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

01-04-2016 | Ankle

Anatomy of the ankle ligaments: a pictorial essay

Authors: Pau Golanó, Jordi Vega, Peter A. J. de Leeuw, Francesc Malagelada, M. Cristina Manzanares, Víctor Götzens, C. Niek van Dijk

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

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Abstract

Understanding the anatomy of the ankle ligaments is important for correct diagnosis and treatment. Ankle ligament injury is the most frequent cause of acute ankle pain. Chronic ankle pain often finds its cause in laxity of one of the ankle ligaments. In this pictorial essay, the ligaments around the ankle are grouped, depending on their anatomic orientation, and each of the ankle ligaments is discussed in detail.
Literature
1.
Akseki D, Pinar H, Bozkurt M et al (1999) The distal fascicle of the anterior inferior tibiofibular ligament as a cause of anterolateral ankle impingement. Results of arthroscopic resection. Acta Orthop Scand 70:478–482CrossRefPubMed
2.
Akseki D, Pinar H, Yaldiz K et al (2002) The anterior inferior tibiofibular ligament and talar impingement: a cadaveric study. Knee Surg Sports Traumatol Arthrosc 10:321–326CrossRefPubMed
3.
Anderson KJ, Lecoq JF (1954) Operative treatment of injury to the fibular collateral ligament of the ankle. J Bone Joint Surg Am 36:825–832PubMed
4.
Balduini FC, Tetzlaff J (1982) Historical perspectives on injuries of the ligaments of the ankle. Clin Sports Med 1:3–12PubMed
5.
Bartonícek J (2003) Anatomy of the tibiofibular syndesmosis and its clinical relevance. Surg Radiol Anat 25:379–386CrossRefPubMed
6.
Bassett FH III, Gates HS III, Billys JB et al (1990) Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am 72:55–59PubMed
7.
Boruta PM, Bishop JO, Braly WG et al (1990) Acute ankle ligament injuries; a literature review. Foot Ankle 11:107–113CrossRefPubMed
8.
Boss AP, Hintermann B (2002) Anatomical study of the medial ankle ligament complex. Foot Ankle Int 23:547–553PubMed
9.
Broström L (1966) Sprained ankles V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand 132:537–550PubMed
10.
Burks RT, Morgan J (1994) Anatomy of the lateral ankle ligaments. Am J Sport Med 22:72–77CrossRef
11.
Clanton TO, Paul P (2002) Syndesmosis injuries in athletes. Foot Ankle Clin N Am 7:529–549CrossRef
12.
Delfaut EM, Demondion X, Boutry N et al (2003) Multi-fasciculated anterior talo-fibular ligament: reassessment of normal findings. Eur Radiol 13:1836–1842CrossRefPubMed
13.
Ebraheim NA, Taser F, Shafiq Q et al (2006) Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligaments. Surg Radiol Anat 28:142–149CrossRefPubMed
14.
Ferkel RD (1994) Differential diagnosis of the chronic ankle sprain pain in the athlete. Sports Med Arthroscopy Rev 2:274–283
15.
Gerber JP, Williams GN, Scoville CR et al (1998) Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 19:653–660CrossRefPubMed
16.
Golanó P, Mariani PP, Rodríguez-Niedenfuhr M et al (2002) Arthroscopic anatomy of the posterior ankle ligaments. Arthroscopy 18:353–358CrossRefPubMed
17.
Hamilton WG, Gepper MJ, Thompson FM (1996) Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment. J Bone Joint Surg Am 78:1491–1500PubMed
18.
Hoefnagels EM, Waites MD, Wing ID et al (2007) Biomechanical comparison of the interosseous tibiofibular ligament and the anterior tibiofibular ligament. Foot Ankle Int 28:602–604CrossRefPubMed
19.
Horner G, Liu S (1996) Arthroscopic treatment of talar impingement by the accessory anteroinferior tibiofibular ligament. Arthroscopy 12:384
20.
Johnson EE, Markolf KL (1983) The contribution of the anterior talofibular ligament to ankle laxity. J Bone Joint Surg Am 65:81–88PubMed
21.
Kapanji IA (1982) Cuadernos de fisiología articular (Joint physiology). Cuaderno III. Barcelona:Masson, SA, pp 174–177
22.
Liu SH, Raskin A, Osti L et al (1994) Arthroscopic treatment of anterolateral ankle impingement. Arthroscopy 10:215–218CrossRefPubMed
23.
24.
Milner CE, Soames RW (1998) Anatomy of the collateral ligaments of the human ankle joint. Foot Ankle Int 19:757–760CrossRefPubMed
25.
Nikolopoulos CE (1982) Anterolateral instability of the ankle joint. An anatomical, experimental and clinical study. Thesis, University of Athenes, Athenes, Greece
26.
Nikolopoulus CE, Tsirikos AI, Sourmelis S et al (2004) The accessory anteroinferior tibiofibular ligament as a cause of talar impingement. A cadaveric study. J Sports Med 32:389–395CrossRef
27.
Oh CS, Won HS, Chung IH et al (2006) Anatomic variations and MRI of intermalleolar ligament. AJR 186:943–947CrossRefPubMed
28.
Pankovich AM, Shivaram MS (1979) Anatomical basis of variability in injuries of the medial malleolus and the deltoid ligament. I. Anatomical studies. Acta Orthop Scand 50:217–223CrossRefPubMed
29.
Paturet G (1951) Traité d’anatomie humaine (A treatise on human anatomy). París:Masson, pp 704–711
30.
Peace KAL, Hillier JC, Hulme A et al (2004) MRI features of posterior ankle impingement syndrome in ballet dances: a review of 25 cases. Clin Radiol 59:1025–1033CrossRefPubMed
31.
Rasmussen O, Tovborg-Jensen I, Boe S (1982) Distal tibiofibular ligaments, analysis of function. Acta Orthop Scand 53:681–686CrossRefPubMed
32.
Ray RG, Kriz BM (1991) Anterior inferior tibiofibular ligament. Variations and relationship to the talus. J Am Podiatr Med Assoc 81:479–485CrossRefPubMed
33.
Renstrom FH, Lynch SA (1999) Acute injuries of the ankle. Foot Ankle Clin 4:697–711
34.
Rosenberg ZS, Cheung YY, Beltran J et al (1995) Posterior intermalleolar ligament of the ankle: normal anatomy and MR imaging features. AJR 165:387–390CrossRefPubMed
35.
Ruth CJ (1961) The surgical treatment of injuries of the fibular collateral ligaments of the ankle. J Bone Joint Surg Am 43:233–236
36.
Sarrafian SK (1993) Anatomy of the foot and ankle. Descriptive, topographic, functional, 2nd edn. Lippincott, Philadelphia, pp 159–217
37.
Taylor DC, Englehardt DL, Bassett FH (1992) Syndesmosis sprains of the ankle. The influence of heterotopic ossification. Am J Sport Med 20:146–150CrossRef
38.
Testut L, Latarjet A (1985) Tratado de anatomía humana (A treatise on human anatomy). Barcelona:Salvat Editores, SA, pp 704–719
39.
Trouilloud P, Dia A, Grammont P et al (1988) Variations du ligament calcaneo-fibulaire. Aplications à la cinématique de la cheville (Variations in the calcaneofibular ligament. Applications to ankle kinetics). Bull Assoc Anat 72:31–35
40.
van den Bekerom MPJ, Oostra RJ, Golanó P et al (2008) The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat 21:619–626CrossRefPubMed
41.
van den Bekerom MPJ, Raven EEJ (2007) The distal fascicle of the anterior inferior tibiofibular ligament as a cause of tibiotalar impingement syndrome: a current concepts review. Knee Surg Sports Traumatol Arthosc 15:465–471CrossRef
42.
Verhagen RA, de Keizer G, van Dijk CN (1995) Long-term follow-up of inversion trauma of the ankle. Arch Orthop Trauma Surg 114:92–96CrossRefPubMed
43.
van Dijk CN (1994) On diagnostic strategies in patient with severe ankle sprain. Thesis, University of Amsterdam, The Netherlands
44.
van Dijk CN, Scholten PE, Krips R (2000) A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Technical note. Arthroscopy 16:871–876CrossRefPubMed
45.
van Dijk CN, de Leeuw PA, Scholten PE (2009) Hindfoot endoscopy for posterior ankle impingement. Surgical technique. J Bone Joint Surg Am 2:287–298
Metadata
Title
Anatomy of the ankle ligaments: a pictorial essay
Authors
Pau Golanó
Jordi Vega
Peter A. J. de Leeuw
Francesc Malagelada
M. Cristina Manzanares
Víctor Götzens
C. Niek van Dijk
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/s00167-016-4059-4

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