Burks R T, Morgan J
Division of Orthopaedic Surgery, University of Utah, Salt Lake City 84132.
Am J Sports Med. 1994 Jan-Feb;22(1):72-7. doi: 10.1177/036354659402200113.
The anatomy of the lateral ankle ligaments that is frequently described in articles and book chapters often lacks the precision of orientation and attachment points. We believe a knowledge of this precise anatomy is important to better reconstruct or repair lateral ligaments. We dissected cadaveric ankles free of skin and soft tissue and made the following measurements: areas of attachments of the anterior talofibular ligament, length and width of the anterior talofibular ligament, and locations of the attachments on the fibula and talus. The same measurements were made of the calcaneofibular and posterior talofibular ligaments. The distance of the calcaneofibular calcaneal attachments from the subtalar joint as well as the angle in the sagittal plane with the fibula was determined. We then used these anatomic attachments of the ligaments to make comparisons with the Watson-Jones and modified Elmslie reconstructions. Our results enable us to suggest a more anatomic placement for ligaments in a reconstruction.
文章和书籍章节中经常描述的外侧踝关节韧带的解剖结构，往往缺乏方位和附着点的精确性。我们认为，了解这种精确的解剖结构对于更好地重建或修复外侧韧带很重要。我们解剖了去除皮肤和软组织的尸体踝关节，并进行了以下测量：距腓前韧带的附着面积、距腓前韧带的长度和宽度，以及在腓骨和距骨上的附着位置与之相同也对跟腓韧带和距腓后韧带进行了测量。确定了跟腓韧带在跟骨上的附着点距距下关节的距离以及与腓骨在矢状面的夹角。然后，我们利用这些韧带的解剖附着点，与沃森-琼斯（Watson-Jones）和改良埃尔姆斯利（modified Elmslie）重建术进行比较。我们的结果使我们能够为重建术中韧带的放置提出更符合解剖学的方案。
