The anterior talofibular ligament: A detailed morphological study

Khawaji, Bader; Soames, Roger

doi:10.1016/j.foot.2015.05.004

Cited by 34 publications

(41 citation statements)

References 31 publications

(69 reference statements)

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“…To our knowledge, there is no anatomic or radiologic paper about the correlation of the length, the width, and the thickness of the ATFL and the CFL with its fascicular nature. The length of the ATFL reported previously seemed to be circa 10 mm shorter when compared to studies on smaller materials 2,3,6,9,20 , whereas when compared to other authors who used larger material, our results were similar 1,22 (Tables 1 and 2). Differences are probably related to the number of cases and methods of measurement with or without bony attachments 9,37 .…”

Section: Groupssupporting

confidence: 56%

“…MRI is an appropriate method to detect abnormality and the presence of the fascicular structure of the ATFL 32 . We did not identify the tri-or multifascicular ligaments 9,20,33 . The third fascicle, if it is present, is the smallest of the ATFL fascicles and was reported in no more than 2%-12%, while some studies do not confirm its presence at all 3,22 .…”

Section: Discussionmentioning

confidence: 99%

“…Clinical observation indicates that the ATFL and CFL accompany the pathology of adjacent non-ligamentous structures as the superior peroneal retinaculum or the peroneal tendons. Morphological studies of anatomical connections may help in improving diagnostic imaging and surgery of the injured ligaments and non-ligamentous structures by understanding the mechanism of injury and by selecting the best method of reconstruction 20 . The hypothesis of our study is that there are interconnections between the lateral ligaments and non-ligamentous structures in the area of the lateral malleolus.…”

Section: Iermentioning

confidence: 99%

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The double fascicular variations of the anterior talofibular ligament and the calcaneofibular ligament correlate with interconnections between lateral ankle structures revealed on magnetic resonance imaging

Szaro

Gataa

Polaczek

et al. 2020

Sci Rep

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The anterior talofibular ligament and the calcaneofibular ligament are the most commonly injured ankle ligaments. This study aimed to investigate if the double fascicular anterior talofibular ligament and the calcaneofibular ligament are associated with the presence of interconnections between those two ligaments and connections with non-ligamentous structures. A retrospective re-evaluation of 198 magnetic resonance imaging examinations of the ankle joint was conducted. The correlation between the double fascicular anterior talofibular ligament and calcaneofibular ligament and connections with the superior peroneal retinaculum, the peroneal tendon sheath, the tibiofibular ligaments, and the inferior extensor retinaculum was studied. The relationships between the anterior talofibular ligament’s and the calcaneofibular ligament’s diameters with the presence of connections were investigated. Most of the connections were visible in a group of double fascicular ligaments. Most often, one was between the anterior talofibular ligament and calcaneofibular ligament (74.7%). Statistically significant differences between groups of single and double fascicular ligaments were visible in groups of connections between the anterior talofibular ligament and the peroneal tendon sheath (p < 0.001) as well as the calcaneofibular ligament and the posterior tibiofibular ligament (p < 0.05), superior peroneal retinaculum (p < 0.001), and peroneal tendon sheath (p < 0.001). Differences between the thickness of the anterior talofibular ligament and the calcaneofibular ligament (p < 0.001), the diameter of the fibular insertion of the anterior talofibular ligament (p < 0.001), the diameter of calcaneal attachment of the calcaneofibular ligament (p < 0.05), and tibiocalcaneal angle (p < 0.01) were statistically significant. The presence of the double fascicular anterior talofibular ligament and the calcaneofibular ligament fascicles correlate with connections to adjacent structures.

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Section: Groupssupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Iermentioning

confidence: 99%

See 1 more Smart Citation

The double fascicular variations of the anterior talofibular ligament and the calcaneofibular ligament correlate with interconnections between lateral ankle structures revealed on magnetic resonance imaging

Szaro

Gataa

Polaczek

et al. 2020

Sci Rep

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“…1,5,6 The development of CLAI mainly ascribed to the injuries of lateral ankle ligaments which generally occurred during forefoot adduction, hindfoot inversion, and tibial external rotation with the ankle in plantar flexion. [7][8][9] Anatomically, lateral ankle ligaments are made up of anterior talofibular ligaments (ATFLs), calcaneofibular ligaments (CFLs), and posterior talofibular ligaments, which function synergistically to provide lateral ankle stability. 7,10 Among them, the ATFL is the most vulnerable ligament in lateral ankle sprains.…”

Section: Introductionmentioning

confidence: 99%

“…7,10 Among them, the ATFL is the most vulnerable ligament in lateral ankle sprains. 7,8,11,12 Clinically, the conservative treatment, such as peroneal muscle strengthening, balance reflex training, and external bracing to prevent recurrent injury, was an available protocol for the injuries of the lateral ankle ligaments, but some patients who follow these nonoperative regimens have no effects. 10,12,13 In these patients, surgical repair or reconstruction may be indicated.…”

Section: Introductionmentioning

confidence: 99%