Ankle and midfoot ligaments: Ultrasound with anatomical correlation: A review

Döring, Seema; Provyn, Steven; Marcelis, Stefaan; Shahabpour, Maryam; Boulet, Cedric; Mey, Johan De; Smet, Aron De; Maeseneer, Michel De

doi:10.1016/j.ejrad.2018.08.011

Cited by 28 publications

(42 citation statements)

References 25 publications

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“…), ligament relaxation after rupture and avulsion fracture accompanying with Ligament insertion rupture, be obviously observed, but also Ultrasound has the advantages of dynamic observation and high speci city [10].As a consequence, it can be widely used in preoperative diagnosis of acute and chronic ankle injuries. So in recent years, more and more scholars have adopted Ultrasound for the diagnosis of ankle ligament injury [11]. For this study of cases, we presented Ultrasound as a routinely performed examination before surgery, the imaging results of which were basically consistent with those during operation.…”

Section: The Diagnosis Of Acute Degree Injury Of Lateral Ankle Ligamementioning

confidence: 70%

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Zhu

Deng

Zhang

et al. 2020

Preprint

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Abstract Background: Ankle fracture is often accompanied by injuries of lateral collateral ligaments, which results in ankle instability and traumatic arthritis in the later period, causing pain and discomfort in patients. However, the repair of the lateral collateral ligament is still inconclusive. The aim of this study was to investigate the operative outcome of one-stage simultaneous repair of the foot and ankle fracture combined with the III grade injury of lateral ligament. Methods: 15 males and 8 females (mean age 37.8 [10.5] years) underwent X-ray and CT scan to determine the type of fracture. MRI, Ultrasound and intraoperative fluoroscopic stress testing were applied to confirm the ligament injury. After the operative treatment of fracture, the ruptured ligament was repaired with suture anchor in 21 cases, meanwhile 1 case combined with chronic ankle instability was repaired with modified Broström-Gould method and another case with middle ligament rupture was applied with the InternalBrace approach. Routine postoperative X-rays and physical examination were carried out, and the American Orthopaedic Food & Ankle Society score was recorded to assess the function and the pain of the wounded ankle. Results: After the operation, the range of ankle motion in all patients was improved, and the bone healing time of the patients was 6-24 (10.09±3.61) weeks. There was no chronic instability of lateral ankle or subtalar joint in all the cases. Moreover, 2 cases presented as cartilage lesions of the medial talus, and the micro-fracture surgery were performed one year later; 1 case suffered from subtalar arthritis, and underwent subtalar arthrodesis 14 months after operation. Furthermore, the patients’ last follow-up AOFAS score was (83.70±4.69) points. There was no occurrence of adverse events and complications such as neurovascular injury, infection or delayed healing of operative incision.Conclusions: One-stage simultaneous repair of the foot and ankle fracture combined with the III grade injury of lateral ligament contributes to the stability of ankle and subtalar joint, and improves the joint function of ankle. It proved to be safe and effective.

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Section: The Diagnosis Of Acute Degree Injury Of Lateral Ankle Ligamementioning

confidence: 70%

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Zhu

Deng

Zhang

et al. 2020

Preprint

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“…The last one can be further divided into the cervical and interosseous talocalcaneal ligaments. The LTCL may not be constantly present [9]. It runs parallel and anterior to the CFL, coursing from the lateral talus to the lateral calcaneus.…”

Section: Anatomymentioning

confidence: 99%

“…If the lateral ankle ligamentous complex is injured, this coupling movement disappears, leading to excessive anterior translation of the talus. A thickened Bassett's ligament may be entrapped by the subluxed talus [13], and excision of this ligament can relieve the impingement without compromising the ankle joint stability [9].…”

Section: Clinical Relevancementioning

confidence: 99%

“…Together with the anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments, the PTFL constitutes the lateral collateral ligament complex. The PTFL is the strongest and deepest among the three aforementioned ligaments [9]. It originates from the lateral malleolar fossa and courses horizontally to attach on the lateral tubercle of the posterior talar process ( Figure 1B) [15].…”

Section: Anatomymentioning

confidence: 99%

“…There are several protocols elaborating the basic sonoanatomy of the ankle and foot, such as the anterior talofibular and calcaneofibular ligaments [4,5]. In recent years, more delicate but clinically significant anatomic structures have also been highlighted by cadaveric studies [6][7][8][9][10]. Until now, there is a lack of a comprehensive review elaborating the advances in US imaging techniques for the ankle and foot.…”

Section: Introductionmentioning

confidence: 99%

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Advanced Ankle and Foot Sonoanatomy: Imaging Beyond the Basics

et al. 2020

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Ankle/foot pain is a common complaint encountered in clinical practice. Currently, due to the complex anatomy, the diagnosis and management of the underlying musculoskeletal disorders are extremely challenging. Nowadays, high-resolution ultrasound has emerged as the first-line tool to evaluate musculoskeletal disorders. There have been several existing protocols describing the fundamental sonoanatomy of ankle/foot joints. However, there are certain anatomic structures (e.g., Lisfranc ligament complex or Baxter nerve) which are also clinically important. As they are rarely elaborated in the available literature, a comprehensive review is necessary. In this regard, the present article aims to brief the regional anatomy, illustrate the scanning techniques, and emphasize the clinical relevance of the ankle/foot region.

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The lateral ulnar collateral ligament: Anatomical and structural study for clinical application in the diagnosis and treatment of elbow lateral ligament injuries

et al. 2022

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The lateral ulnar collateral ligament (LUCL) is considered one of the main stabilizers of the elbow. However, its anatomical description is not well established. Imaging techniques do not always have agreed upon parameters for the study of this ligament. Therefore, herein, we studied the macro and microanatomy of the LUCL to establish its morphological and morphometric characteristics more precisely. Fifty‐five fresh‐frozen human elbows underwent dissection of the lateral collateral ligament. Morphological characteristics were studied in detail. Ultrasound (US) and magnetic resonance (MR) were done before dissection. Two specimens were selected for PGP 9.5 S immunohistochemistry. Ten additional elbows were analyzed by E12 sheet plastination. LUCL was identified in all specimens and clearly defined by E12 semi‐thin sections. It fused with the common extensor tendon and the radial ligament. The total length of the LUCL was 48.50 mm at 90°, 46.76 mm at maximum flexion and 44.10 mm at complete extension. Three morphological insertion variants were identified. Both US and MR identified the LUCL in all cases. It was hypoechoic in the middle and distal third in 85%. The LUCL was hypointense on MR in 95%. Free nerve endings were present on histology. The LUCL is closely related to the anular ligament. It is stretched during flexion and supination. US and MR can reliably identify its fibers. Anatomical data are relevant to the surgeon who repairs the ligaments of the elbow. Also, to the radiologist and pain physician who interpret imaging and treat patients with pain syndromes of the elbow.

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Ankle and midfoot ligaments: Ultrasound with anatomical correlation: A review

Cited by 28 publications

References 25 publications

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Effectiveness-Analysis of one-stage Operation for Combined Ankle Fracture and III Degree Lateral Ligament Injury: A Retrospective Study of 23 Cases

Advanced Ankle and Foot Sonoanatomy: Imaging Beyond the Basics

The lateral ulnar collateral ligament: Anatomical and structural study for clinical application in the diagnosis and treatment of elbow lateral ligament injuries

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