Diagnostik der unteren Sprunggelenksinstabilität mittels Streß-Tomographie

Zollinger, Hans Ulrich; Meier, Ch.; Waldis, M.

doi:10.1007/978-3-642-69140-9_69

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Since Rubin and Witten34 for the first time suggested the clinical significance of subtalar instability, this topic has received a considerable amount of attention.5,9,15. [22][23][24]27,42,[44][45][46][47][48][49] Clanton" concludes that subtalar instability must be considered as a cause of symptoms in a patient who sustains an inversion type of injury to the ankle and hindfoot, particularly if other causes of instability have been excluded.…”

Section: Introductionmentioning

confidence: 99%

Stress Radiography of the Talocrural and Subtalar Joints

et al. 1995

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The object of this investigation was to determine a possible subtalar component in a group of 33 patients with chronic ankle instability. A group of 10 subjects without ankle/foot symptoms acted as controls. A standardized radiographic assessment of talar and simultaneous subtalar tilt was made. A hinge device to stress the joints and a specific subtalar stress view (Brodén view) were used under fluoroscopic control. Radiographs were made with the feet: (1) in neutral position, (2) after inversion with moderate force until the point of fair restraint (step 1), and (3) after inverting with more force as far as the conditions would allow (step 2). An increase of talar tilt between step 1 and step 2 was only found in feet that were symptomatic. This suggests that this increase is only possible when lateral ligaments are damaged. Further research is necessary to determine whether this finding can serve as a parameter to discriminate between physiological and abnormal talar tilt. A wide range of subtalar motion was found in both symptomatic and asymptomatic feet. With the present method, practically all subtalar joints showed some loss of congruity and medial shift of the calcaneus in relation to the talus. This could not be correlated with ankle instability at the talocrural joint. The consequence of the use of different subtalar stress methods has so far received little attention and is discussed.

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Section: Introductionmentioning

confidence: 99%

Stress Radiography of the Talocrural and Subtalar Joints

et al. 1995

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“…3 , 4 Clinical examination for instability in talocalcaneal joint is often difficult 5,13 and radiologic demonstration of such lesions is cornplicared." 12,13 The present investigation was designed to clarify the role of the calcaneofibular ligament in maintaining lateral stability of the talocalcaneal joint during From the Orthopaedic Hospital, University of Aarhus, Aarhus N., Denmark. Address correspondence and reprint requests to: Per Kjaersgaard-Andersen, M.D., Orthopaedic Hospital, University of Aarhus, Randersvej 1, OK -8200 Aarhus N., Denmark.…”

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Lateral Talocalcaneal Instability Following Section of the Calcaneofibular Ligament: A Kinesiologic Study

1987

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In the evaluation of the role of the calcaneofibular ligament in stabilizing the talocalcaneal joint, an experimental set-up was prepared. In 10 osteoligamentous specimens, the talocalcaneal motion was measured under a constant well defined moment by using a specially constructed apparatus. By using a moment of 1.5 Nm, increment in adduction in the talocalcaneal joint after section of the calcaneofibular ligament was found between 3.1 degrees and 4.6 degrees, still increasing with dorsiflexion. This increment, shown to constitute 61 to 77% of the total increment in adduction in the hindfoot after section of the calcaneofibular ligament, was found to increase gradually with dorsiflexion. The study has shown the calcaneofibular ligament as an important structure in stabilizing the talocalcaneal joint. Increment in adduction in the hindfoot after section of the calcaneofibular ligament was shown primarily to take place in the talocalcaneal joint.

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The stabilizing effect of the ligamentous structures in the sinus and canalis tarsi on movements in the hindfoot

et al. 1988

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Three-plane kinesiology of hindfoot instability was studied after lesions to the ligamentous structures in the sinus and canalis tarsi in 20 amputation specimens. Neither a lesion of the cervical ligament nor of the interosseous talocalcaneal ligament resulted in an increase in the total range of movements above 2.6 degrees in any of the three planes. However, the percentage increase in the total range of movements after cutting of the ligaments was generally largest in the talocalcaneal joint compared to the increase in the total hindfoot joint complex. The largest percentage increase (43%) in the talocalcaneal joint occurred at dorsiflexion after cutting the interosseous talocalcaneal ligament. The demonstrated minor instability after experimental lesions of the ligamentous structures in the sinus and canalis tarsi may have a clinical identity in the sinus tarsi syndrome. Patients with that syndrome rarely present an objective hindfoot instability, although a major complaint is a feeling of hindfoot instability.

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Diagnostik der unteren Sprunggelenksinstabilität mittels Streß-Tomographie

Cited by 3 publications

References 2 publications

Stress Radiography of the Talocrural and Subtalar Joints

Stress Radiography of the Talocrural and Subtalar Joints

Lateral Talocalcaneal Instability Following Section of the Calcaneofibular Ligament: A Kinesiologic Study

The stabilizing effect of the ligamentous structures in the sinus and canalis tarsi on movements in the hindfoot

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