Shibata Y, Nishi G, Masegi A, Sekiya I
Nihon Seikeigeka Gakkai Zasshi. 1986 Jun;60(6):611-22.
Many authors have discussed on the instability of the ankle joint. We have therefore investigated the variety, courses and the functions of the lateral collateral ligament by dissecting 16 freshly amputated limbs. It was composed of 4 ligaments, i.e., the anterior talofibular, the posterior talofibular, the calcaneofibular and the lateral talocalcaneal ligaments. These ligaments have various courses and influence the stability of the ankle joint in various manners. Transection of the anterior talofibular ligament alone caused inversion and forward instability, and transection of calcaneofibular ligament alone caused adduction instability of the ankle and subtalar joint, but posterior talofibular and the lateral talocalcaneal ligament and other ligaments, however, played an important role in the stability of the ankle joint, so that injuries of the anterior talofibular ligament or the calcaneofibular ligament caused varying degrees of instability in this joint.
To evaluate this injury the following methods of taking X-ray pictures are indispensable, namely, stress inversion, stress anterior drawer, and stress adduction radiography.
许多作者都讨论过踝关节的不稳定性。因此，我们通过解剖16只新鲜截肢的肢体，研究了外侧副韧带的种类、走行及功能。它由4条韧带组成，即距腓前韧带、距腓后韧带、跟腓韧带和外侧距跟韧带。这些韧带走行各异，以不同方式影响踝关节的稳定性。单独切断距腓前韧带会导致内翻和向前不稳定，单独切断跟腓韧带会导致踝关节和距下关节内收不稳定，但距腓后韧带和外侧距跟韧带以及其他韧带在踝关节稳定性中起重要作用，因此距腓前韧带或跟腓韧带损伤会导致该关节不同程度的不稳定。
为评估这种损伤，以下X线摄片方法必不可少，即应力内翻、应力前抽屉和应力内收摄片。
