ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Connecting fibers between ATFL's inferior fascicle and CFL transmit tension between both ligaments.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 46 citations in OpenAlex.
- Arthroscopic Anterior Talofibular Ligament Repair Without Anchors for Chronic Lateral Ankle Instability.Arthroscopy techniques · 2026Article
- No Difference Between Open and Arthroscopic ATFL Repair, Both Yielding Clinically Significant Improvement in Chronic Ankle Instability: A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2026Article
- Development and validation of a novel approach for quantifying dimensions of the lateral ligaments in human ankle dissections.Journal of anatomy · 2026Article
- A novel classification system for avulsion fractures of the distal fibula based on arthroscopy-assisted measurement and significance to surgery and rehabilitation.Frontiers in medicine · 2026Article
- Morphological Characteristics of Lateral Ankle Ligament Injuries Associated With Recurrent Instability After Arthroscopic Repair for Chronic Ankle Instability: 3D Volume Rendering MRI Model Analysis.Orthopaedic journal of sports medicine · 2025Article
- Differences in ankle stabilizing function between the upper and lower fiber bundles of the anterior talofibular ligament: an anatomical study.Scientific reports · 2025Article
- Anatomical analysis of the lateral ligament complex in the neutral position and during plantar flexion.BMC musculoskeletal disorders · 2025Article
- All-inside arthroscopic repair of ATFL and CFL separately for chronic lateral ankle instability in conjunction with subtalar instability.Journal of orthopaedic surgery and research · 2025Article
- Challenges and complications in arthroscopic ankle ligament repair: Current concepts.Journal of clinical orthopaedics and trauma · 2025Article
- The impact of lateral ankle ligament injuries on ankle stability and talar cartilage stress: a finite element analysis of combined injury mechanisms.Frontiers in bioengineering and biotechnology · 2025Article
- Comparison of Suture Anchor Repair and Suture Tape Augmentation for Reconstruction of the Anterior Talofibular Ligament: A Biomechanical Study.Orthopaedic surgery · 2025Article
- The calcaneofibular ligament groove at the inferior fibula, an ultrasonographic anatomical landmark.Surgical and radiologic anatomy : SRA · 2024Article
- Clinical outcomes of arthroscopic all-inside anterior talofibular ligament suture augmentation repair versus modified suture augmentation repair for chronic ankle instability patients.BMC musculoskeletal disorders · 2024Article
- Chronic lateral ankle ligament instability - Current evidence and recent management advances.Journal of clinical orthopaedics and trauma · 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
- Ability to return to sports after early lateral ligament repair of the ankle in 147 elite athletes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The lowest point of fibula (LPF) could be used as a reliable bony landmark for arthroscopic anchor placement of lateral ankle ligaments ----compared with open Broström procedure.BMC musculoskeletal disorders · 2023Article
- Comparison of balance and function in the long term after all arthroscopic ATFL repair surgery.Archives of orthopaedic and trauma surgery · 2023Article
- Individual fascicles of the ankle lateral ligaments and the lateral fibulotalocalcaneal ligament complex can be identified on 3D volumetric MRI.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The lasso-loop technique is equivalent to the simple suture technique in arthroscopic anterior talofibular ligament repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe lateral ligament complex of the ankle has been extensively studied. Recently an anatomical study described a connection between anterior talofibular ligament inferior fascicle (ATFLif) and calcaneofibular ligament (CFL). The applicability and the mechanical role of these connections have not yet been studied and need to be clarified. The purpose of this study is to evaluate the connection between ATFLif and CFL through a dynamic measurement analysis.
methodsAn anatomical study was performed in 13 fresh-frozen below-the-knee ankle specimens. Each specimen was dissected in a protocolized manner until the lateral ligaments were exposed. A complete injury to both ATFL's fascicles was created in the proximal third of the ligament. A displacement transducer specifically design was inserted in the CFL and in the lateral part of the calcaneus to test its lengthening. A traction of 1 kg weight (9.8 N) was applied to ATFLif while the transducer measured the lengthening that this force created in the CFL.
resultsA total of 13 ankle specimens were carefully dissected. One specimen with signals of a prior traumatic injury of the ATFLif was excluded. A total of 12 specimens were included, 7 females and 5 males with an average age of 74 years (52-88 years). The right ankle was dissected in 6 specimens. ATFL was identified as a two-fascicled ligament in all cases. The fibers connecting the ATFLif and CFL were observed in all specimens. The displacement transducer showed lengthening in the CFL in all measurements with a median of 0.59 mm (SD ± 0.34).
conclusionConnecting fibers between ATFLif and CFL are robust enough to transmit tension from one structure to the other. In the case of associated proximal lesions of the ATFLif and CFL, ligaments repair with a single suture may be considered. This can be applied in surgical procedures in patients with lateral ankle instability.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.