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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2016

01-04-2016 | Ankle

Anatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay

Authors: M. Dalmau-Pastor, Y. Yasui, J. D. Calder, J. Karlsson, G. M. M. J. Kerkhoffs, J. G. Kennedy

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2016

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Abstract

The inferior extensor retinaculum (IER) is an aponeurotic structure, which is in continuation with the anterior part of the sural fascia. The IER has often been used to augment the reconstruction of the lateral ankle ligaments, for instance in the Broström–Gould procedure, with good outcomes reported. However, its anatomy has not been described in detail and only a few studies are available on this structure. The presence of a non-constant oblique supero-lateral band appears to be important. This structure defines whether the augmentation of the lateral ankle ligaments reconstruction is performed using true IER or only the anterior part of the sural fascia. It is concluded that the use of this structure will have an impact on the resulting ankle stability.
Literature
1.
go back to reference Behrens SB, Drakos M, Lee BJ, Paller D, Hoffman E, Koruprolu S, DiGiovanni CW (2013) Biomechanical analysis of Broström versus Broström-Gould lateral ankle instability repairs. Foot Ankle Int 34(4):587–592CrossRefPubMed Behrens SB, Drakos M, Lee BJ, Paller D, Hoffman E, Koruprolu S, DiGiovanni CW (2013) Biomechanical analysis of Broström versus Broström-Gould lateral ankle instability repairs. Foot Ankle Int 34(4):587–592CrossRefPubMed
2.
go back to reference Corte-Real NM, Moreira RM (2009) Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int 30:213–217CrossRefPubMed Corte-Real NM, Moreira RM (2009) Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int 30:213–217CrossRefPubMed
3.
go back to reference Cox JS (1985) Surgical and nonsurgical treatment of acute ankle sprains. Clin Orthop Relat Res 198:118–126PubMed Cox JS (1985) Surgical and nonsurgical treatment of acute ankle sprains. Clin Orthop Relat Res 198:118–126PubMed
4.
go back to reference Golanó P, Vega J, de Leeuw PA, Malagelada F, Manzanares MC, Götzens V, van Dijk CN (2010) Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc 18(5):557–569CrossRefPubMedPubMedCentral Golanó P, Vega J, de Leeuw PA, Malagelada F, Manzanares MC, Götzens V, van Dijk CN (2010) Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc 18(5):557–569CrossRefPubMedPubMedCentral
5.
go back to reference Golanó P, Vega J, Pérez-Carro L, Götzens V (2006) Ankle anatomy for the arthroscopist. Part II: role of the ankle ligaments in soft tissue impingement. Foot Ankle Clin 11(2):275–296 (v–vi. Review) CrossRefPubMed Golanó P, Vega J, Pérez-Carro L, Götzens V (2006) Ankle anatomy for the arthroscopist. Part II: role of the ankle ligaments in soft tissue impingement. Foot Ankle Clin 11(2):275–296 (v–vi. Review) CrossRefPubMed
6.
go back to reference Gould N, Seligson D, Gassman J (1980) Early and late repair of lateral ligament of the ankle. Foot Ankle 1:84–89CrossRefPubMed Gould N, Seligson D, Gassman J (1980) Early and late repair of lateral ligament of the ankle. Foot Ankle 1:84–89CrossRefPubMed
7.
go back to reference Hamilton WG, Thompson FM, Snow SW (1993) The modified Broström procedure for lateral ankle instability. Foot Ankle 14(1):1–7CrossRefPubMed Hamilton WG, Thompson FM, Snow SW (1993) The modified Broström procedure for lateral ankle instability. Foot Ankle 14(1):1–7CrossRefPubMed
8.
go back to reference Jeong BO, Kim MS, Song WJ, SooHoo NF (2014) Feasibility and outcome of inferior extensor retinaculum reinforcement in modified Broström procedures. Foot Ankle Int 35(11):1137–1142CrossRefPubMed Jeong BO, Kim MS, Song WJ, SooHoo NF (2014) Feasibility and outcome of inferior extensor retinaculum reinforcement in modified Broström procedures. Foot Ankle Int 35(11):1137–1142CrossRefPubMed
9.
go back to reference Karlsson J, Bergsten T, Lansinger O, Peterson L (1988) Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am 70(4):581–588PubMed Karlsson J, Bergsten T, Lansinger O, Peterson L (1988) Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am 70(4):581–588PubMed
10.
go back to reference Kim ES, Lee KT, Park JS, Lee YK (2011) Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics 34(4):273 Kim ES, Lee KT, Park JS, Lee YK (2011) Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics 34(4):273
11.
go back to reference Lee KT, Lee JI, Sung KS, Kim JY, Kim ES, Lee SH, Wang JH (2008) Biomechanical evaluation against calcaneofibular ligament repair in the Broström procedure: a cadaveric study. Knee Surg Sports Traumatol Arthrosc 16(8):781–786CrossRefPubMed Lee KT, Lee JI, Sung KS, Kim JY, Kim ES, Lee SH, Wang JH (2008) Biomechanical evaluation against calcaneofibular ligament repair in the Broström procedure: a cadaveric study. Knee Surg Sports Traumatol Arthrosc 16(8):781–786CrossRefPubMed
12.
go back to reference Lee KT, Park YU, Kim JS, Kim JB, Kim KC, Kang SK (2011) Long-term results after modified Broström procedure without calcaneofibular ligament reconstruction. Foot Ankle Int 32(2):153–157CrossRefPubMed Lee KT, Park YU, Kim JS, Kim JB, Kim KC, Kang SK (2011) Long-term results after modified Broström procedure without calcaneofibular ligament reconstruction. Foot Ankle Int 32(2):153–157CrossRefPubMed
13.
go back to reference Meyer P (1955) La morphologie du ligament annulaire anterieur du cou-de-pied chez l’homme. Comptes-Rendus Assoc Anat 84:286 Meyer P (1955) La morphologie du ligament annulaire anterieur du cou-de-pied chez l’homme. Comptes-Rendus Assoc Anat 84:286
14.
go back to reference Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N (2011) Arthroscopic-assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med 39(11):2381–2388CrossRefPubMed Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N (2011) Arthroscopic-assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med 39(11):2381–2388CrossRefPubMed
15.
go back to reference Prisk VR, Imhauser CW, O’Loughlin PF, Kennedy JG (2010) Lateral ligament repair and reconstruction restore neither contact mechanics of the ankle joint nor motion patterns of the hindfoot. J Bone Joint Surg Am 92(14):2375–2386CrossRefPubMedPubMedCentral Prisk VR, Imhauser CW, O’Loughlin PF, Kennedy JG (2010) Lateral ligament repair and reconstruction restore neither contact mechanics of the ankle joint nor motion patterns of the hindfoot. J Bone Joint Surg Am 92(14):2375–2386CrossRefPubMedPubMedCentral
16.
go back to reference Sarrafian SK (1983) Chapter 3: retaining systems and compartments. In: Sarrafian SK (ed) Anatomy of the foot and ankle. Descriptive, topographic, functional, 1st edn. J.B. Lippincott Co, Philadelphia Sarrafian SK (1983) Chapter 3: retaining systems and compartments. In: Sarrafian SK (ed) Anatomy of the foot and ankle. Descriptive, topographic, functional, 1st edn. J.B. Lippincott Co, Philadelphia
17.
go back to reference Scranton PE Jr, McDermott JE, Rogers JV (2000) The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int 21(8):657–664PubMed Scranton PE Jr, McDermott JE, Rogers JV (2000) The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int 21(8):657–664PubMed
18.
go back to reference Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, Calder JD, Karlsson J; Ankle Instability Group (2015) Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc [epub ahead of print] Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, Calder JD, Karlsson J; Ankle Instability Group (2015) Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc [epub ahead of print]
19.
go back to reference Tourné Y, Mabit C, Moroney PJ, Chaussard C, Saragaglia D (2012) Long-term follow-up of lateral reconstruction with extensor retinaculum flap for chronic ankle instability. Foot Ankle Int 33(12):1079–1086CrossRefPubMed Tourné Y, Mabit C, Moroney PJ, Chaussard C, Saragaglia D (2012) Long-term follow-up of lateral reconstruction with extensor retinaculum flap for chronic ankle instability. Foot Ankle Int 33(12):1079–1086CrossRefPubMed
20.
go back to reference Vega J, Golanó P, Pellegrino A, Rabat E, Peña F (2013) All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int 34(12):1701–1709CrossRefPubMed Vega J, Golanó P, Pellegrino A, Rabat E, Peña F (2013) All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int 34(12):1701–1709CrossRefPubMed
21.
go back to reference Weindel S, Schmidt R, Rammelt S, Claes L, v Campe A, Rein S (2010) Subtalar instability: a biomechanical cadaver study. Arch Orthop Trauma Surg 130(3):313–319CrossRefPubMed Weindel S, Schmidt R, Rammelt S, Claes L, v Campe A, Rein S (2010) Subtalar instability: a biomechanical cadaver study. Arch Orthop Trauma Surg 130(3):313–319CrossRefPubMed
Metadata
Title
Anatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay
Authors
M. Dalmau-Pastor
Y. Yasui
J. D. Calder
J. Karlsson
G. M. M. J. Kerkhoffs
J. G. Kennedy
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4082-5

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