1,651 results match your criteria Calcaneofibular Ligament Injury


A radiographic model predicting the status of the anterior cruciate ligament in varus knee with osteoarthritis.

BMC Musculoskelet Disord 2022 Jun 22;23(1):603. Epub 2022 Jun 22.

Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Purpose: The study aims to investigate the accuracy of different radiographic signs for predicting functional deficiency of anterior cruciate ligament (ACL) and test whether the prediction model constructed by integrating multiple radiographic signs can improve the predictive ability.

Methods: A total number of 122 patients from January 1, 2018, to September 1, 2021, were enrolled in this study. Among them, 96 patients were classified as the ACL-functional (ACLF) group, while 26 patients as the ACL-deficient (ACLD) group after the assessment of magnetic resonance imaging (MRI) and the Lachman's test. Read More

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Which Functional Tests and Self-Reported Questionnaires Can Help Clinicians Make Valid Return to Sport Decisions in Patients With Chronic Ankle Instability? A Narrative Review and Expert Opinion.

Front Sports Act Living 2022 26;4:902886. Epub 2022 May 26.

French Society of Sports Physical Therapist (SFMKS Lab), Pierrefitte-sur-Seine, France.

Lateral ankle sprain is the most common injury in sports, with up to 40% of patients developing chronic ankle instability (CAI). One possible cause underlying this high rate of recurrence or feeling of giving way may be a premature return to sport (RTS). Indeed, except for time-based parameters, there are no specific criteria to guide clinicians in their RTS decisions in patients with CAI. Read More

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Does Sectioning and Then Repairing of the Calcaneofibular Ligament at Subtalar Approach Lead to Residual Lateral Ankle Instability?

Arch Bone Jt Surg 2022 Apr;10(4):347-352

Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey.

Background: The calcaneofibular ligament is cut to increase vision in surgical field in minimally invasive surgery of displaced intraarticular calcaneus fractures with subtalar incision. We aimed to investigate whether this causes talar tilt instability in ankle stress radiographs due to the calcaneofibular ligament deficiency in postoperative period.

Methods: The files of 38 patients who were operated with the diagnosis of displaced calcaneus fracture between 2013 and 2018 were examined retrospectively. Read More

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A Critical Biomechanical Evaluation of Foot and Ankle Soft Tissue Repair.

Clin Podiatr Med Surg 2022 Jul;39(3):521-533

Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA, USA. Electronic address:

The objective of this article is to review the biomechanical stresses that occur during normal physiologic function of lower extremity soft tissue anatomic structures and to use this as a baseline for a critical analysis of the medical literature because it relates to surgical reconstruction following injury. The Achilles tendon, anterior talofibular ligament, plantar plate, and spring ligament are specifically evaluated. Read More

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Ankle Instability.

Foot Ankle Clin 2022 Jun 11;27(2):371-384. Epub 2022 May 11.

Hospital for Special Surgery, 523 East 72nd st, New York, NY 10021, USA.

Ankle sprains are a common injury among physically active populations and occur with an incidence of around 2.15 per 1000 person-years. This article discusses various surgical procedures used to treat chronic lateral ankle instability, including direct ligament repair, anatomic reconstruction, and nonanatomic reconstruction. Read More

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Utility of Diagnostic Ultrasound in the Assessment of Patellar Instability.

Orthop J Sports Med 2022 May 23;10(5):23259671221098748. Epub 2022 May 23.

Foot & Ankle Research and Innovation Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Background: The use of imaging to diagnose patellofemoral instability is often limited by the inability to dynamically load the joint during assessment. Therefore, the diagnosis is typically based on physical examination using the glide test to assess and quantify lateral patellar translation. However, precise quantification with this technique remains difficult. Read More

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Suture button fixation method used in the treatment of syndesmosis injury: A biomechanical analysis of the effect of the placement of the button on the distal tibiofibular joint in the mid-stance phase with finite elements method.

Injury 2022 Jul 25;53(7):2437-2445. Epub 2022 May 25.

Biomedical Engineering MSc Program /Department of Civil Engineering, Recep Tayyip Erdogan University, Rize 53100, Turkey.

Purpose: The purpose of this study is to research the effect of suture button (SB) fixation, a method used at the treatment of ankle syndesmosis injury, which was applied in various angles, pretension force, and levels, on the distal tibiofibular joint (DTFJ) in the mid-stance phase, with the help of three-dimensional finite elements method (FEM) METHOD: The ankle of a healthy individual was digitally analyzed by a finite element method-based package computer program. Then, anterior inferior tibiofibular ligament (AITFL), interosseous ligament, posterior inferior tibiofibular ligament (PITFL) and deltoid ligament (DL) were cut and force and rotation has been applied to the proximal tibia, resulting in syndesmosis injury. Then, various suture button applications on the injured model have been analyzed. Read More

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Simultaneous Treatment of Osteochondral Lesion Does Not Affect the Mid- to Long-Term Outcomes of Ligament Repair for Acute Ankle Sprain: A Retrospective Comparative Study with a 3-11-Year Follow-up.

Front Surg 2022 9;9:816669. Epub 2022 May 9.

Department of Sports Medicine, Peking University Third Hospital, Beijing, China.

Purpose: This study aims to evaluate the mid- to long-term outcome of concurrent arthroscopic treatment of osteochondral lesion (OCL) and open anatomical repair of lateral ankle ligaments for severe acute ankle sprain patients and compare them to the outcome of those without OCL.

Methods: A total of 166 patients with grade III acute lateral ankle ligament injuries underwent concurrent ankle arthroscopy and open anatomic ligament repair. Forty-three patients (group A) with OCL underwent arthroscopic treatment followed by open ligament repair. Read More

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An Atraumatic Calcaneocuboid Joint Instability - Technique of Surgical Reconstruction: A Case Report.

J Orthop Case Rep 2022 Jan;12(1):45-49

Department of Orthopaedic, Orthopeadic Surgery Resident, CHU Sart-Tilman, Liège, Belgium.

Introduction: Most calcaneocuboïd joint (CCJ) subluxations are traumatic, secondary to a high-energy flexion-supination mechanism. We describe here a case of atraumatic chronic subluxation of the CCJ which is a rare, difficult to diagnose condition. Moreover, we describe a surgical technique using a peroneus brevis autograft hemi-tendon, which has not been yet published in the literature. Read More

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January 2022

Significant variations in surgical construct and return to sport protocols with syndesmotic injuries: an ISAKOS global perspective.

J ISAKOS 2022 02 17;7(1):13-18. Epub 2021 Nov 17.

Duke University School of Medicine, Department of Orthopedic Surgery, Durham, NC, USA.

Objectives: Although the body of literature on syndesmosis injuries is growing with regard to both the biomechanics and clinical outcomes for various fixation constructs, there is little consensus on the optimal treatment and return to sport strategy for these injuries. We endeavoured to assess the current approaches to managing syndesmotic injuries through a Research Electronic Data Capture survey.

Methods: The survey consisted of 27 questions, including respondent demographics, indications for treatment of syndesmotic injuries, preferred treatment and technique, and postoperative management. Read More

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February 2022

Isolated injuries to the lateral ankle ligaments have no direct effect on syndesmotic stability.

Knee Surg Sports Traumatol Arthrosc 2022 May 6. Epub 2022 May 6.

Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: This study aim was to detect the impact of lateral ankle ligaments injury on syndesmotic laxity when evaluated arthroscopically in a cadaveric model. The null hypothesis was that lateral ankle ligament injury does not affect the stability of syndesmosis.

Methods: Sixteen fresh-frozen above-knee amputated cadaveric specimens were divided into two groups of eight specimens that underwent arthroscopic evaluation of the distal tibiofibular joint. Read More

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Management of isolated anterior talofibular ligament lesion in patients suffering from chronic ankle instability: comparison of two minimally invasive surgical techniques.

Eur Rev Med Pharmacol Sci 2022 04;26(8):2944-2948

IRCCS Istituto Ortopedico Galeazzi, Sport Traumatology and Minimally Invasive Surgery Center, Milan, Italy.

Objective: The aim of the present study was to retrospectively compare the outcomes of two minimally invasive surgical techniques in patients with isolated anterior talofibular ligament (ATFL) lesion suffering from chronic ankle instability (CAI).

Patients And Methods: Thirty-six patients with ATFL lesion suffering from CAI were treated at our department from 2010 to 2017 and retrospectively reviewed after an average time of 4 years (2 to 9 years). Eighteen patients underwent a four-step operative protocol, including: synovectomy, debridement of ATFL lesion borders, capsular shrinkage, and 21-day immobilization and non-weightbearing. Read More

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Preoperative Lymphocyte-to-Monocyte Ratio Can Indicate the Outcomes in Repair of I-III Degree Injury of Lateral Ankle Ligament.

Biomed Res Int 2022 19;2022:6234561. Epub 2022 Apr 19.

Department of Orthopedics, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Rd, Shanghai 200040, China.

Background: This study is aimed at exploring the prognostic value of preoperative lymphocyte-to-monocyte ratio (LMR), an index of systemic inflammation before operation, in ankle lateral ligament repair (ALLR).

Methods: A total of 213 I-III degrees injuries of lateral ankle ligament patients received ALLR and were followed up for more than 2 years. Univariate and multivariable linear regression analysis was used to determine the relationship between preoperative LMR and postoperative recovery. Read More

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The lateral femoral notch sign and coronal lateral collateral ligament sign in magnetic resonance imaging failed to predict dynamic anterior tibial laxity.

BMC Musculoskelet Disord 2022 Apr 29;23(1):402. Epub 2022 Apr 29.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No.138, Sheng-Li Road, Tainan, Taiwan, 70428.

Purpose: To investigate the relationship between the lateral femoral notch sign as well as the coronal lateral collateral ligament (LCL) sign and anterior tibial translation using the GNRB arthrometer in patients with anterior cruciate ligament (ACL) injuries.

Methods: Forty-six patients with ACL injuries were retrospectively included from May 2020 to February 2022; four patients were excluded due to incomplete data. Magnetic resonance imaging (MRI) were reviewed for the lateral femoral notch sign and the coronal LCL sign. Read More

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[Intra-articular fracture of the calcaneus associated with injury to lateral collateral ligaments of the ankle].

Acta Ortop Mex 2021 Sep-Oct;35(5):457-460

Sector de Trauma. Instituto de Ortopedia y Traumatología «Carlos E Ottolenghi», Hospital Italiano de Buenos Aires, Argentina.

Calcaneal fractures are the most frequent of the tarsus (3.5% of all fractures). Young adults are mainly affected, being more frequent in men (5. Read More

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Ligament reconstruction using a semitendinosus tendon graft for proximal tibiofibular joint disorder: Case report.

SICOT J 2022 1;8. Epub 2022 Apr 1.

Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan.

We report our case of ligament reconstruction for treatment of proximal tibiofibular joint disorder using a semitendinosus tendon graft. A 21-year-old male college soccer player with no remarkable history of injury had been suffering from pain at the lateral aspect of the left knee when playing soccer. At another hospital, the patient was diagnosed with a lateral meniscus injury and cartilage injury of the external condyle of the tibia and underwent partial resection of the meniscus and bone drilling. Read More

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Bone marrow edema of the medioplantar talar head is associated with severe ligamentous injury in ankle sprain.

Skeletal Radiol 2022 Mar 31. Epub 2022 Mar 31.

Department of Radiology, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zurich, Switzerland.

Purpose: To investigate the predictive value of talar head edema (THE) in acute ankle sprain for the presence of concomitant ligament injuries.

Methods: This retrospective study was approved by the ethics committee and informed consent was obtained. One hundred patients (mean age: 37 years ± 14 [standard deviation], range 13-77 years) with MRI of the ankle after acute trauma were included. Read More

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Distal insertion rupture of lateral ankle ligament as a predictor of weakened and delayed sports recovery after acute ligament repair: mid-term outcomes of 117 cases.

BMC Musculoskelet Disord 2022 Mar 28;23(1):294. Epub 2022 Mar 28.

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Beijing, 100191, China.

Background: For lateral ankle ligament rupture, surgical repair has been considered for patients requiring return to high-demanding sports. However, there is a lack of systematic research regarding arthroscopic treatment followed by ligament repair for severe acute ankle sprain. The purpose of this study was to analyze the mid-term outcomes of arthroscopy followed by open anatomic lateral ankle ligament repair surgery for acute lateral ankle sprain and the impact of ligament rupture site on the outcomes. Read More

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Imaging diagnosis for anterior talofibular ligament injury: a systemic review with meta-analysis.

Acta Radiol 2022 Mar 27:2841851221080556. Epub 2022 Mar 27.

Department of Radiology, Zhongshan Affiliated Hospital, 47879Guangzhou University of Chinese Medicine, Zhongshan, 528400, PR China.

A definite diagnosis of ankle ligament injury is crucial, and many imaging examinations can be used. This review systematically analyzed the effectiveness of various examination methods in the diagnosis of anterior talofibular ligament (ATFL) injuries. Three English databases (PubMed, Embase, and Cochrane Library) and three Chinese databases (CNKI, VIP Database, and Wanfang Database) were searched and relevant studies were summarized. Read More

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Maximal lateral ligament strain and loading during functional activities: Model-based insights for ankle sprain prevention and rehabilitation.

Clin Biomech (Bristol, Avon) 2022 Apr 11;94:105623. Epub 2022 Mar 11.

Human Movement Biomechanics Research Group, KU Leuven, Tervuursevest 157, 3001 Leuven, Belgium.

Background: Although it is generally accepted that sports activities present a high risk of lateral ligament injury, the extent to which ligaments are loaded during functional activities is less explored. This is relevant when considering ankle sprain prevention and staged rehabilitation following ligament sprain or reinforcing surgery. Therefore, anterior talofibular ligament, calcaneofibular ligament and posterior talofibular ligament strain and loading were evaluated, based on a newly developed loading index, during movements executed during daily life and rehabilitation. Read More

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Consecutive Ankle Sprain Classification and Injury Systematization (CASCaIS), A New Lateral Ankle Sprain Classification Based on the Pivot Test: A Prospective Cohort Study

Acta Med Port 2022 03 21. Epub 2022 Mar 21.

NOVA Medical School. Lisboa. Serviço de Ortopedia. Hospital de São Francisco Xavier. Centro Hospitalar Lisboa Ocidental. Lisboa. Portugal.

Introduction: The biggest challenge in the treatment of acute ankle sprain is the uncertainty of the prognosis. The traditional classifications have several interpretations and little correlation with prognosis. In this study we propose a new classification for acute ankle sprain only based on clinical criteria. Read More

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The prevalence of posterior inferior tibiofibular ligament and inferior tibiofibular transverse ligament injuries in syndesmosis-injured ankles evaluated by oblique axial magnetic resonance imaging: a retrospective study.

BMC Musculoskelet Disord 2022 Mar 18;23(1):264. Epub 2022 Mar 18.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Background: Transverse ligament and posterior inferior tibiofibular ligament injuries have not been investigated till date because these are difficult to evaluate using standard magnetic resonance imaging. This study aimed to investigate the prevalence of transverse ligament and posterior inferior tibiofibular ligament injuries in syndesmosis-injured ankles using oblique axial magnetic resonance imaging.

Methods: The patients who were diagnosed with syndesmosis injury using magnetic resonance imaging (MRI) within 7 days of the trauma were included. Read More

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Ligamentous injury-induced ankle instability causing posttraumatic osteoarthritis in a mouse model.

BMC Musculoskelet Disord 2022 Mar 8;23(1):223. Epub 2022 Mar 8.

Department of Orthopedics, The First Affiliated Hospital of Soochow University, No.188 Shizi St, Suzhou, 215006, Jiangsu Province, P. R. China.

Background: This study aims to explore the relationship between surgically-induced ankle instability and posttraumatic osteoarthritis (PTOA) in a mouse model, and to provide reference for clinical practice.

Results: Ligamentectomy was performed on 24 eight-week-old male C57BL/6 J mice, which were divided into three groups. Both the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) were severed in the CFL + ATFL group, while only the CFL was removed in the CFL group. Read More

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Is Internal brace augmentation a gold standard treatment compared to isolated Modified Brostrom Gould repair for chronic lateral ligament ankle instability? Effect on functional outcome and Return to preinjury activity: A retrospective analysis.

Foot (Edinb) 2022 Mar 23;50:101865. Epub 2021 Sep 23.

Department of Trauma and Orthopaedics, North Tees & Hartlepool University Hospital and NHS Foundation Trust, Stockton on Tees, United Kingdom.

Introduction: Modified Brostrom Gould (MBG) repair is widely accepted procedure for chronic lateral ankle instability (CLAI), but there are limitations with regards to strength of repair and risk of reinjury and complications. Internal brace has been recently used as augmentation of standard MBG repair. It provides stronger construct, facilitates early mobilisation and protects repaired ligament with minimal surgical morbidity. Read More

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Treatment of chronic lateral ankle instability by double-band anatomical reconstruction of the anterior talofibular ligament's fibular enthesis.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 Dec;46(12):1354-1362

Department of Sports Medicine; Research Center of Sports Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.

Objectives: Anterior talofibular ligament (ATFL) injury is one of the most common injuries in sports medicine, resulting in chronic lateral ankle instability (CLAI). The patients' daily life may be seriously affected by ankle osteoarthritis and other irreversible damages, if the ATFL injury is not treated in time and drags on. Patients with ATFL injury who show no significant recovery after 3-6 months of conservative treatment should consider surgical treatment as soon as possible to restore ankle stability and function. Read More

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December 2021

Lisfranc injury: Refined diagnostic methodology using weightbearing and non-weightbearing radiographs.

Injury 2022 Jun 19;53(6):2318-2325. Epub 2022 Feb 19.

Foot and Ankle Research and Innovation Lab, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Foot & Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Boston, MA; Harvard Medical School, Boston, MA, USA.

Background: To compare diagnostic parameters for Lisfranc instability on WB and NWB radiographs and to assess the inter-observer reliability of a standardized diagnostic protocol.

Patients And Methods: Patients who had undergone surgical treatment for subtle, purely ligamentous Lisfranc injury with both WB and NWB post-injury, pre-surgery films (n = 26) were included in this multicentre, retrospective comparative study. Also included was a control group (n = 26) of patients with isolated fifth metatarsal avulsion fractures who similarly had both WB and NWB films. Read More

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Clinical Manifestations, Diagnosis and Management of Synovial Fistula Associated Lateral Ankle Sprain or Instability: A Retrospective Study of 19 Surgically Confirmed Patients.

Int J Environ Res Public Health 2022 02 19;19(4). Epub 2022 Feb 19.

Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea.

We aimed to investigate the preoperative history, clinical manifestations, imaging findings, and postoperative clinical outcomes for patients with surgically confirmed synovial fistula around the ankle joint. 19 consecutive patients who were confirmed to have synovial fistula in the surgical field were enrolled in this study. Medical records of all patients in terms of preoperative details, operative findings, and postoperative outcomes at 1 year after the surgery were retrieved. Read More

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February 2022

[Reconstruction of anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon in the treatment of chronic lateral ankle instability].

Zhongguo Gu Shang 2022 Feb;35(2):172-7

Orthopedic Hospital, Zhengzhou 450000, Henan, China.

Objective: To explore the clinical efficacy of reconstruction the anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon for the treatment of chronic lateral ankle instability.

Methods: The clinical data of 42 patients with chronic lateral ankle instability treated by anatomical reconstruction of anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon from July 2016 to July 2019 was retrospectively analyzed. Including 30 males and 12 females, age ranged from 25 to 46 years old with an average of (37. Read More

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February 2022

Most amateur football teams do not implement essential components of neuromuscular training to prevent anterior cruciate ligament injuries and lateral ankle sprains.

Knee Surg Sports Traumatol Arthrosc 2022 Apr 21;30(4):1169-1179. Epub 2022 Feb 21.

Faculty of Physical Education and Physiotherapy, Rehabilitation Research Group, Vrije Universiteit Brussel, Brussels, Belgium.

Purpose: Neuromuscular training (NMT) is effective at reducing football injuries. The purpose of this study was to document the use of NMT to prevent anterior cruciate ligament injuries and lateral ankle sprains in adult amateur football and to identify barriers for using NMT.

Methods: A preseason and in-season online survey was completed by players and coaches of 164 football teams. Read More

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The different subtalar ligaments show significant differences in their mechanical properties.

Foot Ankle Surg 2022 Feb 16. Epub 2022 Feb 16.

Institute for Orthopaedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium; Department of Orthopaedics, Foot and Ankle Unit, University Hospitals Leuven, KU Leuven, Leuven, Belgium. Electronic address:

Background: Today, the relative contribution of each ligamentous structure in the stability of the subtalar joint is still unclear. The purpose of this study is to assess the material properties of the different ligamentous structures of the subtalar joint.

Methods: Eighteen paired fresh-frozen cadaveric feet were used to obtain bone-ligament-bone complexes of the calcaneofibular ligament (CFL), the cervical ligament (CL) and the anterior capsular ligament-interosseous talocalcaneal ligament complex (ACaL-ITCL). Read More

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February 2022