The tibial attachment of the superficial MCL inserts into the medial tibial metaphysis 4-6cm below the joint line — considerably more distal than the deep MCL tibial attachment.
Provides the distal tibial anchor of the primary valgus stabiliser. The broad distal attachment distributes valgus forces across the medial tibial metaphysis.
Pellegrini-Stieda calcification occurs at the femoral origin. The distal tibial attachment is involved in anteromedial tibial plateau fractures and requires specific fixation planning.
Anteromedial plateau fractures may involve the superficial MCL tibial insertion requiring combined osseous and ligamentous fixation planning.
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