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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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-12-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1367 |
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| author | Samir Ghandour Matthias Peiffer Bedri Karaismailoglu Soheil Ashkani-Esfahani Christopher P Miller |
| author_facet | Samir Ghandour Matthias Peiffer Bedri Karaismailoglu Soheil Ashkani-Esfahani Christopher P Miller |
| author_sort | Samir Ghandour |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2d0b4f55024c443abe28aec23af2e54e |
| institution | DOAJ |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-2d0b4f55024c443abe28aec23af2e54e2025-08-20T03:06:10ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052024-12-01121242710.5005/jp-journals-10040-13676Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric StudySamir Ghandour0Matthias Peiffer1Bedri Karaismailoglu2Soheil Ashkani-Esfahani3Christopher P Miller4Samir Ghandour, Department of Orthopedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA, Phone: +1 857 230 4195Department of Orthopedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA, MA, USA; Department of Orthopedics and Traumatology, Ghent University Hospital, Ghent, Belgium; Department of Human Structure and Repair, Ghent University, Ghent, BelgiumDepartment of Orthopedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA, USA; Department of Orthopedics and Traumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey; CAST (Cerrahpasa Research, Simulation and Design Laboratory), Istanbul University-Cerrahpasa, Istanbul, TurkeyDepartment of Orthopedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA, USADepartment of Orthopedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Carl J. Shapiro Department of Orthopedics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USAObjective: 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.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1367ankleankle injuryankle sprainankle stabilityatflcadaver modeldiagnosisinstabilityruptureultrasonography |
| spellingShingle | Samir Ghandour Matthias Peiffer Bedri Karaismailoglu Soheil Ashkani-Esfahani Christopher P Miller Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study Journal of Foot and Ankle Surgery (Asia Pacific) ankle ankle injury ankle sprain ankle stability atfl cadaver model diagnosis instability rupture ultrasonography |
| title | Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study |
| title_full | Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study |
| title_fullStr | Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study |
| title_full_unstemmed | Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study |
| title_short | Ultrasound Detection of Anterior Talofibular Ligament’s Superior Fascicle Ruptures: A Proof-of-Concept Cadaveric Study |
| title_sort | ultrasound detection of anterior talofibular ligament s superior fascicle ruptures a proof of concept cadaveric study |
| topic | ankle ankle injury ankle sprain ankle stability atfl cadaver model diagnosis instability rupture ultrasonography |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1367 |
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