Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study
Objective: To identify ultrasonographic manifestations of isolated superior anterior talofibular ligament (sf-ATFL) injury. Methods: A cadaveric experiment was conducted on a fresh–frozen specimen, during which the superior fascicle was visualized using an open anterior ankle approach, and a stainle...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2024-12-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
| Subjects: | |
| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1367 |
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| Summary: | Objective: To identify ultrasonographic manifestations of isolated superior anterior talofibular ligament (sf-ATFL) injury.
Methods: A cadaveric experiment was conducted on a fresh–frozen specimen, during which the superior fascicle was visualized using an open anterior ankle approach, and a stainless-steel clip was applied near its fibular insertion. First, a portable ultrasound examination was performed to reveal normal sonographic features of the sf-ATFL. The ligament was then detached from its fibular insertion, and ultrasound examination was repeated to observe the sonographic signs of sf-ATFL rupture.
Results: The sectioned superior fascicle was observed on ultrasound as slack and discontinuous with its fibular insertion.
Conclusion: This proof-of-concept study confirms that portable ultrasound can detect a fibular detachment of the sf-ATFL. In clinical practice, the use of portable ultrasound may enable surgeons to diagnose and promptly manage ankle micro-instability. |
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| ISSN: | 2348-280X 2394-7705 |