The medial femoral epicondyle is the most medially prominent bony landmark of the distal femur, providing attachment for the superficial MCL, the medial gastrocnemius head, and the posterior oblique ligament. The adductor tubercle lies just proximal to it, marking the distal attachment of adductor magnus.
The medial femoral epicondyle is the proximal attachment of the medial patellofemoral ligament (MPFL), which is the primary patellar stabiliser. MPFL reconstruction grafts are anchored at the medial epicondyle using bone tunnels or suture anchors. The medial epicondyle is the reference point for medial knee approach and for MCL reconstruction. Avulsion of the medial epicondyle occurs in high-energy valgus knee injuries.
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