Boss Andreas Peter, Hintermann Beat
Orthopedic University Clinics Basel, Dept of Orthopedics and Traumatology, Kantonsspital, Switzerland.
Foot Ankle Int. 2002 Jun;23(6):547-53. doi: 10.1177/107110070202300612.
The purpose of this in vitro study was to determine insertion area, length and thickness of the various bundles and their anatomical relationship with inter-individual differences. Twelve ankles from human cadavers (ages 56 to 95 years, from nine men and three women) were dissected to the capsuloligamentous structures. Marked inter-individual differences were found for the five main ligaments (tibiospring, tibiocalcaneal, posterior and anterior deep tibiotalar and superficial posterior tibiotalar). The tibionavicular ligament is a thickened fibrous layer of the ankle capsule. The tibiocalcaneal and tibiospring ligaments are the longest, and the tibiocalcaneal and posterior deep tibiotalar ligaments are the thickest of these ligaments. Fibrils run in the direction of the tibia or dorsally. Knowledge of the deltoid ligament complex is necessary for anatomically and biomechanically correct reconstruction that provides stability without hazard to biomechanics of function.
本体外研究的目的是确定各种束带的插入区域、长度和厚度，以及它们与个体差异的解剖学关系。对12具人类尸体（年龄56至95岁，9名男性和3名女性）的踝关节进行解剖，直至关节囊韧带结构。发现五条主要韧带（胫舟韧带、胫跟韧带、胫距后深韧带、胫距前深韧带和胫距后浅韧带）存在明显的个体差异。胫舟韧带是踝关节囊增厚的纤维层。胫跟韧带和胫舟韧带最长，胫跟韧带和胫距后深韧带最厚。纤维沿胫骨方向或背侧走行。了解三角韧带复合体对于进行解剖学和生物力学上正确的重建是必要的，这种重建可提供稳定性，而不会对功能的生物力学造成危害。
