Three-Dimensional Analysis of Ankle Instability after Tibiofibular Syndesmosis Injuries

Teramoto, Atsushi; Kura, Hideji; Uchiyama, Eiichi; Suzuki, Daisuke; Yamashita, Toshihiko

doi:10.1177/0363546507308235

Cited by 71 publications

(72 citation statements)

References 21 publications

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“…7 Some in vitro studies have found that cutting of the anterior tibiofibular ligament or interosseous membrane resulted in an increase in the distance between the tibia and fibula, as well as an increase in talar rotation and tilt angle. 53,55 Lateral displacement of the fibula widens the distal tibiofibular joint, affecting the mortise structure, and is associated with excessive talar rotation. Previous in vivo studies have shown an increase in talar anterior translation, 6,32 inversion, 6 and internal rotation 6,31 in the ankles with CAI.…”

Section: Discussionmentioning

confidence: 99%

Fibular Malalignment in Individuals With Chronic Ankle Instability

Kobayashi¹,

Suzuki²,

Yamazaki³

et al. 2014

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

Fibular Malalignment in Individuals With Chronic Ankle Instability

Kobayashi¹,

Suzuki²,

Yamazaki³

et al. 2014

J Orthop Sports Phys Ther

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“…The weight consisted of a water bag and a cable calibrated to apply 2.0 N·m of torque with the pulley-and-weight system. 27 The movements of the talus were measured via the magnetic tracking system while each load was applied ( Figure 1). The following angles and translation were calculated from the coordinates and the angles of the anatomical points.…”

Section: Methodsmentioning

confidence: 99%

Mechanical Stability of the Subtalar Joint After Lateral Ligament Sectioning and Ankle Brace Application

Kamiya¹,

Kura²,

Suzuki³

et al. 2009

Am J Sports Med

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In cases of severe ankle sprains involving the calcaneofibular ligament, cervical ligament, and interosseous talocalcaneal ligament injuries, application of an ankle brace might be less effective in limiting internal-external rotational instabilities than in cases of inversion instabilities in the subtalar joint. An improvement in the design of the brace is needed to restore better rotational stability in the subtalar joint.

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“…Studies on the biomechanical function of the ATiFL has shown that once the ATiFL is cut, the tibia and lateral malleolus can move separately [Teramoto et al, 2008]. The distal tibiofibular syndesmosis at-taches the fibula dynamically at the tibia, which gives the fibula the possibility to perform a three-dimensional movement during physiological dorsalextension and plantarflexion of the ankle joint [Close, 1956;Reimann and Anderhuber, 1980;Peter et al, 1994;Beumer et al, 2003;Rammelt et al, 2008].…”

Section: Anatomical Complexesmentioning

confidence: 99%

Immunohistochemical Analysis of Sensory Nerve Endings in Ankle Ligaments: A Cadaver Study

Rein

Hagert

Hanisch³

et al. 2012

Cells Tissues Organs

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Background: The aim of this study was to analyze the pattern and types of sensory nerve endings in ankle ligaments using immunohistochemical techniques, in order to gain more insight into functional ankle stability. Methods: One hundred forty ligaments from 10 cadaver feet were included: the calcaneofibular and anterior/posterior talofibular ligaments from the lateral complex; inferior extensor retinaculum complex, talocalcaneal oblique and canalis tarsi ligaments from the sinus tarsi; deltoid ligament with its individual portions from the medial complex, and anterior tibiofibular ligament (ATiFL) from the syndesmosis. Mechanoreceptors were classified according to Freeman and Wyke [Acta Anat (Basel) 1967;68:321–333] after staining with hematoxylin-eosin, low-affinity neurotrophin receptor p75, protein gene product 9.5, and S-100 protein. Results: Free nerve endings were the predominant sensory endings in all four complexes, with the greatest density in the lateral and medial complexes; followed by Ruffini endings, unclassifiable corpuscles, Pacini corpuscles, and Golgi-like endings. Ruffini endings were significantly more prevalent in the ATiFL than in the medial complex, and more common than Pacini corpuscles and Golgi-like endings in the lateral, medial, and sinus tarsi complexes. A greater number of blood vessels correlated with a greater number of free nerve endings. There was a negative correlation between the number of Ruffini endings, unclassifiable corpuscles, and age. Conclusions: Free nerve endings are the dominant mechanoreceptor type in the ankle ligaments, followed by Ruffini endings. The ligaments of the lateral and medial ankle complexes are more innervated than the sinus tarsi ligaments.

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Three-Dimensional Analysis of Ankle Instability after Tibiofibular Syndesmosis Injuries

Abstract: Both physicians and athletes should be aware of inversion instability of the ankle joint caused by tibiofibular syndesmosis injuries.

Cited by 71 publications

References 21 publications

Fibular Malalignment in Individuals With Chronic Ankle Instability

Fibular Malalignment in Individuals With Chronic Ankle Instability

Mechanical Stability of the Subtalar Joint After Lateral Ligament Sectioning and Ankle Brace Application

Immunohistochemical Analysis of Sensory Nerve Endings in Ankle Ligaments: A Cadaver Study

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