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Oblique Retinacular Ligament (ORL) ✋ . The ORL also known as Landsmeer’s ligament originates from the flexor tendon sheath, passing obliquely past the PIP joint, and then merging with the extensor tendon. This ligament contributes passively to DIP extension and stabilization of the DIP joint with flexion and loading. . When the DIP joint is in flexion the ORL is on tension. If the ligament becomes contracted into extension flexion becomes limited. Treatment of ORL tightness can be completed with
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Oblique Retinacular Ligament (ORL) ✋ . The ORL also known as Landsmeer’s ligament originates from the flexor tendon sheath, passing obliquely past the PIP joint, and then merging with the extensor tendon. This ligament contributes passively to DIP extension and stabilization of the DIP joint with flexion and loading. . When the DIP joint is in flexion the ORL is on tension. If the ligament becomes contracted into extension flexion becomes limited. Treatment of ORL tightness can be completed with
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When we think about patellar alignment, there are so many anatomical structures at play! far beyond just the patella. From the femoral trochlea and retinacular tissues, to the quadriceps mechanism, patellar ligaments, joint capsule, crural fascia, infrapatellar fat pad, and surrounding musculature, patellar tracking reflects the balance between multiple soft-tissue and osseous contributors. This matters whether we’re looking at a post-operative stifle or managing patellar luxation conservatively
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