Experimentelle Untersuchungen zur Biomechanik der Syndesmose

Henkemeyer, H; Püschel, R.; Burri, C.

doi:10.1007/978-3-662-05557-1_79

Cited by 15 publications

(11 citation statements)

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“…The mechanism of the tibiofibular syndesmosis is not yet completely known (6,7). The first experimental work concerning this subject was done by Ashhurst and Brommer (1) in 1922.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of tibiofibular motion under load conditions by computed tomography

Jend

Ney

Heller

1985

Journal Orthopaedic Research

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Evaluation of tibiofibular motion in vivo has been possible only by invasive methods. A new noninvasive method has been developed that uses computed tomography (CT). A special device was constructed for use on the CT table to study fibular motion with load placed across the ankle. From dorsal to plantar flexion the fibula moved 1.1 +/- 0.4 mm medially with an accompanying nonsignificant ventral shift and medial rotation. Application of load across the ankle did not significantly alter these findings. In a subgroup of predominantly females, plantar flexion of the ankle provoked a dorsal fibular motion of 0.7 +/- 0.8 mm. In this subgroup application of load across the ankle reduced the medial and dorsal motion during the accompanying plantar flexion. The mechanism of these different movements can be deduced from the morphology of the ankle joint and its ligamentous and muscular guidance mechanism. The variable axis of joint movement and the insertion of the lateral ligament forced the fibula anterior in plantar flexion. When external talar rotation is present, the normal fibular motion is prevented unless load is applied across the ankle. This new investigative procedure permits study of the sequelae of traumatic and iatrogenic injuries to the fibula.

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“…The mechanism of the tibiofibular syndesmosis is not yet completely known (6,7). The first experimental work concerning this subject was done by Ashhurst and Brommer (1) in 1922.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of tibiofibular motion under load conditions by computed tomography

Jend

Ney

Heller

1985

Journal Orthopaedic Research

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show abstract

“…In der nach Henkemeyer et al [4] beschriebenen Technik transfixiert eine Kortikalisschraube mit durchgehendem Gewinde Fibula und Tibia etwa 2 cm oberhalb des Sprunggelenks. Dabei muss Wert darauf gelegt werden, die Schraube parallel zur Rotationsebene des oberen Sprunggelenks, also um 30° aus der frontalen Ebene von dorsolateral nach anteromedial ansteigen zu lassen.…”

Section: Therapieunclassified

Fresh ankle injury

Recum

Mayer

Wendl

et al. 2006

Trauma Berufskrankh

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“…On the other hand, there have been reports that the external rotation of the fibula (Hendelberg 1943) and its forward-backward shift (Henkemeyer et al 1975) increase. Close (1956) observed increased external rotation and internal rotation of the talus, a finding confirmed for external rotation by Padovani (1975) who also observed a posterior drawer sign.…”

Section: Findings After Cutting the Distal Tihiofihular Ligamentsmentioning

confidence: 99%

“…The ATFL + PTFL have been cut by Henkemeyer et al (1975) and Padovani (1975) who do not expressly state whether they cut also the syndesmosis. Henkemeyer et al found greater mobility of the fibula forward-backward than after isolated transection of the ATFL and an external rotation and shift into the lateral direction of the fibula, whereas Padovani could induce an increased internal and external rotation of the talus as well as an increased posterior drawer sign.…”

Section: 34mentioning

confidence: 99%