ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
The calcaneofibular ligament has distinct anatomic morphological variants: an anatomical cadaveric study.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- Chronic ankle instability: a cadaveric anatomical and 3D high-resolution MRI study for surgical reconstruction procedures.Insights into imaging · 2024Article
- Lateral Ankle Ligaments: An Insight Into Their Functional Anatomy, Variations, and Surgical Importance.Cureus · 2024Article
- The ATFL inferior fascicle, the CFL and the PTFL have a continuous footprint at the medial side of the fibula.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Anatomical variations of the calcaneofibular ligament in human foetuses.Scientific reports · 2023Article
- Arthroscopic and Open Procedures Result in Similar Calcaneal Tunnels for Anatomical Reconstruction of Lateral Ankle Ligaments.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Role of the intrinsic subtalar ligaments in subtalar instability and consequences for clinical practice.Frontiers in bioengineering and biotechnology · 2023Review
- Deep learning-assisted classification of calcaneofibular ligament injuries in the ankle joint.Quantitative imaging in medicine and surgery · 2023Article
- Current Concepts on Subtalar Instability.Orthopaedic journal of sports medicine · 2021Review
- Connecting fibers between ATFL's inferior fascicle and CFL transmit tension between both ligaments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- A calcaneal tunnel for CFL reconstruction should be directed to the posterior inferior medial edge of the calcaneal tuberosity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Ankle arthroscopy: the wave that's coming.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
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Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to investigate if the calcaneofibular ligament (CFL) presents morphologic variants and measure the morphometrics of the ligament and its footprints
methodsAn anatomical study of 47 fresh-frozen below-the-knee ankle specimens was performed. Lateral ankle structures were dissected to expose the CFL. Overdissection was avoided to not modify the native morphology. The morphology (number and orientation of CFL bundles) and measurements of CFL insertions were recorded with ankle secured in neutral position.
resultsFour distinct morphological-oriented shapes of the CFL were observed. These included single bundle, Y-shape double bundle, V-shape double bundle, and associated with the lateral talocalcaneal ligament. The most frequent CFL morphology observed was the single bundle and the Y-shape double bundle, present in 21 (44.7%) and 13 (27.7%) ankles. The V-shape double bundle and the CFL double bundle associated with the lateral talocalcaneal ligaments were less common, appearing only in eight (17.0%) and five (10.6%) ankles. The CFL length was higher in single bundle and Y-shaped double bundle CFL variants, about 30 mm each. Footprint morphometrics were heterogenous amongst the different CFL variants.
conclusionThe CFL presents four distinct morphological-oriented shapes. The double bundle, V-shaped and Y-shaped CFL variants are uncommon and poorly reported in the literature. Their relation to the lateral talocalcaneal ligament and the inferior fascicle of the anterior talofibular ligament requires further research. The CFL morphology provides detailed knowledge of CFL anatomy that can improve diagnostic procedures. Furthermore, this information can fine-tune graft selection and sizing and allow a more precise anatomic placement during surgical reconstruction.
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