Features of the macroscopic structure of the posterior inferior tibiofibular ligament based on anatomical study
1
The Clinic for Foot Pathologies and Complex Prosthetic Treatment, STATE INSTITUTION "INSTITUTE OF TRAUMATOLOGY AND ORTOPEDICS OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE", Ukraine
Submission date: 2023-11-18
Final revision date: 2024-05-03
Acceptance date: 2024-07-17
Publication date: 2024-11-03
Corresponding author
Ivan V. Kucher
The Clinic for Foot Pathologies and Complex Prosthetic Treatment, STATE INSTITUTION "INSTITUTE OF TRAUMATOLOGY AND ORTOPEDICS OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE", 27 Bulvarno-Kudriavska, 01601, Kyiv, Ukraine
The Clinic for Foot Pathologies and Complex Prosthetic Treatment, STATE INSTITUTION "INSTITUTE OF TRAUMATOLOGY AND ORTOPEDICS OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE", 27 Bulvarno-Kudriavska, 01601, Kyiv, Ukraine
Wiadomości Lekarskie 2024;77(9):1680-1685
KEYWORDS
ankle jointposterior malleolus fracturedistal tibiofibular syndesmosisposterior inferior tibiofibular ligamentanatomical study
TOPICS
ABSTRACT
Aim:
to study the anatomy of the posterior inferior tibiofibular ligament (PITFL) and specify the features of its morphology and linear parameters.
Material and methods:
The peculiarities of morphology and linear parameters of PITFL on 10 fresh amputated lower limbs were studied. The average age of the patients was 64.7 ± 9.3 (7 males, 3 females). Macroscopic characteristics, insertion, orientation in relation to the corresponding bony and ligamentous anatomical structures were studied, and linear parameters of PITFL were measured using a caliper. Average values were calculated.
Results:
PITFL was detected in all the studied samples. It represented a strong, compact anatomical structure of a trapezoidal or triangular shape. The proximal width of the PITFL averaged 20 ± 3.65 mm, while the distal width was 36.6 ± 4.62 mm. The attachment length of PITFL to the posterior part of the tibia was 28.6 ± 5.13 mm and to the fibula was 17.4 ± 3.2 mm. The ligament is closely connected to the posterior intermalleolar ligament, the inferior transverse ligament, and the tendinous sheaths of the posterior tibial and fibular muscles.
Conclusions:
The obtained results of the study of linear and morphological parameters of PITFL should contribute to a better understanding of the anatomy of the posterior part of the ankle joint and improve surgical approaches to the treatment of posterior malleolus fractures and related PITFL injuries.
to study the anatomy of the posterior inferior tibiofibular ligament (PITFL) and specify the features of its morphology and linear parameters.
Material and methods:
The peculiarities of morphology and linear parameters of PITFL on 10 fresh amputated lower limbs were studied. The average age of the patients was 64.7 ± 9.3 (7 males, 3 females). Macroscopic characteristics, insertion, orientation in relation to the corresponding bony and ligamentous anatomical structures were studied, and linear parameters of PITFL were measured using a caliper. Average values were calculated.
Results:
PITFL was detected in all the studied samples. It represented a strong, compact anatomical structure of a trapezoidal or triangular shape. The proximal width of the PITFL averaged 20 ± 3.65 mm, while the distal width was 36.6 ± 4.62 mm. The attachment length of PITFL to the posterior part of the tibia was 28.6 ± 5.13 mm and to the fibula was 17.4 ± 3.2 mm. The ligament is closely connected to the posterior intermalleolar ligament, the inferior transverse ligament, and the tendinous sheaths of the posterior tibial and fibular muscles.
Conclusions:
The obtained results of the study of linear and morphological parameters of PITFL should contribute to a better understanding of the anatomy of the posterior part of the ankle joint and improve surgical approaches to the treatment of posterior malleolus fractures and related PITFL injuries.
| eISSN: | 2719-342X |
| ISSN: | 0043-5147 |
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