Skip to main content

Advertisement

SpringerLink
Log in

The effect of differences in the number of fiber bundles of the anterior tibial ligament on ankle braking function: a simulation study

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The aim was to clarify the effect of differences in the number of fiber bundles of the anterior tibial ligament (ATFL) on ankle braking function.

Methods

The study sample included 81Japanese cadavers. ATFLs were categorized as: Type I with one fiber bundle; Type II with two fiber bundles that were completely separated; and Type III with three fiber bundles. Three-dimensional reconstructions of a single specimen from each category were then created. These were used to simulate and calculate ATFL strain during dorsiflexion (20°) and plantarflexion (30°) on the talocrural joint axis and inversion (20°) on the subtalar joint axis.

Results

Almost all types of superior fiber lines were stretched with dorsiflexion and plantarflexion. Regardless of Type, the inferior fiber line was shortened with plantarflexion and stretched with dorsiflexion. The inferior fiber bundle of Type III was shortened only at plantarflexion 30° and inversion 20°, but in all others it was stretched.

Conclusions

The results suggest that Type III was weaker than Type I and Type II in terms of ankle plantarflexion and inversion braking function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Bruckner J (1987) Variations in the human subtalar joint. J Orthop Sports Phys Ther 8:489–494

    Article  CAS  PubMed  Google Scholar 

  2. Bruns J, Rehder U (1993) [ligament kinematics of the ankle joint. An experimental study]. Z Orthop Ihre Grenzgeb 131:363–369

    Article  CAS  PubMed  Google Scholar 

  3. Burks RT, Morgan J (1994) Anatomy of the lateral ankle ligaments. Am J Sports Med 22:72–77

    Article  CAS  PubMed  Google Scholar 

  4. Clanton TO, Campbell KJ, Wilson KJ et al (2014) Qualitative and quantitative anatomic investigation of the lateral ankle ligaments for surgical reconstruction procedures. J Bone Joint Surg Am 96:e98

    Article  PubMed  Google Scholar 

  5. Edama M, Kageyama I, Kikumoto T et al (2017) The effects on calcaneofibular ligament function of differences in the angle of the calcaneofibular ligament with respect to the long axis of the fibula: a simulation study. J Foot Ankle Res 10:60

    Article  PubMed  PubMed Central  Google Scholar 

  6. Edama M, Kageyama I, Kikumoto T et al (2017) Morphological features of the anterior talofibular ligament by the number of fiber bundles. Ann Anat 216:69–74

    Article  PubMed  Google Scholar 

  7. Edama M, Kubo M, Onishi H et al (2015) The twisted structure of the human Achilles tendon. Scand J Med Sci Sports 25:e497–e503

    Article  CAS  PubMed  Google Scholar 

  8. Edama M, Kubo M, Onishi H et al (2016) Anatomical study of toe flexion by flexor hallucis longus. Ann Anat 204:80–85

    Article  PubMed  Google Scholar 

  9. Elftman H, Manter J (1935) The Evolution of the Human Foot, with Especial Reference to the Joints. J Anat 70:56–67

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Kirby KA (2001) Subtalar joint axis location and rotational equilibrium theory of foot function. J Am Podiatr Med Assoc 91:465–487

    Article  CAS  PubMed  Google Scholar 

  11. Kongsgaard M, Reitelseder S, Pedersen TG et al (2007) Region specific patellar tendon hypertrophy in humans following resistance training. Acta Physiol (Oxf) 191:111–121

    Article  CAS  Google Scholar 

  12. Leardini A, O’connor JJ, Catani F, Giannini S (2000) The role of the passive structures in the mobility and stability of the human ankle joint: a literature review. Foot Ankle Int 21:602–615

    Article  CAS  PubMed  Google Scholar 

  13. Matsui K, Takao M, Tochigi Y, Ozeki S, Glazebrook M (2017) Anatomy of anterior talofibular ligament and calcaneofibular ligament for minimally invasive surgery: a systematic review. Knee Surg Sports Traumatol Arthrosc 25:1892–1902

    Article  PubMed  Google Scholar 

  14. Milner CE, Soames RW (1997) Anatomical variations of the anterior talofibular ligament of the human ankle joint. J Anat 191(Pt 3):457–458

    Article  PubMed  PubMed Central  Google Scholar 

  15. Morris JM (1977) Biomechanics of the foot and ankle. Clin Orthop Relat Res 10–17

  16. Neuschwander TB, Indresano AA, Hughes TH, Smith BW (2013) Footprint of the lateral ligament complex of the ankle. Foot Ankle Int 34:582–586

    Article  PubMed  Google Scholar 

  17. Ozeki S, Kitaoka H, Uchiyama E et al (2006) Ankle ligament tensile forces at the end points of passive circumferential rotating motion of the ankle and subtalar joint complex. Foot Ankle Int 27:965–969

    Article  PubMed  Google Scholar 

  18. Piazza SJ (2005) Mechanics of the subtalar joint and its function during walking. Foot Ankle Clin 10:425–442, v

    Article  PubMed  Google Scholar 

  19. Siegler S, Toy J, Seale D, Pedowitz D (2014) The Clinical Biomechanics Award 2013 -- presented by the International Society of Biomechanics: new observations on the morphology of the talar dome and its relationship to ankle kinematics. Clin Biomech (Bristol Avon) 29:1–6

    Article  Google Scholar 

  20. Sitler M, Ryan J, Wheeler B et al (1994) The efficacy of a semirigid ankle stabilizer to reduce acute ankle injuries in basketball. A randomized clinical study at West Point. Am J Sports Med 22:454–461

    Article  CAS  PubMed  Google Scholar 

  21. Taser F, Shafiq Q, Ebraheim NA (2006) Anatomy of lateral ankle ligaments and their relationship to bony landmarks. Surg Radiol Anat 28:391–397

    Article  PubMed  Google Scholar 

  22. Ugurlu M, Bozkurt M, Demirkale I et al (2010) Anatomy of the lateral complex of the ankle joint in relation to peroneal tendons, distal fibula and talus: a cadaveric study. Eklem Hastalik Cerrahisi 21:153–158

    PubMed  Google Scholar 

  23. Van Den Bekerom MP, Oostra RJ, Golano P, Van Dijk CN (2008) The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat 21:619–626

    Article  PubMed  Google Scholar 

  24. Wenny R, Duscher D, Meytap E, Weninger P, Hirtler L (2015) Dimensions and attachments of the ankle ligaments: evaluation for ligament reconstruction. Anat Sci Int 90:161–171

    Article  PubMed  Google Scholar 

  25. Wiersma PH, Griffioen FMM (1992) Variations of three lateral ligaments of the ankle. A descriptive anatomical study. The Foot 2:218–224

    Article  Google Scholar 

  26. Woods C, Hawkins R, Hulse M, Hodson A (2003) The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37:233–238

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Yildiz S, Yalcin B (2013) The anterior talofibular and calcaneofibular ligaments: an anatomic study. Surg Radiol Anat 35:511–516

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge and thank those anonymous individuals who generously donated their bodies so that this study could be performed. This study was supported by a Research Activity Young B Grant (17K13072) from the Japan Society for the Promotion of Science (JSPS) and a Grant-in-Aid program from Niigata University of Health and Welfare (H30B05).

Funding

None.

Author information

Authors and Affiliations

  1. Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Shimami-cho 1398, kita-ku, Niigata, 950-3198, Japan

    Mutsuaki Edama, Tomoya Takabayashi, Takuma Inai, Takanori Kikumoto, Wataru Ito, Emi Nakamura, Ryo Hirabayashi, Masahiro Ikezu & Fumiya Kaneko

  2. Department of Anatomy, School of Life Dentistry at Niigata, Nippon Dental University, Niigata, Japan

    Mutsuaki Edama & Ikuo Kageyama

Authors
  1. Mutsuaki Edama
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tomoya Takabayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takuma Inai
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takanori Kikumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Wataru Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Emi Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ryo Hirabayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Masahiro Ikezu
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Fumiya Kaneko
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Ikuo Kageyama
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

ME and TT contributed to study design and data correction, and drafted the manuscript; TI and TK contributed to data analysis and made critical revisions to the manuscript; WI, EN, RH, MI and FK made critical revisions to the manuscript; IK supervised the study, contributed to analysis and interpretation of data, and made critical revisions to the manuscript. All authors read and approved the final manuscript prior to submission.

Corresponding author

Correspondence to Mutsuaki Edama.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The methods were carried out in accordance with the 1964 Declaration of Helsinki and the cadavers were legally donated for the research by the Nippon Dental University of Life Dentistry at Niigata in Japan.

Informed consent

Informed consent was obtained from the families of all subjects.

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Edama, M., Takabayashi, T., Inai, T. et al. The effect of differences in the number of fiber bundles of the anterior tibial ligament on ankle braking function: a simulation study. Surg Radiol Anat 41, 69–73 (2019). https://doi.org/10.1007/s00276-018-2133-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-018-2133-y

Keywords

Search

Navigation