383 results match your criteria Calcaneofibular Ligament Injury


Morphological evaluation of the calcaneofibular ligament in different ankle positions using a three-dimensional MRI sequence.

Surg Radiol Anat 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, 060-8543, Japan.

Purpose: Evaluating images of the lateral ligament of the ankle is not easy, and evaluation of the calcaneofibular ligament (CFL) in particular is difficult. We prospectively conducted morphological measurements of the CFL in different ankle positions and obtain basic data for use in functional assessment of the CFL, diagnosis of CFL injury, and determination of treatment effects.

Methods: The subjects were ten healthy volunteers (ten ankles) with a mean age of 27. Read More

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December 2018

Pediatric and adolescent ankle instability: diagnosis and treatment options.

Curr Opin Pediatr 2018 Dec 10. Epub 2018 Dec 10.

Department of Orthopaedic Surgery.

Purpose Of Review: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and treatment for lateral ankle instability in pediatric patients.

Recent Findings: Chronic ankle instability is a common sequela of lateral ankle sprain in young athletes. Incidence is increasing, possibly due in part to inadequate treatment of first-time ankle sprains, as well as increased youth participation in organized and competitive sports. Read More

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December 2018

Three-Dimensional computed tomography tunnel assessment of allograft anatomic reconstruction in chronic ankle instability: 33 cases.

Orthop Traumatol Surg Res 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea. Electronic address:

Introduction: Although clinical results of anatomic reconstruction using allograft are reportedly good, studies on how accurately the tunnel has been made after surgery are very rare. The purpose of this study was to analyze the postoperative locations of the tunnels through 3-dimensional computed tomography (3D-CT) after anatomic ligament reconstruction and to evaluate its clinical results.

Hypothesis: We hypothesized that anatomic lateral ligament reconstruction could lead to excellent results in clinical outcomes by repositioning anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) accurately. Read More

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November 2018
1 Read

The Arterial Anatomy of the Lateral Ligament Complex of the Ankle: A Cadaveric Study.

Am J Sports Med 2018 Nov 19:363546518808060. Epub 2018 Nov 19.

Department of Orthopaedic Surgery, Washington University in Saint Louis/Barnes-Jewish Hospital, St Louis, Missouri, USA.

Background:: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. Read More

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November 2018
6 Reads

Effect of simulated joint instability and bracing on ankle and subtalar joint flexibility.

J Biomech 2018 Nov 2. Epub 2018 Nov 2.

Mechanical and Aerospace Engineering, Old Dominion University, Norfolk, VA, USA. Electronic address:

It is clinically challenging to distinguish between ankle and subtalar joints instability in vivo. Understanding the changes in load-displacement at the ankle and subtalar joints after ligament injuries may detect specific changes in joint characteristics that cannot be detected by investigating changes in range of motion alone. The effect of restricting joints end range of motion with ankle braces was already established, but little is known about the effect of an ankle brace on the flexibility of the injured ankle and subtalar joints. Read More

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November 2018
1 Read

Percutaneous Ankle Reconstruction of Lateral Ligaments.

Foot Ankle Clin 2018 Dec 28;23(4):581-592. Epub 2018 Sep 28.

Department of Orthopaedic Surgery, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan; Department of Sport and Medical Science, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan.

Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. Within the 3 ligaments of the lateral ligament complex, 80% of patients tear the anterior talofibular ligament (ATFL), whereas the other 20% of patients tear the ATFL and calcaneofibular ligament (CFL). Rarely, the posterior talofibular ligament is involved. Read More

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December 2018
4 Reads
0.840 Impact Factor

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

Surg Radiol Anat 2018 Oct 30. Epub 2018 Oct 30.

Department of Health and Sports, Niigata University of Health and Welfare, Niigata, Japan.

Purpose: The purpose of this study is to clarify the morphological characteristics of the lateral talocalcaneal ligament (LTCL).

Methods: This study examined 100 legs from 54 Japanese cadavers. The LTCL was classified into three types: Type I, the LTCL branches from the calcaneofibular ligament (CFL); Type II, the LTCL is independent of the CFL and runs parallel to the calcaneus; and Type III, the LTCL is absent. Read More

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October 2018
2 Reads

Currently used imaging options cannot accurately predict subtalar joint instability.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 26. Epub 2018 Oct 26.

Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT, 84108, USA.

Purpose: To give a systematic overview of current diagnostic imaging options and surgical treatment for chronic subtalar joint instability.

Methods: A systematic literature search across the following sources was performed: PubMed, ScienceDirect, and SpringerLink. Twenty-three imaging studies and 19 outcome studies were included. Read More

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October 2018
7 Reads

All arthroscopic remnant-preserving reconstruction of the lateral ligaments of the ankle: A biomechanical study and clinical application.

Biochem Biophys Res Commun 2018 Nov 9;505(4):985-990. Epub 2018 Oct 9.

Department of Orthopaedic, The Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing, 210006, China. Electronic address:

Lateral ankle sprains are one of the most common injuries in sports. Recently, arthroscopic lateral ligament reconstruction has been recently advocated, however no biomechanical studies and clinical application of this technique are available. In this biomechanical study, eighteen fresh-frozen cadaveric ankles were randomized into three groups: (1) intact anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), (2) arthroscopic anatomic reconstruction of ATFL and CFL, and (3) all arthroscopic remnant-preserving reconstruction of ATFL and CFL. Read More

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November 2018
2 Reads
2.300 Impact Factor

Assessment of Bony Subfibular Impingement in Flatfoot Patients Using Weight-Bearing CT Scans.

Foot Ankle Int 2018 Oct 8:1071100718804510. Epub 2018 Oct 8.

1 Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, MD, USA.

Background:: Lateral hindfoot pain in patients with flatfoot deformity is frequently attributed to subfibular impingement. It remains unclear whether this is primarily due to bony or soft-tissue impingement. No studies have used weight-bearing CT scans to evaluate subfibular impingement. Read More

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October 2018
3 Reads

Anatomical reconstruction produced similarly favorable outcomes as repair procedures for the treatment of chronic lateral ankle instability at long-term follow-up.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 5. Epub 2018 Oct 5.

Department of Sports Medicine, Huashan Hospital, No 12, Wulumuqi Zhong Road, Shanghai, 200040, People's Republic of China.

Purpose: The aim of this study was to compare long-term outcomes after anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) repair and reconstruction at 5-10 years after surgery.

Methods: Forty-five patients who underwent surgical repair or reconstruction of both ATFL and CFL were retrospectively investigated in this study. American Orthopedic Foot and Ankle Society (AOFAS), Karlsson Score, and Tegner activity scale were used to evaluate the ankle function at a follow-up of 5-10 years. Read More

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October 2018
2 Reads

Arthroscopic treatment of chronic ankle instability: Prospective study of outcomes in 286 patients.

Orthop Traumatol Surg Res 2018 Dec 21;104(8S):S199-S205. Epub 2018 Sep 21.

15, rue Ampère, 92500 Rueil Malmaison, France.

Background: Chronic ankle instability (CAI) is the main complication of ankle sprains and requires surgery if non-operative treatment fails. Surgical ankle stabilisation techniques can be roughly classified into two groups, namely, repair involving retensioning and suturing of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) and reconstruction using a tendon graft. Arthroscopic repair and reconstruction techniques for CAI have been introduced recently. Read More

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December 2018
20 Reads

Ultrasound Characteristics of Foot and Ankle Structures in Healthy, Coper, and Chronically Unstable Ankles.

J Ultrasound Med 2018 Sep 12. Epub 2018 Sep 12.

School of Health Sciences, University of Salford, Salford, UK.

Objective: Ankle sprains constitute approximately 85% of all ankle injuries, and up to 70% of people experience residual symptoms. While the injury to ligaments is well understood, the potential role of other foot and ankle structures has not been explored. The objective was to characterize and compare selected ankle structures in participants with and without a history of lateral ankle sprain. Read More

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September 2018
1 Read

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

Eur J Radiol 2018 Oct 12;107:216-226. Epub 2018 Aug 12.

Department of Radiology, Universitair Ziekenhuis Brussel, Brussel, Belgium; Department of Experimental Anatomy and ARTE, Vrije Universiteit Brussel, Brussel, Belgium. Electronic address:

We present a detailed overview of anatomical and US features of ankle and midfoot ligaments based on our own dissections and cadaver studies as well as US imaging in cadavers and volunteers. The ligament anatomy about the ankle and midfoot is complex. Most ligaments are superficial and hence very well accessible for US. Read More

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October 2018

Rotational Instability after Anterior Talofibular and Calcaneofibular Ligament Section: The Experimental Basis for the Ankle Pivot Test.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1087-1091. Epub 2018 Aug 23.

Orthopaedic Surgeon and Emergency Department Director, Department of Orthopaedics, Clinica del Remei, Barcelona, Spain; Associate Professor, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

The clinical diagnosis of the anterior talofibular ligament (ATFL) rupture is based on the findings from the medical history and the anterior drawer test, a maneuver that allegedly pushes the talus and rearfoot anteriorly, although with great variability in its sensitivity. We consider that an ATFL rupture is best evaluated by a rotational vector (i.e. Read More

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August 2018
1 Read

Effect of Initial Graft Tension During Calcaneofibular Ligament Reconstruction on Ankle Kinematics and Laxity.

Am J Sports Med 2018 Oct 20;46(12):2935-2941. Epub 2018 Aug 20.

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

Background: Although a variety of surgical procedures for lateral ankle ligament reconstruction have frequently been reported, little is known about the effects of initial graft tension. Purpose/Hypothesis: The purpose was to investigate the effects of initial graft tension in calcaneofibular ligament (CFL) reconstruction. It was hypothesized that a high degree of initial graft tension would cause abnormal kinematics, laxity, and excessive graft tension. Read More

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October 2018
1 Read

Repair of only anterior talofibular ligament resulted in similar outcomes to those of repair of both anterior talofibular and calcaneofibular ligaments.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 6. Epub 2018 Aug 6.

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-gu, Seoul, 06351, South Korea.

Purpose: To compare the surgical outcomes of the two different ankle stabilization techniques.

Methods: This randomized controlled trial aimed to compare the outcomes of the modified Broström procedure with [calcaneofibular ligament (CFL) group] or without CFL repair [anterior talofibular ligament (ATFL) only group]. Of the 50 patients randomly assigned to two groups, 43 were followed up prospectively for ≥ 2 years (CFL group: 22 patients, 36. Read More

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August 2018
4 Reads

Avulsion fracture of the distal fibula is associated with recurrent sprain after ankle sprain in children.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 10. Epub 2018 Jul 10.

Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba, Japan.

Purpose: The purpose of this study was to clarify radiographic and clinical outcomes, as well as their association, of ankle sprain in children.

Methods: Patients who sustained a first-time ankle sprain were prospectively surveyed. Patients underwent radiography of the ankle in the mortise, lateral, anterior talofibular ligament (ATFL), and calcaneofibular ligament views at the first clinic visit to assess avulsion fractures of the distal fibula. Read More

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July 2018
2 Reads

A Modified Broström Repair with Transosseous Fixation for Chronic Ankle Instability: A Midterm Followup Study in Soldiers.

Indian J Orthop 2018 May-Jun;52(3):315-321

Department of Biomedical Engineering, National Yang-Ming University, Taiwan.

Background: Various surgical techniques are available to reduce chronic instability of the lateral ankle ligament complex. The most effective method for these procedures remains controversial. This report presents a surgical technique that is similar to the Broström procedure and uses a modified, nonaugmented repair technique. Read More

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June 2018
1 Read

Differences Between Subtalar Instability and Lateral Ankle Instability Focusing on Subtalar Ligaments Based on Three Dimensional Isotropic Magnetic Resonance Imaging.

J Comput Assist Tomogr 2018 Jul/Aug;42(4):566-573

From the Department of Radiology, and.

Objective: The purpose of this study was to assess the differences between subtalar instability (STI) and lateral ankle instability (LAI) focusing on subtalar ligaments using 3-dimensional (3D) isotropic magnetic resonance imaging (MRI).

Methods: Preoperative MRIs of 10 patients with STI who failed nonoperative treatment and consequently underwent arthroscopic subtalar reconstruction were compared with preoperative MRIs of 23 patients with LAI who underwent ligament repair or reconstruction. Dimensions of anterior capsular ligament (ACL), interosseous talocalcaneal ligament (ITCL), calcaneofibular ligament (CFL), and anterior talofibular ligament (ATFL) were measured. Read More

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August 2018
2 Reads

Anatomical variation in the form of inter- and intra-individual laterality of the calcaneofibular ligament.

Anat Sci Int 2018 Sep 20;93(4):495-501. Epub 2018 Apr 20.

Department of Anatomy and Physiology, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, Saga, 849-8501, Japan.

The lateral ligament complex of the ankle is involved in a large proportion of ankle sprains. The calcaneofibular ligament (CFL) is often involved in severe injuries. The purpose of this study was to evaluate the anatomical variation and laterality of the CFL to improve our understanding of the mechanisms of CFL-related injuries. Read More

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September 2018
1 Read

Comparative evaluation between anatomic and non-anatomic lateral ligament reconstruction techniques in the ankle joint: A computational study.

J Biomech Eng 2018 Mar 12. Epub 2018 Mar 12.

Department of Mechanical Engineering, Kyung Hee University, Yongin, 17104, Korea.

Biomechanical studies have indicated that the conventional non-anatomic reconstruction techniques for lateral ankle sprain (LAS) tend to restrict subtalar joint motion compared to intact ankle joints. Excessive restriction in subtalar motion may lead to chronic pain, functional difficulties, and development of osteoarthritis. Therefore, various anatomic surgical techniques to reconstruct both the anterior talofibular and calcaneofibular ligaments have been introduced. Read More

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March 2018
7 Reads

Endoscopic Management of Calcaneofibular Impingement and Posterior Ankle Impingement Syndrome Caused by Malunion of Joint Depressed-Type Calcaneal Fracture.

Arthrosc Tech 2018 Feb 1;7(2):e71-e76. Epub 2018 Jan 1.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.

Identification of the correct source of symptoms is the key in formulating the correct treatment plan for heel pain after calcaneal malunion. Calcaneofibular and posterior ankle impingements can occur due to malunion of a joint depressed-type calcaneal fracture. The purpose of this Technical Note is to report the technical details of posterior and lateral decompression through the posteromedial and posterolateral portals using posterior ankle endoscopy. Read More

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February 2018
4 Reads

Intraoperative Findings of Lateral Ligament Avulsion Fractures and Outcome After Refixation to the Fibula.

Foot Ankle Int 2018 Jun 12;39(6):669-673. Epub 2018 Mar 12.

1 Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.

Background: An acute ankle sprain can result in a bony avulsion of the lateral ankle ligaments. The extent of concomitant lesions and subsequent instability patterns are not clearly understood. The high incidence of old avulsion fractures found in symptomatic chronic ankle instability may indicate the need for primary fixation. Read More

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June 2018
4 Reads

Influence of ankle joint plantarflexion and dorsiflexion on lateral ankle sprain: A computational study.

Proc Inst Mech Eng H 2018 May 9;232(5):458-467. Epub 2018 Mar 9.

1 Department of Mechanical Engineering, Kyung Hee University, Yongin, Korea.

Understanding the mechanism of injury involved in lateral ankle sprain is essential to prevent injury, to establish surgical repair and reconstruction, and to plan reliable rehabilitation protocols. Most studies for lateral ankle sprain posit that ankle inversion, internal rotation, and plantarflexion are involved in the mechanism of injury. However, recent studies indicated that ankle dorsiflexion also plays an important role in the lateral ankle sprain mechanism. Read More

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May 2018
3 Reads

The effects on calcaneofibular ligament function of differences in the angle of the calcaneofibular ligament with respect to the long axis of the fibula: a simulation study.

J Foot Ankle Res 2017 28;10:60. Epub 2017 Dec 28.

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Shimami-cho 1398, Kita-ku, Niigata City, 950-3198 Japan.

Background: In the present study, CFLs harvested from cadavers were categorized according to the differences in the angle of the CFL with respect to the long axis of the fibula and their shape, and then three-dimensional reconstructions of the CFLs were used to simulate and examine the differences in the angles of the CFLs with respect to the long axis of the fibula and how they affect CFL function.

Methods: The study sample included 81 ft from 43 Japanese cadavers. CFLs were categorized according to their angle with respect to the long axis of the fibula and the number of fiber bundles. Read More

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August 2018
6 Reads

Accuracy of magnetic resonance imaging in diagnosing lateral ankle ligament injuries: A comparative study with surgical findings and timings of scans.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2017 Jan 20;7:15-20. Epub 2016 Nov 20.

Department of Orthopaedic Surgery, National University Health System, Singapore.

Objective: This study aimed to evaluate the accuracy of magnetic resonance imaging (MRI) in diagnosing lateral ankle ligament injuries and the effect of differences in time duration from injury to MRI.

Methods: Data were collected prospectively from 82 patients who underwent MRI and lateral ligament reconstruction, and were divided into either acute (≤3 months) or chronic (>3 months) group based on injury interval. Findings were classified as normal, partial, or complete tears of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). Read More

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January 2017
3 Reads

Use of three-dimensional finite element models of the lateral ankle ligaments to evaluate three surgical techniques.

J Int Med Res 2018 Feb 12;46(2):699-709. Epub 2017 Sep 12.

1 Department of Orthopedics, Tumor Hospital Affiliated to Xinjiang Medical University, Xinshi, Urumqi, Xinjiang, PR China.

Objective To compare three surgical techniques for lateral ankle ligament reconstruction using finite element (FE) models. Methods A three-dimensional FE model of the left foot of a healthy volunteer and lateral collateral ligament injury models were developed. Three tendons [one-half of the autologous peroneus longus tendon (PLT), one-half of the peroneus brevis tendon (PBT), and an allogeneic tendon] were used for lateral collateral ligament reconstruction. Read More

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February 2018
3 Reads

Technique using the modified rolling hitch for split peroneus brevis tendon transfer in lateral ankle stabilization.

Foot Ankle Surg 2017 Dec 13;23(4):e35-e37. Epub 2017 Apr 13.

Department of Orthopaedics, Foot and Ankle, Chiayi Christian Hospital, Chiayi, Taiwan. Electronic address:

We report our technique for split peroneus brevis lateral ankle stabilization using the modified rolling hitch for tendon graft fixation. Applying the modified rolling hitch for tendon grasping in this procedure was useful, and it could decrease the surgical time and avoid the tendon injury caused by the needle. Read More

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December 2017
3 Reads

Morphological features of the anterior talofibular ligament by the number of fiber bundles.

Ann Anat 2018 Mar 28;216:69-74. Epub 2017 Nov 28.

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Shimami-cho 1398, Kita-ku, Niigata City, Niigata 950-3198, Japan.

The aims of this study have been to clarify differences in morphological features based on the number of fiber bundles in the anterior talofibular ligament (ATFL), and to investigate the relationship between the ATFL and the calcaneofibular ligament (CFL). This study used 81 legs from 43 cadavers. The ATFL was classified according to differences in the number of fiber bundles as: Type I, with one fiber bundle; Type II-a, with two fiber bundles that were incompletely separated; Type II-b, with two fiber bundles that were completely separated; and Type III, with three fiber bundles. Read More

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March 2018
5 Reads

Subtalar instability: imaging features of subtalar ligaments on 3D isotropic ankle MRI.

BMC Musculoskelet Disord 2017 Nov 21;18(1):475. Epub 2017 Nov 21.

Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 05030, South Korea.

Background: MRI analysis of subtalar ligaments in the tarsal sinus has not been well performed. We retrospectively investigated the appearance of subtalar ligaments using 3D isotropic MRI and compared imaging findings of subtalar ligaments between patients with subtalar instability (STI) and controls.

Methods: Preoperative MRIs of 23 STI patients treated with arthroscopic subtalar reconstruction were compared to MRIs of 23 age- and sex-matched control subjects without STI. Read More

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November 2017
7 Reads

Combined arthroscopic all-inside repair of lateral and medial ankle ligaments is an effective treatment for rotational ankle instability.

Knee Surg Sports Traumatol Arthrosc 2017 Oct 5. Epub 2017 Oct 5.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Purpose: When the anterior fascicle of the deltoid ligament is injured in patients with chronic ankle instability, the diagnosis of rotational ankle instability is supported. The aim of this study was to report the results of an all-arthroscopic technique to concomitantly repair the lateral collateral and deltoid ligaments to treat patients with rotational ankle instability.

Methods: Thirteen patients [12 men and 1 woman, median age 32 (15-54) years] with rotational ankle instability were treated by arthroscopic means after failing non-operative management. Read More

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October 2017
16 Reads

The effect of smoking on the outcomes of lateral ankle ligament reconstruction.

J Orthop Sci 2018 Jan 22;23(1):88-91. Epub 2017 Sep 22.

Department of Orthopedic Surgery, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, Republic of Korea. Electronic address:

Background: Although smoking is known to be harmful to the musculoskeletal system, no studies have investigated its effects on the outcomes of ankle ligament surgery. We determined the effects of smoking on the clinical and radiological outcomes of lateral ankle ligament reconstruction using tendon allografts according to smoking status.

Methods: From among 105 patients with chronic ankle instability who were treated with anatomical reconstruction of the anterior talofibular ligament and the calcaneofibular ligament using semitendinosus tendon allografts and bio-tenodesis screws, 70 ankles, from 23 smokers and 47 non-smokers, were analyzed. Read More

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January 2018

Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

Int Orthop 2017 11 25;41(11):2289-2295. Epub 2017 Aug 25.

University of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.

Purpose: Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surgery. Read More

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November 2017
28 Reads

Modified Broström Procedure Using Distal Fibular Periosteal Flap Augmentation vs Anatomic Reconstruction Using a Free Tendon Allograft in Patients Who Are Not Candidates for Standard Repair.

Foot Ankle Int 2017 Nov 24;38(11):1207-1214. Epub 2017 Aug 24.

1 Department of Orthopaedic Surgery, Inje University, Haeundae Paik Hospital, Busan, South Korea.

Background: The modified Broström procedure (MBP) is widely accepted as the primary operative treatment for chronic lateral ankle instability (CLAI). However, the MBP does not produce good clinical results in all patients, and anatomic reconstruction using a free tendon graft may be considered in those patients. The purpose of this study was to evaluate the efficacy of the MBP using distal fibular periosteal flap augmentation for CLAI in patients who were not candidates for standard repair. Read More

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November 2017
12 Reads

[MRI anatomy and injury of the lateral collateral ligaments of ankle].

Zhonghua Yi Xue Za Zhi 2017 Aug;97(29):2271-2274

Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China.

To explore the MRI features of the lateral collateral ligament injuries of the ankle and determine the value MRI in diagnosing the ligament injuries of the ankle. The study was reviewed and approved by an institutional review board of hospital. Retrospective analysised 10 healthy volunteers and 26 ankle injury cases underwent surgery since January 2013 to September 2016, the MR imaging findings of patients were compared with volunteers' and operative documents, to analysis the MRI feature of the ligament injuries of the ankle. Read More

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August 2017
9 Reads

The feasibility of point-of-care ankle ultrasound examination in patients with recurrent ankle sprain and chronic ankle instability: Comparison with magnetic resonance imaging.

Injury 2017 Oct 13;48(10):2323-2328. Epub 2017 Jul 13.

Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force, PO Box 335-21, 635 Danjae-ro, Namil-myeon, Cheongwon-gun, Chungcheongbuk-do 363-849, Republic of Korea. Electronic address:

Objective: To evaluate the feasibility of point-of-care ankle ultrasound compared with magnetic resonance imaging (MRI) for diagnosing major ligaments and Achilles tendon injuries in patients with recurrent ankle sprain and chronic instability, and to evaluate inter-observer reliability between an emergency physician and a musculoskeletal radiology fellow.

Material And Methods: A prospective cross-sectional study was conducted in an emergency department. Patients with recurrent ankle sprain and chronic instability were recruited. Read More

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October 2017
39 Reads

All Arthroscopic Remnant-Preserving Technique to Reconstruct the Lateral Ankle Ligament Complex.

Arthrosc Tech 2017 Jun 8;6(3):e549-e557. Epub 2017 May 8.

Orthopaedic Department, Nanjing Hospital, Nanjing Medical University, Nanjing, China.

Arthroscopic lateral ankle ligament reconstruction has been recently advocated. But this technique has not been popularized because of the technical complexity and potential iatrogenic injury. Because the talocalcaneal and calcaneofibular ligaments are extra-articular structures, how to efficiently view and address them is a difficult task. Read More

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June 2017
16 Reads

Biomechanical analysis of ankle ligamentous sprain injury cases from televised basketball games: Understanding when, how and why ligament failure occurs.

J Sci Med Sport 2017 Dec 25;20(12):1057-1061. Epub 2017 May 25.

Department of Bioengineering, Imperial College, United Kingdom. Electronic address:

Objectives: Ankle sprains due to landing on an opponent's foot are common in basketball. There is no analysis to date that provides a quantification of this injury mechanism. The aim of this study was to quantify the kinematics of this specific injury mechanism and relate this to lateral ankle ligament biomechanics. Read More

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December 2017
69 Reads

Magnetic Resonance Imaging and Stress Radiography in Chronic Lateral Ankle Instability.

Foot Ankle Int 2017 Jun 1;38(6):621-626. Epub 2017 Feb 1.

3 Department of Orthopedic Surgery, Myongji hospital, Gyeonggi-do, Republic of Korea.

Background: Studies regarding magnetic resonance imaging (MRI) findings of the lateral ankle ligaments in chronic lateral ankle instability and their clinical relevance for surgery are lacking. This study classified the lateral ankle ligament MRI findings of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) in chronic lateral ankle instability (CLAI) and correlated these findings with ankle stress radiographs.

Methods: We included 132 ankles with CLAI that underwent ligament reconstructions from 2006 to 2013. Read More

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June 2017
4 Reads

T -Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear.

J Magn Reson Imaging 2018 Jan 27;47(1):69-77. Epub 2017 Apr 27.

Department of Radiology, Huashan Hospital, Fudan University, Shanghai, P.R. China.

Purpose: To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T -mapping at 3.0T.

Materials And Methods: In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL+CFL tear, and 21 healthy subjects were recruited. Read More

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January 2018
14 Reads

Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 25;26(7):2095-2102. Epub 2017 Apr 25.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göthenburg, Sweden.

Purpose: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions.

Methods: A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. Read More

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July 2018
22 Reads
1 Citation
2.840 Impact Factor

Acute Ankle Sprain in a Mouse Model: Changes in Knee-Joint Space.

J Athl Train 2017 Jun 24;52(6):587-591. Epub 2017 Apr 24.

Department of Kinesiology, University of North Carolina at Charlotte.

Context:   Ankle sprains remain the most common orthopaedic injury. Conducting long-term studies in humans is difficult and costly, so the long-term consequences of an ankle sprain are not entirely known.

Objective:   To measure knee-joint space after a single surgically induced ankle sprain in mice. Read More

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June 2017
6 Reads

Allograft tendon reconstruction of the anterior talofibular ligament and calcaneofibular Ligament in the treatment of chronic ankle instability.

BMC Musculoskelet Disord 2017 04 8;18(1):150. Epub 2017 Apr 8.

Department of Joint and Sports Medicine, Affiliated Dongyang Hospital of Wenzhou Medical University, No 60, Wuning Xi Road, Dongyang, Zhejiang, People's Republic of China.

Background: The purpose was retrospectively to investigate functional and clinical outcomes after anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) reconstruction using a single allograft.

Methods: Patients with severe chronic lateral instability of the ankle underwent surgery after conservative treatment failed. Ultrasounds of the ankle were performed, and if the AFTL and CFL were completely torn without enough soft tissue for repair, the ligaments were reconstructed using allograft tendon. Read More

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April 2017
9 Reads

Effect of Direct Ligament Repair and Tenodesis Reconstruction on Simulated Subtalar Joint Instability.

Foot Ankle Int 2017 Mar 14;38(3):324-330. Epub 2016 Nov 14.

1 Department of Mechanical and Aerospace Engineering, Old Dominion University, Norfolk, VA, USA.

Background: Subtalar instability is associated with up to 80% of patients presenting with chronic ankle instability but is often not considered in the diagnosis or treatment. Operative procedures to repair ankle instability have shown good clinical results, but the effects of these reconstruction procedures on isolated subtalar instability are not well understood. The goal of this study was to investigate the effect of the Gould modification of the Broström procedure and a new tenodesis reconstruction procedure on ankle and subtalar joint kinematics after simulating a subtalar injury. Read More

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March 2017
9 Reads

3D isotropic T2-weighted fast spin echo (VISTA) versus 2D T2-weighted fast spin echo in evaluation of the calcaneofibular ligament in the oblique coronal plane.

Clin Radiol 2017 Feb 9;72(2):176.e1-176.e7. Epub 2016 Nov 9.

Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Aim: To investigate whether the image quality of three-dimensional (3D) volume isotropic fast spin echo acquisition (VISTA) magnetic resonance imaging (MRI) of the calcaneofibular ligament (CFL) view is comparable to that of 2D fast spin echo T2-weighted images (2D T2 FSE) for the evaluation of the CFL, and whether 3D VISTA can replace 2D T2 FSE for the evaluation of CFL injuries.

Materials And Methods: This retrospective study included 76 patients who underwent ankle MRI with CFL views of both 2D T2 FSE MRI and 3D VISTA. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of both techniques were measured. Read More

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February 2017
2 Reads

The report on the co-occurrence of two different rare anatomic variations of the plantaris muscle tendon on both sides of an individual.

Folia Morphol (Warsz) 2017 4;76(2):331-333. Epub 2016 Nov 4.

Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Poland, Poland.

The plantaris muscle usually begins with a short and small muscle belly on the popliteal surface of the femur and on the knee joint capsule. It continues distally to form a long and thin tendon typically fixed to the calcaneal tuberosity. However, the course and the insertion of the plantaris muscle is variable, which may influence the development of Achilles tendinopathy. Read More

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November 2016
2 Reads

Non-anatomical or direct anatomical repair of chronic lateral instability of the ankle: A systematic review of the literature after at least 10 years of follow-up.

Foot Ankle Surg 2018 Apr 5;24(2):80-85. Epub 2016 Nov 5.

Université F. Rabelais & C.H.R.U Tours, 1 Hôpital Trousseau, 37044 Tours Cedex 09, France. Electronic address:

Introduction: A lateral ankle sprain is one of the most frequent reasons for consultation at the emergency trauma unit. Numerous surgical procedures have been described with long-term outcomes that differ.

Hypothesis: The long-term results of anatomical repair of the anterior talofibular ligament (ATFL) and the calcaneofibular (CFL) ligament are better, with less secondary radiological osteoarthritis than non-anatomical repair. Read More

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April 2018
4 Reads

The in situ force in the calcaneofibular ligament and the contribution of this ligament to ankle joint stability.

Clin Biomech (Bristol, Avon) 2016 Dec 14;40:8-13. Epub 2016 Oct 14.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, South-1 West-16 Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.

Background: Numerous biomechanical studies of the lateral ankle ligaments have been reported; however, the isolated function of the calcaneofibular ligament has not been clarified. We hypothesize that the calcaneofibular ligament would stabilize the ankle joint complex under multidirectional loading, and that the in situ force in the calcaneofibular ligament would change in each flexed position.

Methods: Using seven fresh frozen cadaveric lower extremities, the motions and forces of the intact ankle under multidirectional loading were recorded using a 6-degree-of-freedom robotic system. Read More

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December 2016
8 Reads

Modified Arthroscopic Brostrom Procedure With Bone Tunnels.

Authors:
Tun Hing Lui

Arthrosc Tech 2016 Aug 25;5(4):e775-e780. Epub 2016 Jul 25.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

The open anatomic repair of the anterior talofibular and calcaneofibular ligaments (modified Brostrom procedure) is widely accepted as the standard surgical stabilization procedure for lateral ankle instability that does not respond to conservative measures. Arthroscopic Brostrom procedures with a suture anchor have been reported to achieve both anatomic repair of the lateral ankle ligaments and management of the associated intra-articular lesions. However, the complication rates are higher than open Brostom procedures. Read More

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August 2016
11 Reads