ArticleSurgical and radiologic anatomy : SRA2022
Relationship between inferior fascicle of anterior talofibular ligament and articular capsule in lateral ankle ligament complex.
Article in Surgical and radiologic anatomy : SRA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- All-Inside Arthroscopic Lateral Capsular Shift for Chronic Lateral Ankle Instability With Poor Ligament Remnants: A Retrospective Comparative Study With the Arthroscopic Modified Bröstrom Procedure.Orthopaedic journal of sports medicine · 2026Article
- Differences in ankle stabilizing function between the upper and lower fiber bundles of the anterior talofibular ligament: an anatomical study.Scientific reports · 2025Article
- Role of Ultrasound in Evaluating Ligament Injuries Around the Ankle: A Narrative Review.Diagnostics (Basel, Switzerland) · 2025Review
- Loosening of the anterolateral capsule affects the stability after arthroscopic lateral ankle ligament repair of chronic ankle instability.Archives of orthopaedic and trauma surgery · 2024Article
- The increased anterior talofibular ligament-posterior talofibular ligament angle on MRI may help evaluate chronic ankle instability.Surgical and radiologic anatomy : SRA · 2023Article
- Anatomical study of the bone morphology of the anterior talofibular ligament attachment.Anatomy & cell biology · 2023Article
- Lateral malleolar crest and its clinical importance.Surgical and radiologic anatomy : SRA · 2023Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe lateral ankle ligament complex (LALC) is composed of anterior talofibular (ATFL), calcaneofibular (CFL), and posterior talofibular (PTFL) ligaments, all of which have a connection/continuous fiber. However, the structural link between the LALC and the articular capsule remains unknown. The goal of our study was to determine the connection between ATFL's inferior fascicle and the articular capsule.
methodsIn this study, we utilized 84 formalin-fixed ankles to elucidate the structure of LALC. Between ATFL and CFL, the bundle number of ATFL and arciform fiber was investigated. The specimens were decalcified and sectioned coronally using a freezing microtome, in the case of double bundles of ATFL, to study the connection between the inferior fascicle of ATFL and the articular capsule.
resultsATFL had a single (25%), double (74%), and triple (1%) bundle number, respectively. The arciform fiber connecting the ATFL and the CFL was found in the superficial layer of all ankles (100%). There were two types of relationships between the inferior fascicle of ATFL and the articular capsule: 36 ankles (58%) were extracapsular, and 26 of 62 ankles (42%) were integrated with the inferior-lateral articular capsule. There are two kinds of relationships between the inferior fascicle of the ATFL and the articular capsule: extracapsular and integrated-capsular.
conclusionsThe inferior fascicle of ATFL has a variant and integrated-capsular type is reinforced inferior-lateral articular capsule and enters the joint to form continuous fibers with PTFL, making LALC. These anatomical findings are helpful in ultrasonography diagnosis and arthroscopic ankle surgery.
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