A cadaver study done to evaluate function of the deltoid ligament and its major subdivisions, the superficial and deep components, revealed that the deltoid ligament is the primary restraint against valgus tilting of the talus, with superficial and deep components being equally effective in this regard. The deep deltoid ligament appeared to be the secondary restraint against both lateral and anterior talar excursion, with the lateral malleolus and supporting ligaments being the primary restraint.
Get full access to this article
View all access options for this article.
References
1.
AndersonK.J.LeCocqJ.F.LeCocqE.A.: Recurrent anterior subluxation of the ankle joint: A report of two cases and an experimental study. J. Bone Joint Surg.34A: 853–860, 1952
2.
BostromL.: Sprained Ankles. III. Clinical observations in recent ligament ruptures. Acta Chir. Scand.130: 560–569, 1965
3.
CedellC.A.: Supination-outward rotation injuries of the ankle. A clinical and roentgenological study with special reference to the operative treatment. Acta Orthop. Scand. Suppl. 110, 1967
4.
CloseJ.R.: Some applications of the functional anatomy of the ankle joint. J. Bone Joint Surg.38A: 761–781, 1956
5.
GrathG.B.: Widening of the ankle mortise. Acta Chir. Scand.263: 1–40, 1960
6.
HarperM.C.: An anatomic study of the short oblique fracture of the distal fibula and ankle stability. Foot Ankle4: 23–29, 1983
7.
HarperM.C.: The deltoid ligament: An evaluation of function and need for surgical repair. Orthop. Trans.10: 446, 1986
8.
KleigerBarnard: The treatment of oblique fractures of the fibula. J. Bone Joint Surg.43A: 969–979, 1961
McDadeW.C.: Diagnosis and treatment of ankle fractures. InInstructional Course Lectures. The American Academy of Orthopaedic Surgeons, Vol. 24, pp. 251–293. St. Louis, C.V. Mosby, 1975
11.
MullerM.E.AllgowerM.SchneiderR.WilleneggerH.: Manual of Internal Fixation Techniques Recommended by the AO Group, Ed. 2, p. 294. New York, Springer-Verlag, 1979
12.
NoesbergerB.HackenbruchW.MullerM.E.: Diagnosis of lateral ligament lesion in the ankle joint. In Injuries of the Ligaments and Their Repair, ChapchalG. (ed.), 1st Ed., pp. 182–183, Stuttgart, Georg Thieme, 1977
13.
SarrafianS.K.: Anatomy of the Foot and Ankle, 1st Ed., Philadelphia, J.B. Lippincott, 1983