The mechanism of tibiofibular joint injury and anatomical studies in its stable complex
ZHANG Chun-Hua, QIU Da-Hua
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (5) : 522-524.
The mechanism of tibiofibular joint injury and anatomical studies in its stable complex
Objective To do anatomical studies in the tibiofibular joint and its stable complex, and analyse the mechanismof tibiofibular joint injury, in order to provide an anatomical basis for clinical treatment. Methods 5 cases of formalin-fixed adult cadavers (10 sides) were collected, clinical tibiofibular joint injury was simulated and violence trial was carried out. tibiofibular syndesmosis ligaments stable complex were observed. Results The stable complex was constituted by the tibiofibular joint transverse ligament, the anterior ligament, posterior ligament and the ligament between tibia and fibula. in Cotton trial, the anterior ligament was firstly tore, then the interosseous membrane and the ligament between tibia and fibula were successive damaged, and the tibiofibular joint transverse ligament and the posterior ligament were comparatively complete during the outward-turn-backward rotation of the foot. Conclusion When there is injury to the tibiofibular joint and its stable complex, the tibiofibular joint separation will occur, which should be treated by repair and reconstruction of the joint and its stable complex.
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