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Oblique popliteal ligament !

The oblique popliteal ligament, an extension of a hamstring tendon, is the largest band reinforcing the back of the knee capsule.

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What it is

A band crossing the back of the knee capsule.

What it does

Reinforces the back of the joint and helps stop over-straightening.

Key facts

Attaches
Expansion of semimembranosus tendon from posteromedial tibial condyle, running up and laterally to posterior capsule near lateral femoral condyle
Function
Reinforces posterior capsule; resists hyperextension; popliteal artery lies on it
Tight in
Knee hyperextension

Relations

Behind
Popliteal artery lying directly on it, then the popliteal vein and the tibial nerve
In front
Posterior capsule over the femoral condyles and the intercondylar fossa
Medial
Semimembranosus insertion on the posteromedial tibial condyle and the medial head of gastrocnemius
Lateral
Lateral head of gastrocnemius, where a fabella may sit

How to find it

Deep in the floor of the popliteal fossa, not palpable; in a posterior approach to the knee it is reached after the popliteal vessels and tibial nerve are moved aside, running up and laterally from the semimembranosus insertion.

On imaging

On axial MRI or ultrasound, a popliteal (Baker) cyst has a neck that passes between the semimembranosus tendon and the medial head of gastrocnemius near this ligament; sagittal MRI shows it as part of the thick posterior capsule.

Clinical notes

  • The gastrocnemius–semimembranosus bursa lies at its medial end; when distended it forms a popliteal (Baker) cyst
  • A contracted posterior capsule, including this ligament, holds a fixed flexion deformity and may be released in knee replacement
  • The popliteal artery lies directly on it, so posterior capsule surgery is done with the artery in view or protected

Test yourself

Think of the answer, then tap the question to see it.

The oblique popliteal ligament is an expansion of which tendon?

The semimembranosus tendon; it is the largest reinforcing band on the back of the knee capsule.

Which artery lies directly on the oblique popliteal ligament?

The popliteal artery, so posterior capsule surgery is done with the artery in view or protected.

Which artery pierces the oblique popliteal ligament, and what does it supply?

The middle genicular artery, which supplies the cruciate ligaments.

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Educational information, not medical advice. For any symptom, see a health professional.

Its names

Official Latin (TA2)
ligamentum popliteum obliquum TA2 1899
Official Spanish (DeCS)
Ligamento poplíteo oblicuo
English (TA2)
Oblique popliteal ligament
Also called
ligament of Bourgery · ligament of Winslow

Sources: Terminologia Anatomica (TA2); Anatomy, Bony Pelvis and Lower Limb: Popliteal Region; Anatomy, Bony Pelvis and Lower Limb, Knee; 9.6 Anatomy of Selected Synovial Joints (OpenStax (Rice University), 2022) · adapted, CC BY 4.0.

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Representative model, for educational purposes only.

Oblique popliteal ligament highlighted on the Durgical 3D model