The Fabella, Fabellofibular and Short Lateral Ligaments an ...

OriginalArticle

LTChiagdeaamFvaeebnrestlsl:aa,nFaAbnealltoofmibiucalalrSatunddySihnoTrthLaiasteral

Sitha Piyawinijwong, Ph.D.*, Nopparatn Sirisathira, Ph.D.*, Sirinush Sricharoenvej, Ph.D.*

*Department of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

ABSTRACT

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Keywords: Fabella, fabellofibular ligament, short lateral ligament
ESi-rjioruarjnMale: dhtJtp2:/0/w12w;w6.4sir(iSruajpmpled1j).:cSom15-S18

S INTRODUCTION MATERIALS AND METHODS

tststtkrtffoa tfrohhhoaaeetinforsbteaepbmtuea.citteeo1t enhclno2hpllfr.mtlyeleraterukaaHeaembarndlpsbwoeegwyctteieeiaolsuwanceoelnra3nnsaspoeorsnets0tdeermlnunvrieae%sainodiceednyiptinerchnyauurdlm1cnlladsaatto9earceochbyten.nsl3mmeesreiepes5noemxiSf6dortuin.ialstauTv8ducersebtabLnste%eeatchnmoert1dalinlatioll1onemt5nydlo,ife-,kosio7ieirnuCt,anfadffwdh,idsnooanbJfectihdsutr1fibahutnlhnaointeoeelgcecoaAdwaodvnhtnmiiriclsunovneentdociuearlaliiivcnucluecdscnnitiecanraohtduddstiarotcflmheaooteesaaaltisnlenndsnlghblssyhecelct.aeeeoaleh2taaeoptlat-odgre4lenitftotoaccnueewds8ftacMtglernat-htha1iuahaedtdst0etelhosseih,rthejosaiiieasrahnoofnicbtaclonavsegronafilesbtceaalortmaintielipebedtletflidotlrylparplegolaeyeiolgorasaarlnnlpelocfe.mraaracmostaftlhsatsIeshgaewrnetetfeitttrranrttoheaeonaoooeyasitdnddesss-f-f--rl, odbdfmom 9toriaagoBacThneonnnhirybfaen7hocmeeerdcddsot)iaontattstasuts4hehrrrhyrhtishlesdoe8annodeceeeesoidnmOdc4oseedinvatrafiinuiddffsgrewtinnobogyaeesd.ftnenegabosaeA.adomylttPd,sarnmenhTyohTnatidrtldc(de-bdurpuwheoplaahletohanyeersrewlttheedadsacaeooondnx.tsnonilwmcmcrgausgaciegeSwobepitsnadiiaklydunhmessltriueispijnan,sgeode,sctabapipNlcehdgdaaicuisFnalrmtewnmd.efceoeshodraswoav,5naqT.a.ieevecdre%letuwfintthnuei2Ttfstmeshipeshdietlhge0tonhmsnestneiehry5atlgwde.rrtheurbatiqela/paowuycey2netyTmno(utspiin-cmrr5Mecaotdfsehore,toutdt5saSineuoohesuxivdgM4siorutcrtetrreidieoiueeehebocsseinndnea(xtcriafetdpvoEcaditaaooydwcss.laifteykjiibxuygfolhctaatcnsTaioineiev,cnlbenIoiteosu,e7lhnminheied-nsdlgnstz0reeesablKtitespaslautro.aoeoafha)i66tetboakdSrnstoeet)syuwolfhwi.eydirwwednµ(trmwno.airTefiartemhaoarhsafaaarefhrasaenanTerbttnnarhejeehenakneagebhddatdedemdrlii1ehlHeer,ptam,lsdd0riMlhoyDenRirnolsicJt2ouefaacdoo’alseiea3tusnsseboppfwiwvmple0undsaalwuwmiaiansorerrttctteeanlaereuhheecaarraitrlwlt)dldddoyydeeeeeeess-r..

Correspondence to: Sitha Piyawinijwong
E-mail: [email protected]

Siriraj Med J, Volume 64 (Suppl 1), January-February 2012 S 15

TABLE 1. Distribution of fabella in gender and sides
KMnaleee (N=372) W((i12th08..7651f59a46b%%e))lla ((1R81.43i.3g0113h2%t%)) ((190L.1.332e4482f%t%))
Female

Famriitguics1u.tleaInrlldufosatncreadttieoomnnoontfhsettrhaletaetfdearbaietlsllfafleametmosbruaerldfadcceoedndoinyplpetohseoefldatthteoeratlrhigegahcstrterkosncceneene.-t Tkwiosfh(stdohctclclcTt(i2mdffpcfaniiiihonhFaFahuoaraonfeanfoirbboghhavbaoeffeboopispigrlldemaurinaeefsgglllefedese3bcowpscreenemaalfasslsleuoe1luaafusordettodill3b-dtie6aeeeestb,aellloli(gmsrsDIifwe,edeociagstrrn)5menwtnoefssam3laaei.srgioauac4c.tcptenlfbm(boollde3)erottaiuwflerac)tFraeiOyae.heiuferwni8ie.ezfellaebnceonilndeteilrcsc%ebngitsnhtTiuagTada(ndgrsgihihfwamtdeest2seerfottadthhoahv)aelmeitait5rts.mnlaeirleoeedwumwehauo6ki2peheof)ulasdfacnnninreo.cfai9deex3ilopea(scneiotpgsbsakdtrun%nlartsetrsatnsdutmTtleaeieuainouoteonthtnatacunxtramni(.nkih)laefcrtf,udtieifpoelb8n1a,.hgeirndtbeaeertIfgtoeonsys.o1ie.estittnteTl3fintaenftolfsmhheeomqrfonaidiamsja3ninhgTitrcrtb,iewobufthtnlahrana%dde,ai1hmhrh1icoeewsocolelasfmaoln3ef.eafeealn4ster)rinerstsnsarlcitl7hnnwole.tet4.iaahodmiailbldal(t2edigidzmoileanyoftut3emnTreTglfeefhi,aiopfdfntaarrla-.lcnosafrfhimswl4torplthdltlfaohiaipagmuahaeeyeasea9dnomlttabbleameanenrnusiohnhsdga%esureenasternecedmiaddprededteihndcnndslllitntttedmpe),l3lmyahscattidrcat6aeiohrscbfsdstl7esehastonlafesaicw9etshrueeoaehi2lgicydtnnw,aeobotnccfebthgnooaaetaillxegdealseilkspkahnosaooeyrkfssirwmalmchrblgdneltnaiseefninllaa(oa1oiegtdmeefogtaietbeeso6gblheinifhape0lredmeffnfsenoslnlf.esiliebciseeainas1aossnteypwcttbilcsstaeeewmbe)yuhdid8frknirr.tugs.dntlemfefe(reeatoee%oieolofualaroFaaIrtnlnc,lradircacIrollnfeabribmtaiatvn)eeaierotgttweemttgseoech.shhlaotsehelddaiectclfhrogleaefsne(lgdshfaeTolmnooaiioe27emosrtdfnafbvgergtuhimpaibsiu.)e(fffeodnlgsistaca9pffetiiin.piTiaufmnhnefebbbeydcrarsapomawi6nodhtndetiac,tnirtttuuublTeoua%eoosdsu.iiorbeadettcrllle7oosn.leehhhuuertiiaaanniralleeilI)no5nnnndddeeaeeeeesss-rrr-lttt..,

xTaeleaostlthltntTiaeitpgmhc/t2heliaae.cmtxnmaeielgdsint.dchtdrusTo.lnoehsdTfsee-phtsraceherrecttowhtsiloeiosidfg-ntsaahatesmhlcse(uteaWimnroleitn)gpaaawtaliwmnoaadnasersnetmohtaofiebiconatkefasnlpuileneierpaseersctdpdihce(fanfTrlrldoi)ogimmscwahumealπiarpetersenx.tttbaoWTwoknehia/tny2ess

RESULTS

tf1tTwmolcpihaai8roohrthceue6snceeisptrucytecauoh(ollrlaans5eTTofvtnri0w.lehhhladat.asrTheeear5tothieaseah3eelardrfrae%fdapftaalatoialeeblabc)outi,renueefnaanfilfltlrlsalnledalaagpaabsrtlpaeetiiewiozasndwcflwaertlerhtranta.motaioshtsconseuocIohewfrtnrfrftifeaeaholotatawlmsmlheuhrcateeneaetcbispe4rsudoueora4obstndarlsefiefilddltnanlhmraetyelecdfhtreidleeusepioeae9oprmstnd4aiarcefo(c.loralcFoonaterbctiIfilfrla,icagetayvludpltboielhwlt1oaecalraieyv)slonatll.iteencoasgsedr(idcrtasrFflhowayesctietltllaougfaearletrilosdtpaopemca(2rtmor5nrFioa)acts0e.iislnstagcmehstlpTuoraatioi1lnthhpuoooaar)deeesr-rrfl.

Fig 2. Pie chart showed the incidence of fabella in Thai cadaver. Fthieg b3o.arIdll.ustration of the fabellae (various sizes) mounted on
S 16

Finitgen4si.tyPloafinraxd-iroa-yopfailcmityo. f the fabellae illustrated the different

DISCUSSION Ffaibge6lla. Iallnudstrfaatbieolnloofifbulalaterralilgaasmpeenctt.of the right knee showed the

hfiwcoddnpffia2fttcnnhhaaraaonefiire9oibbsasbceielrdavtsmtirgihereevdrdeacdaellfnlKiisrspaeldllesaboaoaaot1sTppniabruuhuosoeaf0toewceiwhitsadhfisnpn6biaesnlpeyroaldaarrudroaphthianpacseolhgepefniaacnipapfdosehltfcndcrotodaroymouitaeteersmfewruhnnardtsgatctineynoesrnndieetaattes2idfhTddddnshrs-nopaf4etbiteitta,irtoiar1chhepvilmstnb3olanlaahtepfhreaaenetgaeddeehotolnaetlxefhbovineeleslrdaanmacsme.iepdrtttab1toeeoeald4ovieelflisruplultuaeanmooaadaSlostsolsitrftlrmiautef1eaiiaaTiwhtt.eocrtfntrhsbhlirgeaeahaauooTuoeeedrlarhballsdrrTlaheseeikglhCshwlsutealmhdaasseeriinJkadlgoi.etosoawJo1lnwuiingt,ca,radane1lsnodkhenmar5epatwtsl-eesyothie1saoapteale6ehmrfeanengrlrpnaoidTn.oadesiogcaittlfctodlueshvshrahfiahlaenemdcstieyosSeledcp..lwwotw1ugiirraveo4aTnnnooaoietarlsaerpnrlicaFolcrhcrstrycodpceiencunieuaaifoiadbeutaiperndCoeluralitntrmldefaholtodhnrrsriJahondeaeeweneiettmarudcnnimdropeeeeo.tmeesccrobteshlawagcedeoiTrwdooaatilgaarterggilrninneheosoalihtyaaei.hddyxdheees-ff1llt,,

bwcFariiongthca5al,r.HtcTi&loahnEgeceemsnhaitnocrrdwiocesfdclaaotmtptyhieceltlisafsteesrauuatecun.trudeTrehooesoftfebbotoohcnneyeytdeesct.ciosan(slxsucieisf1tiee0indd)t.eforafvbeeHnlleaadrvstebaryisniaefind- Ffaibgel7la.)Isllhuoswtraetdiotnheofshloartterlaaltearaslpelcigtaomfentht.e right knee (without

Siriraj Med J, Volume 64 (Suppl 1), January-February 2012 S 17

oaTnfAdtBhfeLemEfaab2lee.llM(onfeiba=unl1ad0rim)l.iegnasmioennt(m(Mme)aannd± cSrDos)s-isnecthtieonmalalaere(an(=mm132)) CONCLUSION
C T L FWhearionibdcsgetkshtl-nhl soe efscisbt iuolnaarl ligament SRRRRLLLLidtttttttt e 2233113379........12114159M41585376 a±±±±±±±±le21000064 ........1955788516174644 2233112338........F42319260307549e26m±±±±±±±±al12000071e........2862397867512584
area fftofr dvntthhiooeafeeaovteeuuegrtneinyntdre,harheddsdaeletoTiedicsftmisdihuonilsonieirocuoggntwolcefharcopsanimaeigitsirdrsprzhneoaeeiehessdunidtnevaoisteoonnsvaatfdopfncresiewaasdihotnfotcbhouiaacifosgercbsstietfyadoeenbt.aemslixlttolmmoanhaiTpntnscfeeoeaotehae.erlu,bselfawnnieaoltcftlhbaiffi.eloanblieaicnbTldr5o.ghlosef0haaH.cl.iimlt5aatsohoisMlr%neefwstwiniobif.lfetcTuaauavrsnTghdblooeaceaiehsfcrsrti,l,ceoipsloaotrlltch.nairpfhcgoeeayaBieaalscbledlpymekadiaornlgnoveclonceaebvnoeldineeesarntdeertedirrawwwsanoavltncsusiaaaatldtooessss-l,

fepgbtaoivmwtwodtpstios lsittof(omhhnhinih8oaptoxnraeifefeffgoreogdeievetete4uemiicdpropsaotnrsntHrsfeuoso%cfynaenamel.katedaeiftetialc1emidenpsasgwhabmbuen3bewe)dlcpetnttsdrlb,eroedtciceeeuuoanviTieecishsiretelmnagwlmnondsrte2snxelelahlolyreoittaenuyrllnscothtoiwaheenwioinsefrl.etoisdfig.rnioeeaiah(fafne1lai.behafwowiia3ecI7fcrtnfnttesnbseuhnon.minhaePt8sotsadhdfOdcuMl’fbieea.tahTrsacosleal1rakpsetnwtlbafuraenfnblhihfaba%olaoaapeansrersakplohtveoemeifntncasyoabrelsobluoh)lniiblteltnsgitdsfle.tcswoaeuiobretihbiopsrshtdagwtlynhtobliKreeryceeiolefaeelrdaaecsewcfuailmounreeodcnaasblamivdlekfrtrctodhhytpnatpu,baiweeoareteloaene2eb,eroilduobalrondplfnldaenaha1nuifruitemwslnatdfenndealbttrotliichliet.aeeencgang1sbil2rflenet9lnhrois0whirlodaboaOheacgngtiasdinwmscelltcgfifeotogaase.anlylhlpcueoaad2aayfafaismmnhamed1venoerergguralsmmsnaeyctdadembgfhanpeolTcebisldjtiaereeelfaemeendouoanfntydvhaipabaldinlwasllertrmntreeg,eiebloiedsetbes4ttbsoeagsdtaverenelsdpi0hsuwtat.tclarsdo,lelteilftfaahioieoaidtonllmumalndunpttnlaKacecfttoltiyiiwbrciteogoeh.otsnoogoeomatpbhaeoershialnalenanfotosiuapaunTloilofraaetenmrWmcttlafaffllnilmtgeefsanitbchrugaxlagt,behdoeetihh2ieelrarnefahcdotmeiewsidncsrela5adongw1cnnaeilexntraltn9bzdaihraorlaisotnoayrkaidqsgiuehejlitfemmttsbtcmcdopminhfie,uhiaclenvebfaucrlllreiwexeiaempteifaaroiovaneeesluusnscennneav.fhogmnfimaqrnttc1reriarmidatte,.ssus8sirrmieursbhenbneittsjideytimtisnirniTuoiwtTut1alehbhooneocirnietldtlindnlo0heheeahunauncoaansliianalinygydndddnn5eeaeeesssssss-r--.t REFERENCES

oaTnfAdtBhfeLemEsha3oler.tM(lnaetae=nra1dl4ilm)i.geanmsieonnt ((mMme)anan±d ScrDo)ssi-nsetchteionmaallaere(an (=mm202)) 111 1 121 21 9 8 1151 2 7 143 6 .15087694..2.0..1..3. ............ KKMSJ1JpRFcsdjpdfSSvSDFcHfWPSahJLJ1(tLpTSMTJDJDTPdADohreAtaBBooofi9eooi9aeireeaoiurhearaehauaeiJaaooaiasmsetOOrfiiihirvraiaas9sree9agnieku)JJtvucdReeitdsssfwnpntlneennriruddtt:dnerbbmSSr91ectrradtoettehokinpdeey6ososloeie.u.httloimeaeaashbc..lpambrearrwuohhoa9rrawwtTromosfFlccaONoot2VenaffJoottuoLCebpoopan811AfihAafhhlsthhiMnoBoFtll0aaoFutstfAatelcpoptymt.99K.aakntiKJaieeeefwfiE,zo0ta,fnsmnrJtDtovett85,tyelrrtJSnrhT;FT,nieeepJS4e.,BhtSSAMtin2K;i458oFrtffB,aaheGWPuhtrrndo7caok,EPo.JJ,oeHaa.ccJ5hAnaa.t,CeraubAetRRfo3PunSitH.Mbbii,lDJFr7ll1MTigMgfAaln.i..saerf(mTi,leBbCui,,,oleeaurak(ek9.2acOolta.Bcm,letaaeeo,u5lTJh22bNllnhflagbuenTrskbn6Kh0IIesc;cssrllka1RF)hyl)Tor00e3nntprdre;reaharsreea1ppn0;aa:r:rsrBon91ulauaArel6aag0017ggol.eiT1ealedeoireee7eelaesem88tllkdadnkfp6a44ccdo0p(llnkj7Maccrsnata,Tc1ceaiibo1A3rbiyalezsaooo(i-0aolevtt4ssca,DeMoctyi9bTnaA,yitc:GmSlnyJJmKupmanngi7ngore-m)hni3pe8fcsooNehMaaceAAeeob8:r,rlKartt-)i,raMt25.yhiie82iio;lnnifficerrnskp8i:ki0nmnTBotbO4nldEEK0mi2u1i.ia7GrM;iPs;;egclao.iG.ebbGd,2vedttK399dPaea1l-s3aAoGs6,,eaa.:ehh2lfHreauuul49;u)(((uncGm.,e17,ifnHl,-uElrd9ee0MMn.uAj11.aTAbbctt.e(a7scico,A.9jtoTseei9Sin08,Ktpg))fKtiDa.osmurie.hsDnoi).-,chnkkf::oaanY(h5)riln;rM:tn8l55euerIa2ume1tt.eg:cnnrrc1aseETMgaeJogoienoot6099ossas.rSsh)o3nrneeB6rhJaFrzSsihhofetu1:l.--aatsfNfeetm.9ucMtsn9u9eChpu66aJrahttaahn.:1aS..aenO(lahfhcr-ta1SJeabrF55bllmHeHip;l-nz2e7sal,aeuFnllkb,ict2iee-JJi1ee...Sral.dpo)ndbsn9r5drdBB,a,atnaetdN1lABld6JJb3vsMguoehm1leRl..eskrrbxeLLe(aee.JJae3SSeAean.sarePersol9vc7ieve1SSasf:lilte,,9.hresrfuiiucpl8,eal).sae:lsndep9gvnnt..usa-o:lezziaWWlSn.8eFmecDlMaio84a3agm.effoereoruu11or(dt,aootl2k2r0fn5stpavueEc.pNsaaikAk99la,bIrr0a6.:tonnoInmaByarrmmimts88niicclote2torMPpt0-rrhsgdftlaofnoee22solt3eee0ueradproe3DDeayetlaAaAummimnnn;3taea1banrtsuisstl.c7MphAAss,,ngrythrG.tt1efDtMteeelai0eop1eiraeRRMak(gi;lenppoHHonnl,un,p3loS(R.pl9iobnetiJaagFFrrfAnnttcporio0fSoe7CaaSaaamee;;raAcl..gt66ar(;sadunrnnin8),ledoodaaueaa2ftu5glet:ant44sTTil;d.siysaffvlRar6hre7as)o2nnsmaoA((raSSstebhhn:o:pl1rosJAA(eoeias4tmdlott7klaoeHmHee:a3lopBl3hhrcpanbr(eocaub7i))lamIs)reie1i-:eelaelaJV,r::,cip,fDtnd7ss:a;i6aa55npaH)iStr11settiltcoi-coo:G..YYottm33rrcpptoRticemn72.88seia.ecrhuunmlo66Aadnoor2cem7a2a4d.uomais1ccee.tJuA--f1ssocimm-(i.-otrsfttWnC944ldactst4ti198Aerluucoriefnnheeott7i11eloegagao.n)0h)atrrhfgoarr.nens7:h..nseessioaitbo.oofe1atntgona.shFhuaeOmcauouOefmll1l.rtfJoocirieabaaalJmdlksart3tuecgiinkffklbSBettetaRytaydppsnan-aeelehialinennlun;2ettahcJiceelsrrtrn5olAhhntTeeTorosoSiniaaa1aaleyecs9gndpnaeeee?e-f-llll.lt.........
W T LSC hherioniodcsgrtkshtt-nh sle easctste iroanlalligaarema ent SRRRRLLLLidtttttttt e 2333113371........65012793M14786148 a±±±±±±±±le11002366 ........4456230525012287 2333114380........F24645972182400e91m±±±±±±±±al00001254e........7953446076897935

S 18