The anterior talofibular and calcaneofibular ligaments: an anatomic study
The anterior talofibular and calcaneofibular ligaments: an anatomic study
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DOI：
10.1007/s00276-012-1071-3
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发表时间：
2013-08-01
影响因子：
1.4
通讯作者：
Yalcin, Bulent
中科院分区：
文献类型：
--
作者：
Yildiz, Selda;Yalcin, Bulent
踝关节内翻伤是最常见的运动损伤。踝关节极度内翻经常累及踝关节外侧韧带，尤其是距腓前韧带和跟腓韧带。本研究的目的是通过考虑韧带的功能重要性来阐明韧带的解剖结构，从而对韧带进行详细的研究，以帮助准确评估放射学检查和更精确的外科干预。测量了46个踝关节距腓前韧带和跟腓前韧带附着点之间的长度和中点宽度，距腓前韧带带的长度和宽度，以及从距骨到跟骨的连接韧带互换。此外，还测量了这些韧带之间的夹角以及腓骨纵轴与两侧韧带之间的夹角。对左右两侧确定变量之间的关系进行统计学分析。在诊断和治疗方法上，踝关节外侧副韧带的解剖，特别是距腓前韧带和跟腓前韧带的临床重要性，在文献中经常被报道。角度测量有助于确定韧带损伤。因此，了解彼此之间的正常解剖角度以及腓骨纵轴与两侧韧带的夹角对于正确诊断是非常重要的。如今，手术重建韧带是常用的方法。在外科发明过程中，韧带的长度和宽度是确定韧带损失量的必要条件。尽管如此，韧带附着物的知识有助于更准确的重建。
Inversion injuries of the ankle are the most common sport injuries. Extreme inversion of the ankle affects frequently lateral ankle ligaments, especially the anterior talofibular and calcaneofibular ligaments. The aim of this study is to investigate the ligaments in detail to contribute to accurate evaluation of radiological investigations and more precise surgical interventions by clarifying the anatomic structure of the ligaments by considering their functional importance. In the study, length between the attachment points and width at the midpoint of the anterior talofibular and calcaneofibular ligaments, length and width of the bands of anterior talofibular ligament, and connecting ligaments extending from the talus to calcaneus exchanging from the both ligaments were measured on the 46 ankles. In addition, angles between these ligaments and between longitudinal axis of the fibula and both ligaments were measured. Relationship between determined variables on the right and left sides was statistically analyzed. In diagnosis and treatment methods, the clinical importance of the anatomy of the lateral collateral ligaments of the ankle, especially the anterior talofibular and calcaneofibular ligaments, was frequently reported in the literature. Angular measurements benefit in determination of the ligament injury. Therefore, knowledge about normal anatomic angles between each other and angles between longitudinal axis of the fibula and both ligaments was certainly important for the correct diagnosis. Nowadays, surgical reconstructions of the ligaments are frequently used. During the surgical invention, length and width of the ligaments are necessary to determine quantity of ligament loss. Nonetheless, knowledge of ligament attachments contributes to more accurate reconstructions.