Milner C E, Soames R W
Department of Human Biology, University of Leeds, United Kingdom.
Foot Ankle Int. 1998 Nov;19(11):757-60. doi: 10.1177/107110079801901109.
Damage to the collateral ligaments of the ankle is relatively common, particularly the lateral ligaments; therefore, it is important to be aware of the detailed anatomy and frequency of variation of the individual ligaments. Only two reports of collateral ligaments dimensions were found in the literature, neither of which considers all of the individual components of the collateral ligament complex. Osteoligamentous preparations of the collateral ligaments of 40 ankles from 20 cadavers of European Caucasian origin were studied, from which mean values for the length and width of the individual components were determined, together with their frequency of occurrence. For the collateral ligaments of the ankle as a whole, the ligamentous dimensions determined in this study are similar to those reported previously. The data presented in this study are, therefore, a valuable addition to the small pool of data that exists concerning the dimensions of the collateral ligaments of the human ankle joint. These data may be of value when considering surgical repair or reconstruction of traumatized collateral ligaments, especially because any undue foreshortening of the ligaments may reduce the range of motion possible at either the ankle or subtalar joints, or both. It is possible that in extreme cases, such a reduction in the range of motion may modify gait patterns and the transmission of stresses across the joints of the foot and lower limb.
踝关节侧副韧带损伤相对常见，尤其是外侧韧带；因此，了解各韧带的详细解剖结构和变异频率很重要。文献中仅发现两篇关于侧副韧带尺寸的报告，但均未考虑侧副韧带复合体的所有单独组成部分。对来自20具欧洲白种人尸体的40个踝关节的侧副韧带进行了骨韧带标本研究，确定了各组成部分的长度和宽度的平均值及其出现频率。就整个踝关节的侧副韧带而言，本研究确定的韧带尺寸与先前报告的相似。因此，本研究提供的数据是对现有少量关于人类踝关节侧副韧带尺寸数据的宝贵补充。在考虑对外伤性侧副韧带进行手术修复或重建时，这些数据可能具有价值，特别是因为韧带的任何过度缩短都可能减少踝关节或距下关节或两者可能的活动范围。在极端情况下，这种活动范围的减少可能会改变步态模式以及应力在足部和下肢关节之间的传递。
