Anatomy and clinical significance of the lower end connection of adult tibia and fibula

JIANG Wen-hui DONG Yi-long ZHANG Cheng ZHANG Li-cheng* YANG Guo-jing 

Acta Anatomica Sinica ›› 2013, Vol. 44 ›› Issue (2) : 249-252.

Welcome to visit Acta Anatomica Sinica! Today is Chinese
Acta Anatomica Sinica ›› 2013, Vol. 44 ›› Issue (2) : 249-252. DOI: 10.3969/j.issn.0529-1356.2013.02.020

Anatomy and clinical significance of the lower end connection of adult tibia and fibula

  • JIANG Wen-hui  DONG Yi-long  ZHANG Cheng  ZHANG Li-cheng*  YANG Guo-jing 
Author information +
History +

Abstract

Objective To investigate the anatomy of the tibiofibular syndesmosis ligaments and to compared the characteristics of the ligament. Methods Thirty adult cadaveric legs were examined in this study. The average age of the cadavers was 61, ranged from 46 to 75 years. Using a layered dissection method, the following data were collected: the average length, width, thickness of anterior tibiofibular ligament, posterior tibiofibular ligament, transverse tibiofibular ligament and intersseous ligament,the angle between anterior tibiofibular ligament, posterior tibiofibular ligament and the horizontal plane,the angle between anterior tibiofibular ligament, posterior tibiofibular ligament and the midpoint of internal and external malleolus. Results The average length of the anterior tibiofibular ligament was (18.18±2.64) mm, width of (13.28±1.82) mm,thickness of (1.98±0.24) mm, and horizontal angle of (38±4) °, the angle with the midpoint of internal and external malleolus was (33±3)°. The average length of the posterior tibiofibular ligament was (16.12±2.40) mm,width of (11.58±1.98) mm,thickness of (2.52±0.32) mm,and horizontal angle of (31±5)°,the angle with the midpoint of internal and external malleolus was 29°±4°. The average length of the transverse tibiofibular ligament was (24.42±4.54) mm,width of (4.96±0.92) mm,thickness of (3.12±0.42) mm;the average length of intersseous ligament was (22.24±3.92) mm,width of (16.42±2.32) mm,thickness of (1.42±0.44) mm. Conclusion This study reveals the anatomical features of the tibiofibular syndesmosis and provides the anatomical basis for clinical application.

Key words

Tibiofibular syndesmosis / Teartment / Local anatomy / Adult

Cite this article

Download Citations
JIANG Wen-hui DONG Yi-long ZHANG Cheng ZHANG Li-cheng* YANG Guo-jing . Anatomy and clinical significance of the lower end connection of adult tibia and fibula[J]. Acta Anatomica Sinica. 2013, 44(2): 249-252 https://doi.org/10.3969/j.issn.0529-1356.2013.02.020

References

[1]    Hermans JJ, Beumer A, de Jong TA, et al. Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach[J]. J Anat, 2010, 217(6):633-645.

[2]    Zhang FH, Zheng HP. Clincal Anatomy of Foot Surgery[M]. Hefei: Anhui Science and Technology Publishing House,2003:213-214.(in Chinese)
张发惠,郑和平.足外科临床解剖学[M].合肥:安徽科学技术出版社, 2003:213-214. 
[3]    Bartonicek J. Anatomy of the tibiofibular syndesmosis and its clinical relevance[J]. Surg Radiol Anat, 2003,25(5-6):379-386.
[4]    Ebraheim NA, Taser F, Shafiq Q, et al. Anatomical evaluation and clinical importance of the tibiofibular syndesmosis ligament[J].Surg Radiol Aant, 2006,28(6):142-149.
[5]    Nikolopoulos CE, Tsirikos Ai, Sourmelis S, et al. The accessory anteroinferior tibiofibular ligament as a cause of talar impingement:a cadaveric study[J].Am J Sport Med, 2004,32(2):389-395. 
[6]    Liu ZJ, Li J, Meng Zh. Anatomic investigation of the complex body of tibiofibular syndesmosis[J]. Chinese Journal of Clinical Anatomy, 2011,29(2):362-366. (in Chinese)
刘增君,李军,孟臻.下胫腓联合稳定复合体的临床解剖学研究[J].中国临床解剖学杂志,2011,29(2):362-366. 
[7]    Snedden MH, Shea JP. Distasis with low distal fibula fracture[J].Clin Orthop,2001,(382):197-205.
[8]     Bava E, Charlton T, Thordarson D. Ankle fracture syndesmosis fixation and management:the current practice of orthopedic surgeons[J].Am J Orthop,2010,39(5):242-246.

Accesses

Citation

Detail

Sections
Recommended

/