Experimentelle Untersuchungen zur Reißfestigkeit des Bandapparates am menschlichen Sprunggelenk

The anatomy in relation to injury of the lateral collateral ligaments of the ankle: A current concepts review

“…The ATFL is the weakest of the three lateral ankle ligaments, having the least elastic transformation properties (Sauer et al, 1978). The ATFL is a flat, quadrilateral ligament that is incorporated in the joint capsule and passes from the distal area of the anterior margin of the lateral malleolus to the body of the talus just in front of the cartilaginous margin of its lateral articular surface.…”

F�r und Wider der Syndesmosenstellschraube

“…Für den suffizienten Schluss der Malleolengabel zeichnen nach Sauer et al [29] im Wesentlichen die Ligg. tibiofibulare anterius et posterius verantwortlich und sichern somit die kongruente Führung der Fibula in der Incisura tibiae und damit die exakte Stellung im oberen Sprunggelenk.…”

“…Fractures of the ankle · Tibiofibular syndesmosis · Syndesmotic screw · Osteosynthesis · Indications · Risks · CT [29]. Es verläuft vom Tuberculum posterius der Tibia an die Fossa malleoli lateralis von dorsal proximal nach kaudal lateral.…”

Stability of the Ankle Joint

“…In that case, however, it is a question of posteromedial rotatory instability with the axis situated anterolaterally in the joint. By forced internal rotation it was not possible to induce primarily injuries of the medial ligaments -presumably because they are considerably stronger than the ATaFL (Sauer et al 1978). McCullough and Burge (1980) observed that horizontal rotation -by which they are presumably referring to internal rotation -increased by about 6" after cutting the ATaFL and by an almost equal amount after further cutting of the CFL.…”

“…Transection of the tibiofibular ligaments increased internal rotation by only a very few degrees, but owing to their strength (Sauer et al 1978) they are unlikely to rupture instead of the ATaFL.…”