距腓前韧带：解剖及治疗的研究进展
Anterior Talofibular Ligament: Research Progress on Anatomy and Treatment
DOI: 10.12677/ACM.2023.133678, PDF,   
作者: 牟越西, 杨斐龙, 邹雨龙, 梁凯路*：重庆医科大学附属第二医院骨关节外科，重庆
关键词: 距腓前韧带；踝关节；解剖；治疗；Anterior Talofibular Ligament； Ankle； Anatomy； Treatment
摘要: 踝关节扭伤是在运动或军队中常见的一类损伤。在外侧韧带复合体的组成结构中，距腓前韧带(anterior talofibular ligament, ATFL)因为其最低的失效载荷，成为复合体中最容易受损的结构。即使在有序安排的保守治疗之后，仍有10%~30%的患者最终会发展成为慢性踝关节不稳(chronic ankle instability, CAI)。所以当踝关节扭伤发生时，ATFL是否损伤应获得足够的关注。本综述的主要目的为：从解剖学到多样的治疗方案，为读者们提供足够的信息，以启发新的治疗思路。
Abstract: Ankle sprains are a kind of common injuries in those who involved in sports or military. Among lat-eral ligamentous complex, the anterior talofibular ligament (ATFL) is the most commonly injured structure for its lowest load to failure. Even after well organized conservative treatment, there are still 10% to 30% patients would end up to chronic ankle instability (CAI). So sufficient attention should be paid on ATFL when ankle sprain happens. The purpose of this review is to present infor-mation regarding the anatomy of ATFL to various treatments and hence inspire the emergence of new and effective techniques.
文章引用：牟越西, 杨斐龙, 邹雨龙, 梁凯路. 距腓前韧带：解剖及治疗的研究进展[J]. 临床医学进展, 2023, 13(3): 4734-4742. https://doi.org/10.12677/ACM.2023.133678

参考文献

[1] Hur, E.S., Bohl, D.D. and Lee, S. (2020) Lateral Ligament Instability: Review of Pathology and Diagnosis. Current Re-views in Musculoskeletal Medicine, 13, 494-500. [Google Scholar] [CrossRef] [PubMed]
[2] Kobayashi, T., Tanaka, M. and Shida, M. (2016) Intrinsic Risk Factors of Lateral Ankle Sprain: A Systematic Review and Me-ta-Analysis. Sports Health, 8, 190-193. [Google Scholar] [CrossRef] [PubMed]
[3] Araoye, I., De Cesar Netto, C., Cone, B., et al. (2017) Results of Lateral Ankle Ligament Repair Surgery in One Hundred and Nineteen Pa-tients: Do Surgical Method and Arthroscopy Timing Matter? International Orthopaedics, 41, 2289-2295. [Google Scholar] [CrossRef] [PubMed]
[4] Aicale, R. and Maffulli, N. (2020) Chronic Lateral Ankle Instabil-ity: Topical Review. Foot & Ankle International, 41, 1571-1581. [Google Scholar] [CrossRef] [PubMed]
[5] Al-Mohrej, O.A. and Al-Kenani, N.S. (2016) Chronic Ankle In-stability: Current Perspectives. Avicenna Journal of Medicine, 6, 103-108. [Google Scholar] [CrossRef] [PubMed]
[6] Glazebrook, M., Eid, M., Alhadhoud, M., et al. (2018) Percutane-ous Ankle Reconstruction of Lateral Ligaments. Foot and Ankle Clinics, 23, 581-592. [Google Scholar] [CrossRef] [PubMed]
[7] Wittig, U., Hohenberger, G., Ornig, M., et al. (2022) All-Arthroscopic Reconstruction of the Anterior Talofibular Ligament Is Comparable to Open Reconstruction: A Sys-tematic Review. EFORT Open Reviews, 7, 3-12. [Google Scholar] [CrossRef] 
[8] Lan, R., Piatt, E.T., Bolia, I.K., et al. (2021) Suture Tape Augmentation in Lateral Ankle Ligament Surgery: Current Concepts Review. Foot & Ankle Orthopaedics, 6, 1-15. [Google Scholar] [CrossRef] [PubMed]
[9] Dalmau-Pastor, M., Yasui, Y., Calder, J.D., et al. (2016) Anat-omy of the Inferior Extensor Retinaculum and Its Role in Lateral Ankle Ligament Reconstruction: A Pictorial Essay. Knee Surgery, Sports Traumatology, Arthroscopy, 24, 957-962. [Google Scholar] [CrossRef] [PubMed]
[10] Dalmau-Pastor, M., Malagelada, F., Kerkhoffs, G., et al. (2018) X-Shaped Inferior Extensor Retinaculum and Its Doubtful Use in the Bröstrom-Gould Procedure. Knee Surgery, Sports Traumatology, Arthroscopy, 26, 2171-2176. [Google Scholar] [CrossRef] [PubMed]
[11] DiGiovanni, B.F., Partal, G. and Baumhauer, J.F. (2004) Acute Ankle Injury and Chronic Lateral Instability in the Athlete. Clinics in Sports Medicine, 23, 1-19. [Google Scholar] [CrossRef] 
[12] Ferran, N.A., Oliva, F. and Maffulli, N. (2009) Ankle Insta-bility. Sports Medicine and Arthroscopy Review, 17, 139-145. [Google Scholar] [CrossRef] 
[13] Knupp, M., Lang, T.H., Zwicky, L., et al. (2015) Chronic Ankle Instability (Medial and Lateral). Clinics in Sports Medicine, 34, 679-688. [Google Scholar] [CrossRef] [PubMed]
[14] van den Bekerom, M.P., Kerkhoffs, G.M., McCollum, G.A., et al. (2013) Management of Acute Lateral Ankle Ligament Injury in the Athlete. Knee Surgery, Sports Traumatology, Ar-throscopy, 21, 1390-1395. [Google Scholar] [CrossRef] [PubMed]
[15] McCriskin, B.J., Cameron, K.L., Orr, J.D. and Waterman, B.R. (2015) Management and Prevention of Acute and Chronic Lateral Ankle Instability in Athletic Patient Populations. World Journal of Orthopedics, 6, 161-171. [Google Scholar] [CrossRef] [PubMed]
[16] Watson‑Jones, R. (1952) Recurrent Forward Dislocation of the Ankle Joint. The Journal of Bone and Joint Surgery. British Volume, 34, 519. [Google Scholar] [CrossRef] 
[17] Sugimoto, K., Takakura, Y., Akiyama, K., et al. (1998) Long-Term Results of Watson-Jones Tenodesis of the Ankle. Clinical and Radiographic Findings after Ten to Eighteen Years of Follow-Up. The Journal of Bone and Joint Surgery. American Volume, 80, 1587-1596. [Google Scholar] [CrossRef] [PubMed]
[18] Chrisman, O.D. and Snook, G.A. (1969) Reconstruction of Lateral Ligament Tears of the Ankle. An Experimental Study and Clinical Evaluation of Seven Patients Treated by a New Modification of the Elmslie Procedure. The Journal of Bone and Joint Surgery. American Volume, 51, 904-912. [Google Scholar] [CrossRef] 
[19] Kramer, D., Solomon, R., Curtis, C., et al. (2011) Clini-cal Results and Functional Evaluation of the Chrisman-Snook Procedure for Lateral Ankle Instability in Athletes. Foot & Ankle Specialist, 4, 18-28. [Google Scholar] [CrossRef] [PubMed]
[20] Takao, M., Matsui, K., Stone, J.W., et al. (2016) Arthroscopic Anterior Talofibular Ligament Repair for Lateral Instability of the Ankle. Knee Surgery, Sports Traumatology, Arthros-copy, 24, 1003-1006. [Google Scholar] [CrossRef] [PubMed]
[21] Guillo, S. and Odagiri, H. (2019) All-Inside Endoscopic Broström-Gould Technique. Arthroscopy Techniques, 9, e79-e84. [Google Scholar] [CrossRef] [PubMed]
[22] Yang, Y., Han, J., Wu, H., et al. (2022) Arthro-Broström with En-doscopic Retinaculum Augmentation Using All-Inside Lasso-Loop Stitch Techniques. BMC Musculoskeletal Disorders, 23, 795. [Google Scholar] [CrossRef] [PubMed]
[23] Pellegrini, M.J., Sevillano, J., Ortiz, C., et al. (2019) Notless Modified Arthroscopic-Broström Technique for Ankle Instability. Foot & Ankle International, 40, 475-483. [Google Scholar] [CrossRef] [PubMed]
[24] Vega, J., Montesinos, E., Malagelada, F., et al. (2020) Arthro-scopic All-Inside Anterior Talofibular Ligament Repair with Suture Augmentation Gives Excellent Results in Case of Poor Ligament Tissue Remnant Quality. Knee Surgery, Sports Traumatology, Arthroscopy, 28, 100-107. [Google Scholar] [CrossRef] [PubMed]
[25] Guillo, S., Cordier, G., Sonnery-Cottet, B. and Bauer, T. (2014) Anatomical Reconstruction of the Anterior Talofibular and Calcaneofibular Ligaments with an All-Arthroscopic Surgical Technique. Orthopaedics & Traumatology: Surgery & Research, 100, S413-S417. [Google Scholar] [CrossRef] [PubMed]
[26] Guillo, S., Takao, M., Calder, J., et al. (2016) Arthroscopic Ana-tomical Reconstruction of the Lateral Ankle Ligaments. Knee Surgery, Sports Traumatology, Arthroscopy, 24, 998-1002. [Google Scholar] [CrossRef] [PubMed]
[27] Teixeira, J. and Guillo, S. (2018) Arthroscopic Treatment of Ankle Instability—Allograft/Autograft Reconstruction. Foot and Ankle Clinics, 23, 571-579. [Google Scholar] [CrossRef] [PubMed]
[28] Zhou, Y.F., Zhang, Z.Z., Zhang, H.Z., et al. (2021) All-Inside Ar-throscopic Modified Broström Technique to Repair Anterior Talofibular Ligament Provides a Similar Outcome Compared with Open Broström-Gould Procedure. Arthroscopy, 37, 268-279. [Google Scholar] [CrossRef] [PubMed]
[29] Yeo, E.D., Lee, K.T., Sung, I.H., et al. (2016) Comparison of All-Inside Arthroscopic and Open Techniques for the Modified Broström Procedure for Ankle Instability. Foot & Ankle International, 37, 1037-1045. [Google Scholar] [CrossRef] [PubMed]
[30] Brown, A.J., Shimozono, Y., Hurley, E.T. and Kennedy, J.G. (2020) Arthroscopic versus Open Repair of Lateral Ankle Ligament for Chronic Lateral Ankle Instability: A Me-ta-Analysis. Knee Surgery, Sports Traumatology, Arthroscopy, 28, 1611-1618. [Google Scholar] [CrossRef] [PubMed]
[31] Park, S., Kim, T., Lee, M. and Park, Y. (2020) Absence of ATFL Remnant Does Not Affect the Clinical Outcomes of the Modified Broström Operation for Chronic Ankle Instability. Knee Surgery, Sports Traumatology, Arthroscopy, 28, 213-220. [Google Scholar] [CrossRef] [PubMed]
[32] Behrens, S.B., Drakos, M., Lee, B.J., et al. (2013) Biomechani-cal Analysis of Brostrom versus Brostrom-Gould Lateral Ankle Instability Repairs. Foot & Ankle International, 34, 587-592. [Google Scholar] [CrossRef] [PubMed]
[33] Lee, S.H., Cho, H.G. and Yang, J.H. (2021) Additional Inferior Extensor Retinaculum Augmentation after All-Inside Arthroscopic Anterior Talofibular Ligament Repair for Chronic Ankle Instability Is Not Necessary. The American Journal of Sports Medicine, 49, 1721-1731. [Google Scholar] [CrossRef] [PubMed]
[34] Flores Santos, F. and Santos, N.R. (2020) Arthroscopic Treat-ment of Lateral Ankle Instability. Is There a Safe Zone? An Anatomic Study. Foot and Ankle Surgery, 26, 61-65. [Google Scholar] [CrossRef] [PubMed]

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