Bassett F H, Gates H S, Billys J B, Morris H B, Nikolaou P K
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710.
J Bone Joint Surg Am. 1990 Jan;72(1):55-9.
Seven patients who had pain in the anterior aspect of the ankle were found to have a thickened distal fascicle of the anteroinferior tibiofibular ligament. Each patient had a history of an inversion sprain of the ankle followed by chronic pain in the anterior aspect of the ankle. The thickened distal fascicle was resected without loss of stability of the ankle. Five patients needed débridement of an area of abraded hyaline cartilage on the anterolateral aspect of the talus. Six patients were followed for a mean of thirty-nine months (range, twenty-four to fifty-nine months). Four of them had no pain in the ankle or limitation in activities, and two reported marked improvement, with only occasional pain in the ankle related to overuse. A separate distal fascicle of the anteroinferior tibiofibular ligament is present in most human ankles and can be a cause of talar impingement, abrasion of the articular cartilage, and pain in the anterior aspect of the ankle. Resection of this ligament usually will alleviate the pain caused by the impingement.
七名踝关节前侧疼痛的患者被发现胫腓前下韧带远端束增厚。每位患者都有踝关节内翻扭伤史，随后踝关节前侧出现慢性疼痛。切除增厚的远端束后，踝关节稳定性未受影响。五名患者需要对距骨前外侧磨损的透明软骨区域进行清创。六名患者平均随访39个月（范围为24至59个月）。其中四名患者踝关节无疼痛，活动无受限，两名患者报告有明显改善，仅在过度使用时偶尔出现踝关节疼痛。大多数人踝关节中存在独立的胫腓前下韧带远端束，它可能是距骨撞击、关节软骨磨损及踝关节前侧疼痛的原因。切除该韧带通常可缓解撞击引起的疼痛。
