Ligamentum mucosum

Written by Dr Sheila Strover on March 14, 2025

The ligamentum mucosum - also known as the infrapatellar plica - is a flimsy band of tissue stretching across the front of the knee between the femur bone and the fat pad behind the kneecap. Page updated March 2024 by Dr Sheila Strover (Clinical Editor)

Illustration of the front of the knee opened up to show the ligamentum mucosum arising from the fat pad area.
The knee joint opened up to reveal the various plicae including the ligamentum mucosum.
Illustration of the side view of the knee to show the position of the ligamentum mucosum
Side view of the knee, as if the bone were transparent, showing how the ligamentum mucosum is related to the fat pad and is situated in front of the more substantial anterior cruciate ligament.

What is the function of the ligamentum mucosum?

Until fairly recently the ligamentum mucosum has been considered a useless embryological remnant.

However, a number of fairly recent anatomical studies have shown that there is quite considerable variability in its structure, and there is speculation that it does serve a purpose.

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Ligamentum mucosum and anterior knee pain

The intimate relationship between the ligamentum mucosum and the fat pad means that the structure can be stretched as the knee bends and straightens.

If this composite is compromised either by injury or a growth spurt, pain may be experienced in the front of the knee.

"Anterior knee pain (AKP), a multifactorial symptom complex, can be successfully treated surgically. A specific diagnosis often cannot be made, but the pain is linked to an unrecognized common factor in most patients: ...the fat pad (FP) and infrapatellar plica (IPP)."

"Infrapatellar plica injury is an under-reported cause of anterior knee pain"

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