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Anatomy of the Ankle Joint and Hindfoot

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Abstract

The ankle is a highly congruent synovial, hinge-type joint, in which the talus fits perfectly into the mortise formed by the tibial plateau, and the tibial and fibular malleoli. This anatomical conformation allows movement through only one axis, the bimalleolar axis, through which dorsiflexion and plantarflexion movements are produced. Normal values of the range of motion are 13–33° for dorsiflexion and 23–56° for plantarflexion [1].

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References

  1. Golanó P, Dalmau-Pastor M, Vega J, et al. Anatomy of the ankle. In: d’Hooghe PPRN, Kerkhoffs GMMJ, editors. The ankle in football, sports and traumatology. Heidelberg: Springer; 2014. p. 1–24.

    Google Scholar 

  2. Oliva XM, Rios JM, Guelfi M. Arthroscopy of subtalar joint. In: Randelli P, et al., editors. Arthroscopy: basic to advanced. Heidelberg: Springer; 2016. p. 1079–87.

    Chapter  Google Scholar 

  3. Kapanji IA. Cuadernos de fisiología articular. Masson, S.A., Barcelona: Cuaderno III; 1982. [in Spanish].

    Google Scholar 

  4. Michelson JD, Helgemo SL Jr. Kinematics of the axially loaded ankle. Foot Ankle Int. 1995;16:577–82.

    Article  CAS  Google Scholar 

  5. Espinosa N, Smerek JP, Myerson MS. Acute and chronic syndesmosis injuries: pathomechanisms, diagnosis and management. Foot Ankle Clin. 2006;11:639–57.

    Article  Google Scholar 

  6. Tol JL, Van Dijk CN. Etiology of the anterior ankle impingement syndrome: a descriptive anatomical study. Foot Ankle Int. 2004;25:382–6.

    Article  Google Scholar 

  7. Golanó P, Vega J, Pérez-Carro L, et al. Ankle anatomy for the arthroscopist. Part I: the portals. Foot Ankle Clin. 2006;11:253–73.

    Article  Google Scholar 

  8. Sarrafian SK. Anatomy of the foot and ankle. Descriptive, topographic, functional. 2nd ed. Philadelphia: Lippincott; 1993. p. 159–217.

    Google Scholar 

  9. Niek van Dijk C. Ankle arthroscopy. Heidelberg: Springer; 2014.

    Book  Google Scholar 

  10. van den Bekerom MPJ, Raven EEJ. The distal fascicle of the anterior inferior tibiofibular ligament as a cause of tibiotalar impingement syndrome: a current concepts review. Knee Surg Sports Traumatol Arthosc. 2007;15:465–71.

    Article  Google Scholar 

  11. Vega J, Peña F, Golanó P. Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain. Knee Surg Sports Traumatol Arthrosc. 2016;24:1116–24.

    Article  Google Scholar 

  12. Golanó P, Vega J, de Leeuw PAJ, et al. Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):557–69.

    Article  Google Scholar 

  13. Golanó P, Mariani PP, Rodríguez-Niedenfuhr M. Arthroscopic anatomy of the posterior ankle ligaments. Arthroscopy. 2002;18(4):353–8.

    Article  Google Scholar 

  14. Taylor DC, Englehardt DL, Bassett FH. Syndesmosis sprains of the ankle: the influence of heterotopic ossification. Am J Sports Med. 1992;20(2):146–50.

    Article  CAS  Google Scholar 

  15. Oh CS, Won HS, Chung IH, et al. Anatomic variations and MRI of intermalleolar ligament. AJR Am J Roentgenol. 2006;186(4):943–7.

    Article  Google Scholar 

  16. van Dijk CN. On diagnostic strategies in patient with severe ankle sprain. Thesis, University of Amsterdam, The Netherlands. 1994.

    Google Scholar 

  17. Burks RT, Morgan J. Anatomy of the lateral ankle ligaments. Am J Sports Med. 1994;22(1):72–7.

    Article  CAS  Google Scholar 

  18. Milner CE, Soames RW. Anatomical variations of the anterior talofibular ligament of the human ankle joint. J Anat. 1997;191:457–8.

    Article  Google Scholar 

  19. Vega J, Malagelada F, Manzanares Céspedes MC, Dalmau-Pastor M. The lateral fibulotalocalcaneal ligament complex: an ankle stabilizing isometric structure. Knee Surg Sports Traumatol Arthrosc. 2018; https://doi.org/10.1007/s00167-018-5188-8.

  20. Dalmau-Pastor M, Malagelada F, Kerkhoffs GM, Karlsson J, Guelfi M, Vega J. Redefining anterior ankle arthroscopic anatomy: medial and lateral ankle collateral ligaments are visible through dorsiflexion and non-distraction anterior ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2019; https://doi.org/10.1007/s00167-019-05603-2.

  21. McKeon KE, Wright RW, Johnson JE, et al. Vascular anatomy of the tibiofibular syndesmosis. J Bone Joint Surg. 2012;94:931–8.

    Article  Google Scholar 

  22. Kumai T, Takakura Y, Rufai A, et al. The functional anatomy of the human anterior talofibular ligament in relation to ankle sprains. J Anat. 2002;200:457–65.

    Article  CAS  Google Scholar 

  23. Vega J, Malagelada F, Karlsson J, Kerkhoffs GMMJ, Guelfi M, Dalmau-Pastor M. A step-by-step arthroscopic examination of the anterior ankle compartment. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05756-0.

  24. Broström L. Sprained ankles. VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand. 1966;132:551–65.

    PubMed  Google Scholar 

  25. Colville MR, Marder RA, Boyle JJ, et al. Strain measurement in lateral ankle ligaments. Am J Sports Med. 1990;18:196–200.

    Article  CAS  Google Scholar 

  26. Boss AP, Hintermann B. Anatomical study of the medial ankle ligament complex. Foot Ankle Int. 2002;23:547–53.

    Article  Google Scholar 

  27. Milner CE, Soames RW. Anatomy of the collateral ligaments of the human ankle joint. Foot Ankle Int. 1998;19:757–60.

    Article  CAS  Google Scholar 

  28. Cromeens BP, Kirchhoff C, Patterson RM, et al. An attachment-based description of the medial collateral and spring ligament complexes. Foot Ankle Int. 2015;36:710–21.

    Article  Google Scholar 

  29. Rein S, Hagert E, Schneiders W, et al. Histological analysis of the structural compositison of ankle ligaments. Foot Ankle Int. 2015;36:211–24.

    Article  Google Scholar 

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Correspondence to Miki Dalmau-Pastor .

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Dalmau-Pastor, M., Guelfi, M., Malagelada, F., Mirapeix, R.M., Vega, J. (2020). Anatomy of the Ankle Joint and Hindfoot. In: Allegra, F., Cortese, F., Lijoi, F. (eds) Ankle Joint Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29231-7_1

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  • DOI: https://doi.org/10.1007/978-3-030-29231-7_1

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