Purpose: The Brostrom-Gould procedure is currently the gold standard surgical choice for the treatment of chronic ankle instability; it can significantly improve ankle function and stability in patients. However, recent studies have reported doubts regarding the feasibility of the inferior extensor retinaculum (IER) after Brostrom-Gould and therapeutic effects compared with the Brostrom procedure. The purpose of the present study was to observe the anatomical characteristics of the lateral part of the IER using cadaveric bodies in order to guide the surgical operation of chronic ankle instability.
Methods: Twenty-three cadaveric ankles were dissected. The morphology of the IER and its internal structure was observed and recorded for each ankle. The shortest distance between the Stem ligament of the IER and the anterior fibular periosteum (AFP) was measured and recorded, then attempts were made to suture the Stem to the AFP.
Results: Twelve of the cadaveric ankles were observed as having an oblique superolateral band (OSLB) that had a tough texture upward of the lateral IER connecting with SL, as are the characteristics of the oblique superolateral band (OSLB) reported in previous studies. The inner and outer membrane of the OSLB were connected with inner and outer membrane of Stem. The average value of the distance between the Stem and AFP was 11.60 ± 2.71 mm, and the maximum and the minimum distance were 19.04 mm and 6.53 mm, respectively. The P -value (P = 0.2) resulting from a single sample K-S test confirmed that the distribution of distances conformed to normality. None of the SL in the study could be sutured to the AFP.
Conclusion: The OSLB of the IER has a tough texture and connects with the Stem, and has the potential be utilised in the Brostrom-Gould procedure. However, we do not recommend utilization of the Stem in this operation regardless of the distance between the AFP and the Stem. When the Stem cannot be used to enhance repair in this operation, other solutions can be used for strengthening and to protect the repaired ATFL.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8729066 | PMC |
| http://dx.doi.org/10.1186/s12891-021-04932-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Sternalis featuring tendomuscular fusion to the contralateral sternocleidomastoid: a cadaveric case report.
Surg Radiol Anat
December 2024
Temerty Faculty of Medicine, Department of Surgery, Division of Anatomy, 1 King's College Circle Medical Science Building, University of Toronto, Room 1185, Toronto, ON, M5S 1A8, Canada.
Purpose: To report the morphologic and spatial relationships of a bilateral sternalis muscle variant.
Methods: Routine cadaveric dissection in an undergraduate anatomy laboratory revealed two sternalis muscles parasternal to the sternal body. Subsequent fine prosection of the anterior thoracic wall and neck was carried out to uncover the soft tissue attachments of both sternalis muscles.
Combination of Superior and Superomedial Pedicle Techniques in Reduction Mammaplasty: A Modified Approach to Increase Upper Pole Fullness.
Aesthetic Plast Surg
October 2024
Plastic Reconstructive and Aesthetic Surgeon, Private Practice, Poyracık Sokak 47/5 Nişantaşı Şişli, İstanbul, Türkiye.
Objective: Creation of the upper pole fullness is one of the basic goals in reduction mammaplasty. The superior pedicle (S-P) technique brings extra tissue to the upper pole, but folding of a long pedicle can compromise circulation of the nipple-areola complex (NAC). Although the pedicle is not folded in superomedial pedicle (SM-P) technique, it has disadvantage of not bringing extra tissue to the upper pole.
View Article and Find Full Text PDFImproving the outcome of distally based anterolateral thigh flap reconstruction: New classification and surgical guidelines.
J Plast Reconstr Aesthet Surg
December 2023
Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address:
Background: The distally based anterolateral thigh (dALT) flap is associated with a high incidence of venous congestion. This study aimed to investigate factors associated with vascular compromise to improve the outcomes.
Methods: We retrospectively analyzed 41 dALT flap reconstructions performed between November 2010 and February 2023.
Topography of the frontal branch of the facial nerve and its clinical implication for temporal direct browplasty.
Sci Rep
August 2023
Department of Ophthalmology, Research Institute of Medical Science, Konkuk University Medical Center, Konkuk University School of Medicine, 120 Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea.
Article Synopsis
- Iatrogenic trauma to the frontal branch of the facial nerve during temporal direct browplasty can lead to brow paralysis, making it a significant surgical risk.
- This study involved dissecting 45 hemifaces from 32 embalmed Korean cadavers to better understand the path of the facial nerve near the brow area.
- The findings suggest that surgeons should adjust their dissection technique to remain more superficial, particularly around 3 cm superolaterally from the lateral canthus, to minimize the risk of nerve injury.
Morphologic and Morphometric Evaluation of Oblique Popliteal Ligament - A Clinico-Anatomical Study.
Maedica (Bucur)
September 2022
Professor, Department of Anatomy, Vardhman Mahavir Medical College and Safdarajung Hospital, New Delhi, India.
The oblique popliteal ligament (OPL), chief posterior support of the knee, is an extension of the semimembranosus (SM) tendon and runs superolaterally to the lateral femoral condyle. Due to variations and immense functional value of the OPL, the present study was undertaken to explore the OPL morphology and morphometry. Thirty cadaveric lower limbs were dissected to observe the OPL in the floor of the popliteal fossa, and its general shape, number of bands and extensions were noted.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!