LATERAL TALOCALCANEAL INSTABILITY FOLLOWING SECTION OF THE CALCANEOFIBULAR LIGAMENT - A KINESIOLOGICAL STUDY

被引:57
作者
KJAERSGAARDANDERSEN, P
WETHELUND, JO
NIELSEN, S
机构
[1] University of Aarhus, Aarhus
来源
FOOT & ANKLE | 1987年 / 7卷 / 06期
关键词
D O I
10.1177/107110078700700612
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In the evaluation of the role of the calcaneofibular ligament in stabilizing the talocalcaneal joint, an experimental set-up was prepared. In 10 osteoligamentous specimens, the talocalcaneal motion was measured under a constant well defined moment by using a specially constructed apparatus. By using a moment of 1.5 Nm, increment in adduction in the talocalcaneal joint after section of the calcaneofibular ligament was found between 3.1° and 4.6°, still increasing with dorsiflexion. This increment, shown to constitute 61 to 77% of the total increment in adduction in the hindfoot after section of the calcaneofibular ligament, was found to increase gradually with dorsiflexion. The study has shown the calcaneofibular ligament as an important structure in stabilizing the talocalcaneal joint. Increment in adduction in the hindfoot after section of the calcaneofibular ligament was shown primarily to take place in the talocalcaneal joint. © 1987, American Orthopaedic Foot & Ankle Society. All rights reserved.
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页码:355 / 361
页数:7
相关论文
共 13 条
[1]
Brantigan J.W., Pedegana L.R., Lippert F.G., Instability of the subtalar joint. Diagnosis by stress tomography in three cases, J. Bone Joint Surg., 59A, pp. 321-324, (1977)
[2]
Cass J.R., Morrey B.F., Chao E.Y.S., Three-dimensional kinematics of ankle instability following serial sectioning of lateral collateral ligaments, Foot Ankle, 5, pp. 142-149, (1984)
[3]
Dias L.S., The lateral ankle sprain: An experimental study, J. Trauma, 19, pp. 266-269, (1979)
[4]
Francillon M.R., Distorsio pedis with an isolated lesion of the ligamentum calcaneo-fibulare, Acta Orthop. Scand., 32, pp. 469-475, (1962)
[5]
Kleiger B., Ahmed M., Injuries of the talus and its joints, Clin. Orthop., 121, pp. 243-262, (1976)
[6]
Laurin C.A., Ouellet R., St Jacques R., Talar and subtalar tilt: An experimental investigation, Can. J. Surg., 11, pp. 270-279, (1968)
[7]
Nielsen S., Hvid I., Andersen K., Experimental measurement of rotatory and translatory instability of the knee joint, Eng. Med., 14, pp. 123-126, (1985)
[8]
Rasmussen O., Stability of the ankle joint. Analysis of the function and traumatology of the ankle ligaments, Acta Orthop. Scand., 56, (1985)
[9]
Shereff M.J., Johnson K.A., Radiographic anatomy of the hindfoot, Clin. Orthop., 177, pp. 16-22, (1983)
[10]
Swinscow T.D.V., The t tests, Statistics at Square One, pp. 38-42, (1981)