Anatomical Variations in Meniscal Horn Attachments in the North Indian Population: A Comprehensive Cadaveric Analysis

Authors

  • Sonia Beniwal
  • Kumar Satish Ravi
  • Mukesh Singla
  • Roop Bhushan Kalia

Keywords:

Humans, Menisci, Tibial, Anatomists, Ligaments, Surgeons, Cadaver

Abstract

We undertook a detailed examination of the attachment points of the meniscal horns in a North Indian cadaver sample, analyzing thirty knees to map the diverse ways they connect to bone and ligaments. What we found was significant anatomical variation, notably in the anterior horn of the medial meniscus. Three main attachment types emerged: Type III, which attaches to the anterior tibial plateau slope, was the most common (almost 47%), followed by Type I, which attaches to the flat intercondylar area (40%), and finally Type II, which hooks onto the medial articular plateau (around 13%). It's worth noting that these patterns seem to differ significantly from what has been observed in previous studies of Ghanaian, Kenyan, and Caucasian populations, offering key information for surgeons, radiologists, and anatomists who work with North Indian patients. It is important to state that this population specificity could have major implications

Downloads

Download data is not yet available.

References

Fox AJS, Bedi A, Rodeo SA. The Basic Science of Human Knee Menisci: Structure, Composition, and Function. Sports Health Multidiscip Approach. 2012 Jul;4(4):340–51.

Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes. Arthroscopy: the journal of arthroscopic & related surgery. 2011 Sep 1;27(9):1275-88.

Rohila J, Rathee SK, Dhattarwal SK, Kundu ZS. Morphometric analysis of menisci of adult human knee joint in North Indian population. Int J Res Med Sci [Internet]. 2017;5(2):569.

Ouko I, Kigera J, Ongeti K, Pulei A. Variations in the attachments of the medial meniscal anterior horn: a descriptive cadaveric study. Int Orthop. 2018;42(10):2343–7.

Nelson EW, LaPrade RF. The anterior intermeniscal ligament of the knee: an anatomic study. The American journal of sports medicine. 2000 Jan;28(1):74-6.

Mariani PP, Torre G, Battaglia MJ. The post-traumatic meniscal extrusion, sign of meniscotibial ligament injury. A case series. Orthopaedics & Traumatology: Surgery & Research. 2022 May 1;108(3):103226.

Faruch-Bilfeld M, Lapegue F, Chiavassa H, Sans N. Imaging of meniscus and ligament injuries of the knee. Diagnostic and interventional imaging. 2016 Jul 1;97(7-8):749-65.

Berlet GC, Fowler PJ. The Anterior Horn of the Medial Meniscus: An Anatomical Study of its Insertion. Clinical Journal of Sport Medicine. 1997 Jul 1;7(3):241.

Myrna Gann; Cunningham’s Manual of Practical Anatomy (15th ed.) Upper and Lower Limbs (Vol. 1)Am J Occup Ther March 1988, Vol. 42(3), 199–200. doi: https://doi.org/10.5014/ajot.42.3.199c

Brown AA. The insertion of the anterior horn of the medial meniscus: an anatomic study. Muscles Ligaments Tendons J. 2013;3(3):210–2.

Kohn D, Moreno B. Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 1995 Feb 1;11(1):96-103.

Kale A, Kopuz C, Dikici F, Demir MT, Corumlu U, Ince Y. Anatomic and arthroscopic study of the medial meniscal horns’ insertions. Knee Surg Sports Traumatol Arthrosc. 2010; 18(6):754–9.

Claes H, Pans S. Oblique meniscomeniscal ligament: a potential pitfall in the diagnosis of knee injury. Journal of the Belgian Society of Radiology. 2011 Apr 21;94(4):225-25.

Downloads

Published

2025-11-24

How to Cite

1.
Beniwal S, Ravi KS, Singla M, Kalia RB. Anatomical Variations in Meniscal Horn Attachments in the North Indian Population: A Comprehensive Cadaveric Analysis. J Neonatal Surg [Internet]. 2025 Nov. 24 [cited 2026 Apr. 14];14(32S):9717-25. Available from: https://jneonatalsurg.com/index.php/jns/article/view/9599