The Arterial Anatomy of the Deltoid Ligament: A Cadaveric Study

Haynes, J.; Gosselin, Michelle; Cusworth, Brian; McCormick, Jeremy J.; Johnson, Jeffrey E.; Klein, Sandra E.

doi:10.1177/1071100717702464

Cited by 7 publications

(1 citation statement)

References 18 publications

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“…In addition, a number of studies have shown that approximately 40% of patients treated for ankle instability display DL injury. Although some researchers continue to dispute whether such DL injuries should be repaired, some believe that the quality of life of patients is unaffected in the absence of a repair [ 31 , 32 ]. Therefore, we aimed in the present study to explore whether joint injury from transection of the CL+ATFL or CL+DL ligaments affected ankle-subtalar joint complex instability, ultimately reducing the quality of life of a patient, and to provide an updated reference for clinical treatments of ankle-subtalar joint complex instability.…”

Section: Discussionmentioning

confidence: 99%

A mouse model of ankle-subtalar joint complex instability induced post-traumatic osteoarthritis

et al. 2021

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Background Ankle-subtalar joint complex instability is not uncommonly presented in the clinic, but symptoms and signs similar to other conditions can easily lead to its misdiagnosis. Due to the lack of appropriate animal models, research on ankle-subtalar joint complex instability is limited. The aims of the present study were to establish an animal model of ankle-subtalar joint complex instability in mice and to explore its relationship with post-traumatic osteoarthritis (PTOA). Methods Twenty-one male C57BL/6J mice were randomly divided into three groups: SHAM group (sham surgery group), transected cervical ligament + anterior talofibular ligament (CL+ATFL) group, and transected cervical ligament + deltoid ligament (CL+DL) group. Two weeks after surgery, all mice underwent cage running training. Balance beam and gait tests were used to evaluate the changes in self-movement in the mice after ankle-subtalar ligament injury. Micro-CT and histological staining were used to evaluate the progress of PTOA. Results Compared with the SHAM group, balance and gait were affected in the ligament transection group. Twelve weeks after surgery, the time required to cross the balance beam in the CL+ATFL group was 35.1% longer and the mice slipped 3.6-fold more often than before surgery, and the mean step length on the right side was 7.2% smaller than that in the SHAM group. The time required to cross the balance beam in the CL+DL group was 32.1% longer and the mice slipped 3-fold more often than prior to surgery, and the average step length on the right side was 5.6% smaller than that in the SHAM group. CT images indicated that 28.6% of the mice in the CL+DL group displayed dislocation of the talus. Tissue staining suggested that articular cartilage degeneration occurred in mice with ligament transection 12 weeks after surgery. Conclusions Transected mice in the CL+ATFL and CL+DL groups displayed mechanical instability of the ankle-subtalar joint complex, and some mice in the CL+DL group also suffered from talus dislocation due to ligament injury leading to loss of stability of the bone structure. In addition, as time progressed, the articular cartilage displayed degenerative changes, which affected the ability of animals to move normally.

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Section: Discussionmentioning

confidence: 99%