The anterior tibiofibular ligament has a constant distal fascicle that contacts the anterolateral part of the talus

Abstract

The ATiFL has a constant distal fascicle that is in contact with the talus in the neutral position and in plantar flexion. Contact disappears in maximum dorsiflexion.

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

“…Typical anterior ankle impingement is caused by the repeated forced impact of the tibial crest against the neck of the talus or the soft tissue, resulting in the formation of scar tissue, which become impacted. [6][7][8][9][10] Electrothermal denervation (ETD) describes the partial interruption of the sensitive nerve supply to the joint mucosa. A high-frequency current at the tip of the probe is guided by video-optical control to sclerotize the capsular and mucosal tissue along the front edge of the tibia and the neck of the talus.…”

“…Typical anterior ankle impingement is caused by the repeated forced impact of the tibial crest against the neck of the talus or the soft tissue, resulting in the formation of scar tissue, which become impacted. 6 , 7 , 8 , 9 , 10…”

Fascículo Distal del Ligamento Tibiofibular Anterior: Presencia, Biometría y Relación con la Tróclea Talar

“…Este ligamento es trapezoidal, plano y ancho, originándose en el tubérculo tibial anterolateral del extremo distal de la tibia (Chaput) e insertándose en el tubérculo fibular anteromedial del maléolo lateral (Wagstaffe). Se ha descrito como único o multifascicular (Bassett 3rd et al, 1990;Hermans et al, 2010;Boonthathip et al, 2010;Sarraffian, 2011;Williams et al, 2015;Lilyquist et al, 2016;Dalmau-Pastor et al, 2018).…”

“…Dicho fascículo se observa parcial o totalmente separado del LTFA. (Bassett 3rd et al;Nikolopoulos et al, 2004, Boonthathip et al;Hermans et al;Dalmau-Pastor et al).…”

Anatomía de la sindesmosis tibioperonea

“…Numerosos trabajos(12)(13)(14) han relacionado este fascículo distal con el dolor crónico anterolateral de tobillo en aquellos pacientes con antecedente de entorsis de tobillo, en los que la estabilidad y la radiología son aparentemente normales. La resección quirúrgica del fascículo distal ha demostrado disminuir el dolor sin afectar a la estabilidad del tobillo.…”