The anterior talofibular ligament : A thin-slice three-dimensional magnetic resonance imaging study

Copyright © 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved..

PURPOSE: The aim of this study was to provide an accurate and improved understanding of anterior talofibular ligament (ATFL) anatomy, and to determine the exact positioning and diameter of the bony tunnel during ATFL repair and/or reconstruction surgery.

METHOD: A total of 58 healthy asymptomatic volunteers were examined, wherein 38 underwent bilateral ankle 3D MRI, and 20 underwent unilateral ankle 3D MRI (10 left and 10 right ankles). Data from a total of 96 MRI datasets were collected. The MRI data from these cases were exported into Mimics to enable reconstruction of 3D ATFL models. The resulting image quality was evaluated using a 5-point subjective scoring system. In addition, the length, width, thickness, and positioning of each ATFL and the area of the ATFL footprints were identified within the 3D model using Mimics and SolidWorks.

RESULTS: The image quality score was 4.48 ± 0.50. The ATFL formed one (65.6%), two (31.3%), or three (3.1%) bundles forms. The footprint area was 31.25 ± 6.29 mm2 on the fibular side, and 17.48 ± 4.49 mm2 on the talar side.

CONCLUSION: Thin-slice 3D MRI aids in the reconstruction of the 3D ATFL model, and it provides reference for the accurate anatomy of the area and location of the ATFL. This technology will facilitate diagnosis of ATFL injuries and choice of surgical methods.

LEVEL OF EVIDENCE: level IV.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons - 28(2022), 8 vom: 14. Dez., Seite 1202-1209

Sprache:

Englisch

Beteiligte Personen:

He, Lei [VerfasserIn]
Xu, Yan [VerfasserIn]
Duan, Deyu [VerfasserIn]
Ouyang, Liu [VerfasserIn]

Links:

Volltext

Themen:

3D Model Reconstruction
Ankle sprain
Anterior talofibular ligament
Footprint
Journal Article
Mimics 21.0
Thin-slice 3D MRI

Anmerkungen:

Date Completed 16.12.2022

Date Revised 21.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.fas.2021.11.011

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334570891