On 32 osteoligamentous ankle preparations forced movements were performed in varying, accurately defined directions. The sequence in which this caused rupture of the individual ligamentous structures of the ankle is described. Dorsiflexion traumas predominantly injured the posterior part of the deltoid ligament, while in plantar flexion traumas the injuries primarily involved the anterior capsule and the anterior talofibular ligament. Internal rotation traumas injured the anterior talofibular ligament and the short, anterior fibres of the posterior talofibular ligament before the calcaneofibular ligament was damaged, whereas in adduction traumas the calcaneofibular ligament ruptured first. Forced external rotation primarily caused rupture of the deep structures of the deltoid ligament, while conversely abduction traumas first caused rupture of the superficial part of this ligament.
The importance of the medial collateral ligament and the anterior cruciate ligament of the knee in relation to valgus and varus instability was investigated. Mobility patterns were drawn from ten osteoligamentous knee preparations after successive transections of the structures. Cutting the entire collateral medial ligament caused only slight valgus instability, even when the knee was flexed. Further transection of the anterior cruciate ligament increased the instability considerably, but the knee remained stable in extension. The valgus instability after the transections was maximal at about 60 degrees of flexion.
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