The Mobility of the Proximal Tibio-Fibular Joint. A Roentgen Stereophotogrammetric Analysis on Six Cadaver Specimens

Soavi, Raffaella; Girolami, Mauro; Loreti, Ivano; Bragonzoni, Laura; Monti, Carlo; Visani, Andrea; Marcacci, Maurilio

doi:10.1177/107110070002100411

Cited by 28 publications

(15 citation statements)

References 22 publications

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“…An abnormal restrictive barrier to accessory motion changes the normal pattern of movement of a joint's instantaneous axis of rotation. 24 Under normal conditions, as two articulating bones glide on one another, the instantaneous axis of rotation of the joint changes accordingly. For example, as the talus glides posteriorly on the mortise, the instantaneous axis of rotation of the talocrural joint also translates posteriorly.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Lateral Ankle Sprain on Dorsiflexion Range of Motion, Posterior Talar Glide, and Joint Laxity

Denegar¹,

Hertel²,

Fonseca³

2002

J Orthop Sports Phys Ther

242

211

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Study Design: Retrospective study. Objective: Assess range of motion, posterior talar glide, and residual joint laxity following ankle sprain in a population of athletes who have returned to unrestricted activity. Background: Lateral ankle sprains occur frequently in athletic populations and the reinjury rate may be as high as 80%. In an effort to better understand risk factors for reinjury, the sequelae to injury in a sample of college athletes were assessed. Methods and Measures: Twelve athletes with a history of lateral ankle sprain within the last 6 months and who had returned to sport participation were tested. Only athletes who reported never injuring the contralateral ankle were included. The injured and uninjured ankles of subjects were compared for measures of joint laxity, ankle dorsiflexion range of motion, and posterior talar glide. Friedman's test of rank order was used to analyze the laxity measures and a MANOVA was used to assess the dorsiflexion and posterior talar glide measures. Results: Laxity was significantly greater at the talocrural and subtalar joints of the injured ankles. There were no significant differences in any of the ankle dorsiflexion measurements between injured and uninjured ankles, but posterior talar glide was significantly reduced in injured ankles as compared to uninjured ankles. Conclusion: In our sample of subjects, residual ligamentous laxity was commonly found following lateral ankle sprain. Dorsiflexion range of motion was restored in the population studied despite evidence of restricted posterior glide of the talocrural joint. Although restoration of physiological range of motion was achieved, residual joint dysfunction persisted. Further research is warranted to elucidate the role of altered arthrokinematics after lateral ankle sprain.

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Section: Discussionmentioning

confidence: 99%

The Effect of Lateral Ankle Sprain on Dorsiflexion Range of Motion, Posterior Talar Glide, and Joint Laxity

Denegar¹,

Hertel²,

Fonseca³

2002

J Orthop Sports Phys Ther

242

211

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“…The knee was flexed to 20° to 30° degrees to widen the anterior PTFJ through relaxation of the fibular collateral ligament and biceps femoris tendon, and this position was maintained via rolled-up towels or bolsters. 8,9,12,13,18 After the location of the PTFJ was identified via palpation and a mark was placed on the skin indicating its location, a 25gauge 38-mm stainless steel needle was introduced through the mark, perpendicular to the skin and along the PTFJ joint line (Figure 1). One or 2 needle repositioning attempts were allowed to facilitate optimal needle placement during the procedure.…”

Section: Injection Proceduresmentioning

confidence: 99%

“…The medial end of the transducer was oriented toward the inferior patellar pole, aligning the long axis of the transducer perpendicular to the typical orientation of the PTFJ. 1,6,7,12,13 While the lateral end of the transducer was anchored on the fibular head, the medial end of the transducer was rotated clockwise and counterclockwise to produce the best visualization of the PTFJ. 31 This maneuver was necessary because of the large interindividual variation in PTFJ angulation.…”

Section: Injection Proceduresmentioning

confidence: 99%

“…1,3,[6][7][8]10 Small but significant translations and rota-tions occur within the PTFJ during normal knee and ankle motions, serving 3 important functions: (1) dissipation of torsional loads applied at the ankle, (2) absorption of lateral tibial bending moments, and (2) and transmission of up to onesixth of the body's weight during daily activities. 7,8,[11][12][13][14] These attributes render the PTFJ susceptible to repetitive stresses that may result in symptomatic osteoarthritis or hypermobility due to attrition of supporting structures. 2,8,9,15,16 Consequently, multiple authors have recently reported pain arising from the PTFJ in the absence of major trauma.…”

mentioning

confidence: 99%

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Sonographically Guided Proximal Tibiofibular Joint Injection

Smith

Finnoff

Levy

et al. 2010

Journal of Ultrasound in Medicine

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“…The PTFJ characteristics, specifically inclination, have been implicated in both physiological and pathological movements (Ogden, 1974a,b;Sugita et al 1995;Soavi et al 2000;Scott et al 2007). In physiological conditions, fibular rotation occurs to accommodate dorsi-flexion and plantar-flexion at the ankle.…”

Section: Introductionmentioning

confidence: 99%

Anatomy of the proximal tibiofibular joint and interosseous membrane, and their contributions to joint kinematics in below‐knee amputations

et al. 2014

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A result of below-knee amputations (BKAs) is abnormal motion that occurs about the proximal tibiofibular joint (PTFJ). While it is known that joint morphology may play a role in joint kinematics, this is not well understood with respect to the PTFJ. Therefore, the purposes of this study were: (i) to characterize the anatomy of the PTFJ and statistically analyze the relationships within the joint; and (ii) to determine the relationships between the PTFJ characteristics and the degree of movement of the fibula in BKAs. The PTFJ was characterized in 40 embalmed specimens disarticulated at the knee, and amputated through the mid-tibia and fibula. Four metrics were measured: inclination angle (angle at which the fibula articulates with the tibia); tibial and fibular articular surface areas; articular surface concavity and shape. The specimens were mechanically tested by applying a load through the biceps femoris tendon, and the degree of motion about the tibiofibular joint was measured. Regression analyses were performed to determine the relationships between the different PTFJ characteristics and the magnitude of fibular abduction. Finally, Pearson correlation analyses were performed on inclination angle and surface area vs. fibular kinematics. The inclination angle measured on the fibula was significantly greater than that measured on the tibia. This difference may be attributed to differences in concavity of the tibial and fibular surfaces. Surface area measured on the tibia and fibula was not statistically different. The inclination angle was not statistically correlated to surface area. However, when correlating fibular kinematics in BKAs, inclination angle was positively correlated to the degree of fibular abduction, whereas surface area was negatively correlated. The characteristics of the PTFJ dictate the amount of fibular movement, specifically, fibular abduction in BKAs. Predicting BKA complications based on PTFJ characteristics can lead to recommendations in treatment.

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The Mobility of the Proximal Tibio-Fibular Joint. A Roentgen Stereophotogrammetric Analysis on Six Cadaver Specimens

Cited by 28 publications

References 22 publications

The Effect of Lateral Ankle Sprain on Dorsiflexion Range of Motion, Posterior Talar Glide, and Joint Laxity

The Effect of Lateral Ankle Sprain on Dorsiflexion Range of Motion, Posterior Talar Glide, and Joint Laxity

Sonographically Guided Proximal Tibiofibular Joint Injection

Anatomy of the proximal tibiofibular joint and interosseous membrane, and their contributions to joint kinematics in below‐knee amputations

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