- Book学术

发布求助

文献互助智能选刊最新文献

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-01-02 DOI:10.1007/s00264-024-06403-1

Jan Bartoníček, Ondřej Naňka

{"title":"The tibiofibular mortise - anatomical controversies and their clinical importance: a historical and pictorial essay.","authors":"Jan Bartoníček, Ondřej Naňka","doi":"10.1007/s00264-024-06403-1","DOIUrl":null,"url":null,"abstract":"Introduction: During 280 years of studies of the anatomy of the distal tibiofibular articulation, there have arisen many unclear issues regarding the description of individual structures and their terminology. These historical inaccuracies were subsequently reflected in the clinical practice.Materials and methods: A literature search of original publications and historical sources was performed.Results: The distal tibiofibular articulation is a synovial joint, rather than a syndesmosis, as it is an integral part of the ankle joint. The interosseous tibiofibular ligament (ITFL), described for the first time by a French anatomist Bichat in 1801, is the strongest ligament of the tibiofibular mortise. Unfortunately, this clinically important ligament is not recognized by the current international anatomical nomenclature. The terms anterior inferior (AITFL) and posterior inferior tibiofibular ligaments (PITFL) are historical remnants \"reimported\" from the American/British literature and should not be used, because the analogous superior ligaments do not exist. The intermalleolar ligament, first described by Weitbrecht in 1742, is a variable, but constant, structure reinforcing the posterior capsule of the ankle joint. The term inferior transverse ligament (IFT) denoting in the English literature the inferior part of the posterior tibiofibular ligament was originally used for the intermalleolar ligament. The IFT ligament is a part of the posterior tibiofibular ligament and there is no reason to stress its importance.Conclusion: The chaos in the anatomy, terminology and depiction of the articulation of the distal tibia and fibula, unparalleled in any other joint of the human body, is the result of historical development. A certain negative role was, in this respect, played also by Basiliensia Nomina Anatomica (1895), that eradicated ITFL and called the distal tibiofibular joint a syndesmosis.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00264-024-06403-1","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

摘要

导言：在长达 280 年的胫腓骨远端关节解剖学研究中，出现了许多关于个别结构及其术语描述不明确的问题。材料和方法：对原始出版物和历史资料进行文献检索：胫腓骨远端关节是一个滑膜关节，而不是联合关节，因为它是踝关节不可分割的一部分。法国解剖学家比夏（Bichat）于 1801 年首次描述了骨间胫腓韧带（ITFL），它是胫腓骨臼最坚固的韧带。遗憾的是，这条在临床上非常重要的韧带并未被目前的国际解剖命名法所认可。前下韧带（AITFL）和后下胫腓韧带（PITFL）这两个术语是从美国/英国文献中 "移植 "过来的历史残留物，不应使用，因为类似的上韧带并不存在。踝间韧带（intermalleolar ligament）由 Weitbrecht 于 1742 年首次描述，是一种可变但恒定的结构，用于加固踝关节的后囊。在英文文献中，下横韧带（IFT）一词指的是胫腓后韧带的下半部分，最初也用于指间韧带。IFT 韧带是胫腓后韧带的一部分，没有理由强调其重要性：胫腓骨远端关节解剖、术语和描述的混乱是历史发展的结果，这是人体其他关节无法比拟的。在这方面，Basiliensia Nomina Anatomica（1895 年）也起到了一定的负面作用，它消除了 ITFL，并将胫腓骨远端关节称为联合关节。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The tibiofibular mortise - anatomical controversies and their clinical importance: a historical and pictorial essay.

Introduction: During 280 years of studies of the anatomy of the distal tibiofibular articulation, there have arisen many unclear issues regarding the description of individual structures and their terminology. These historical inaccuracies were subsequently reflected in the clinical practice.

Materials and methods: A literature search of original publications and historical sources was performed.

Results: The distal tibiofibular articulation is a synovial joint, rather than a syndesmosis, as it is an integral part of the ankle joint. The interosseous tibiofibular ligament (ITFL), described for the first time by a French anatomist Bichat in 1801, is the strongest ligament of the tibiofibular mortise. Unfortunately, this clinically important ligament is not recognized by the current international anatomical nomenclature. The terms anterior inferior (AITFL) and posterior inferior tibiofibular ligaments (PITFL) are historical remnants "reimported" from the American/British literature and should not be used, because the analogous superior ligaments do not exist. The intermalleolar ligament, first described by Weitbrecht in 1742, is a variable, but constant, structure reinforcing the posterior capsule of the ankle joint. The term inferior transverse ligament (IFT) denoting in the English literature the inferior part of the posterior tibiofibular ligament was originally used for the intermalleolar ligament. The IFT ligament is a part of the posterior tibiofibular ligament and there is no reason to stress its importance.

Conclusion: The chaos in the anatomy, terminology and depiction of the articulation of the distal tibia and fibula, unparalleled in any other joint of the human body, is the result of historical development. A certain negative role was, in this respect, played also by Basiliensia Nomina Anatomica (1895), that eradicated ITFL and called the distal tibiofibular joint a syndesmosis.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.