Morphological characteristics of the lateral talocalcaneal ligament: a large-scale anatomical study

Edama, Mutsuaki; Kageyama, Ikuo; Kikumoto, Takanori; Takabayashi, Tomoya; Inai, Takuma; Hirabayashi, Ryo; Ito, Wataru; Nakamura, Emi; Ikezu, Masahiro; Kaneko, Fumiya; Kumazaki, Akira; Inaba, Hiromi; Omori, Go

doi:10.1007/s00276-018-2128-8

Cited by 11 publications

(15 citation statements)

References 6 publications

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“…In their cadaveric study, the incidence of type I, II, and III LTCL was 35%, 23%, and 42%, respectively. In another larger-sample-sized study, the LTCL was seen in 42% of the cadaveric specimens (type I 18% and type II 24%) [6]. Herewith, the study conducted by Jordi et al found that the LTCL was always present as a component of the "lateral fibulotalocalcaneal ligament complex" [8].…”

Section: Anatomymentioning

confidence: 91%

“…It runs parallel and anterior to the CFL, coursing from the lateral talus to the lateral calcaneus. It connects the ATFL on the talus [6] and forms a triangular complex with the ATFL and CFL to stabilize the lateral ankle and subtalar joints. The study by Trouilloud et al classified the anatomy of LTCL into three types: type I, the LTCL branching from the CFL ( Figure 6A); type II, the LTCL independent from the CFL ( Figure 6B) and type III, absent LTCL [19].…”

Section: Anatomymentioning

confidence: 99%

“…The LTCL helps prevent excessive supination, abduction/adduction of the subtalar joint [6]. Rupture of the LTCL has been implicated in chronic subtalar joint instability [20].…”

Section: Clinical Relevancementioning

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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Section: Anatomymentioning

confidence: 91%

Section: Anatomymentioning

confidence: 99%

“…The LTCL helps prevent excessive supination, abduction/adduction of the subtalar joint [6]. Rupture of the LTCL has been implicated in chronic subtalar joint instability [20].…”

Section: Clinical Relevancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Advanced Ankle and Foot Sonoanatomy: Imaging Beyond the Basics

et al. 2020

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“…Its existence rate is reported from 42% to 66%. [1][2][3] As the LTCL connects to the anterior talofibular ligament (ATFL) at the talar attachment site in 42% of people and combines with the calcaneofibular ligament (CFL) at the calcaneus in 18% of people, 3 LTCL injury is likely to be concomitant with ATFL and/or CFL injury.…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

Arthroscopic Reconstruction of the Anterior Talofibular Ligament, Lateral Talocalcaneal Ligament, and Calcaneofibular Ligament Using a Triangle-Shaped Tendon Graft (ALC-Triangle)

Higashiyama

Sekiguchi

Takata

et al. 2020

Arthroscopy Techniques

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The lateral talocalcaneal ligament (LTCL) connects the talus and calcaneus on the lateral side of the hindfoot. Although its function remains has not yet been clearly elucidated, the LTCL is thought to be important for the stabilization of the subtalar joint. Ankle sprains often include not only the talocrural joint but also the subtalar joint; therefore, LTCL injuries occur at a certain rate. Moreover, surgeons often encounter and reluctantly dissect the LTCL during arthroscopic anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) reconstruction because the LTCL connects to the ATFL at the talus in 42% of people and connects to the CFL at the calcaneus in 18% of people. As a result, LTCL reconstruction might be necessary for those patients. We describe the arthroscopic reconstruction technique of the ATFL, LTCL, and CFL using a triangle-shaped tendon graft (ALC-triangle). This technique provides a possible advantage of an anatomical and stable talocrural joint and subtalar joint.

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