing the muscle into two parts; vastus lateralis oblique (VLO) and vastus lateralis longus (VLL) (Hallisey et al, 1987;Bennett et al, 1993;Bevilaqua-Grossi et al, 2004), based on findings of pennation angle. A common aim of five anatomical studies was to establish values for the pennation angle (Lieb and Perry, 1968;Hallisey et al, 1987;Weinstabl et al, 1989;Bennett et al, 1993;Andrikoula et al, 2006), whereas two others provided data on the fusion between VL and vastus intermedius (VI) (Willan et al, 1990(Willan et al, , 2002.…”

Section: Overview Of the Main Studies Included In This Reviewmentioning

confidence: 99%

“…One major limitation was that measurement techniques were typically not described in detail, meaning the methods applied in these studies are not reproducible. For example, in several studies which aimed to determine the pennation angle of the VL muscle, it was not clear which part of the muscle or which specific fascicles were used for obtaining this measurement (Lieb and Perry, 1968;Reider et al, 1981;Wickiewicz et al, 1983;Hallisey et al, 1987;Weinstabl et al, 1989;Friederich and Brand, 1990;Bennett et al, 1993;Andrikoula et al, 2006). Inconsistent use of terminology in two anatomical studies meant it was difficult to distinguish whether the authors measured fiber length or fascicular length (Wickiewicz et al, 1983;Friederich and Brand, 1990).…”

Section: Critique Of the Main Studies Included In This Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Gross morphology of the vastus lateralis muscle: An anatomical review

2009

View full text Add to dashboard Cite

To understand the role of the vastus lateralis (VL) muscle in the pathogenesis of common knee disorders such as patellofemoral joint syndrome, knowledge of its anatomical structure is essential. The aim of this study was to review currently available information on the gross morphology of VL. A structured literature review was undertaken and 36 references, comprising 22 scientific papers and 14 anatomical textbooks, were included. Results of this literature review show that most of the included studies exhibited methodological limitations, and focused on different parameters of the VL muscle. Hence, reproducibility of these studies and comparison of results was difficult. This review also demonstrates a dearth of information on the muscle architecture, compartmentalization, nerve supply and fusion of VL, and that there has been no investigation of the muscle as a whole unit. Further research is required of the architecture and innervation of the VL muscle to better understand its function.

show abstract

Section: Muscle Architecturementioning

confidence: 64%

Section: Muscle Architecturementioning

confidence: 73%

Section: Overview Of the Main Studies Included In This Reviewmentioning

confidence: 99%

Section: Critique Of the Main Studies Included In This Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Gross morphology of the vastus lateralis muscle: An anatomical review

2009

View full text Add to dashboard Cite

show abstract

“…However, this previous researches evaluating the patellofemoral pain syndrome has not included the oblique portion of the vastus lateralis muscle, which is separated from the longus component by fascial planes and has different functions 10,11 . The most oblique portions of vastus medialis and of vastus lateralis, would be the portions most prepared anatomically to control the position of the patella with respect to the trochlear surface of the femur 7 , play an important function in patellar orientation within the femoral trochlea 10 and would be responsible for the control and stability of the patella 7 .…”

Section: Atividade Do Vasto Lateral Oblíquo Na Marcha De Sujeitos Commentioning

confidence: 99%

Vastus Lateralis Oblique Activity During Gait of Subjects With Patellofemoral Pain

Santos

Say

Pulzatto

et al. 2017

Rev Bras Med Esporte

View full text Add to dashboard Cite

Introduction: So far, little is known about the behavior of electromyographic activity of vastus lateralis oblique muscle during treadmill gait in subjects with and without patellofemoral pain syndrome. Objective: The purpose of this study was to investigate the electromyographic activity of the patellar stabilizers muscles and the angle of the knee joint flexion in subjects with and without patellofemoral pain syndrome. Method: Fifteen subjects without (21 ± 3 years) and 12 with patellofemoral pain syndrome (20 ± 2 years) were evaluated. The electromyographic activity and flexion angle of the knee joint were obtained during gait on the treadmill with a 5 degree inclination. Results: The knee flexion angle was significantly lower in the subjects with patellofemoral pain syndrome when compared with the healthy controls. The electromyographic activity of vastus lateralis longus was significantly greater during gait on the treadmill with inclination in subjects with patellofemoral pain syndrome. The results also showed that the electromyographic activity of vastus lateralis oblique and vastus medialis oblique were similar in both groups, regardless of the condition (with/without inclination). Conclusion: We have shown that knee kinematics during gait differs among patients with and without patellofemoral pain syndrome and healthy controls and that a different motor strategy persists even when the pain is no longer present. In addition, the findings suggested that the vastus lateralis oblique has a minor role in patellar stability during gait.

show abstract

Do the vastus medialis obliquus and vastus medialis longus really exist? A systematic review

et al. 2008

View full text Add to dashboard Cite

There remains controversy over whether the vastus medialis (VM) is a single anatomical structure or whether it is composed of two separate portions, the vastus medialis longus (VML) proximally and the vastus medialis obliquus (VMO) distally. The objective of this study was to assess the evidence base of investigations into muscle fiber orientation, presence of a fibrofascial plane, and the innervation of the VM in human cadaver specimens and subjects. In addition to a hand search of specialist journals, an electronic search of AMED, British Nursing Index, CINAHL, the Cochrane database, EMBASE, ovid Medline, Pubmed, and Zetoc were performed from their inception to September 2008. All human subject papers assessing VM fiber orientation, presence of a fibrofascial plane, and the innervation of the VM where reviewed. Twenty-six papers, assessing 699 healthy knees, and 591 specimens with patellofemoral dysfunction were reviewed. The majority of nonpathological and pathological cases presented with a substantial alteration in fiber alignment seen between proximal and distal muscle portions of VM. Both cohorts presented with either one or two nerve branches to the VM. A fibrofascial plane dividing these two muscles was seen in a small proportion of both pathological and nonpathological knees. There was, however, insufficient good quality evidence to state whether the VM is composed of two separate components, the proximal VML and the distal VMO. Further study is recommended to evaluate the pathophysiological implications of such findings and to assess whether these correlate to functional electromyographic findings between the VML and VMO muscles.

show abstract

Insertion orientation of terminal vastus lateralis obliquus and vastus medialis obliquus muscle fibers in human knees

Cited by 23 publications

References 14 publications

Gross morphology of the vastus lateralis muscle: An anatomical review

Gross morphology of the vastus lateralis muscle: An anatomical review

Vastus Lateralis Oblique Activity During Gait of Subjects With Patellofemoral Pain

Do the vastus medialis obliquus and vastus medialis longus really exist? A systematic review

Contact Info

Product

Resources

About