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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 6/2019

01-06-2019 | Ankle Ligament Injury | Original Article

Relationships between differences in the number of fiber bundles of the anterior talofibular ligament and differences in the angle of the calcaneofibular ligament and their effects on ankle-braking function

Authors: Mutsuaki Edama, Tomoya Takabayashi, Takuma Inai, Takanori Kikumoto, Wataru Ito, Emi Nakamura, Ryo Hirabayashi, Masahiro Ikezu, Fumiya Kaneko, Ikuo Kageyama

Published in: Surgical and Radiologic Anatomy | Issue 6/2019

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Abstract

Purpose

The aim was to clarify the relationships between differences in the number of fiber bundles of the anterior talofibular ligament (ATFL) and differences in the angle of the calcaneofibular ligament (CFL) with respect to the long axis of the fibula and their effects on ankle braking function.

Methods

The study sample included 110 Japanese cadavers. ATFLs were categorized as: Type I with one fiber bundle; Type II with two fiber bundles with incomplete separation and complete separation; and Type III with three fiber bundles. The CFLs were categorized according to the angles of the CFLs with respect to the long axis of the fibula and the number of fiber bundles. Six categories were established: CFL10° (angle of the CFL with respect to the long axis of the fibula from 10° to 19°); CFL20° (range 20°–29°); CFL30° (range 30°–39°); CFL40° (range 40°–49°); CFL50° (range 50°–59°); and CFL2 (CFLs with two crossing fiber bundles).

Results

ATFL was Type I in 34 legs (31%), Type II in 66 legs (60%), and Type III in 10 legs (9%). Five CFL categories were identified: CFL10° in 4 feet (3.7%); CFL20° in 23 feet (20.9%); CFL30° in 34 feet (30.9%); CFL40° in 33 feet (30%); CFL50° in 15 feet (13.6%); and CFL2 in one foot (0.9%). Type III contained mainly CFL40° and CFL50° (7 of 10 feet).

Conclusions

ATFL and CFL appear to cooperate in the ankle joint braking function.
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Metadata
Title
Relationships between differences in the number of fiber bundles of the anterior talofibular ligament and differences in the angle of the calcaneofibular ligament and their effects on ankle-braking function
Authors
Mutsuaki Edama
Tomoya Takabayashi
Takuma Inai
Takanori Kikumoto
Wataru Ito
Emi Nakamura
Ryo Hirabayashi
Masahiro Ikezu
Fumiya Kaneko
Ikuo Kageyama
Publication date
01-06-2019
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 6/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-019-02239-2

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