EXAMINATION OF THE STABILITY IN THE TALOCRURAL JOINT WITH SPECIAL CONSIDERATION OF THE FUNCTION OF THE PERONEAL TENDON SHEATH

Authors
Citation
J. Rutt et A. Schmidt, EXAMINATION OF THE STABILITY IN THE TALOCRURAL JOINT WITH SPECIAL CONSIDERATION OF THE FUNCTION OF THE PERONEAL TENDON SHEATH, Archives of orthopaedic and trauma surgery, 112(6), 1993, pp. 283-288
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Orthopedics,Surgery
ISSN journal
0936-8051
Volume
112
Issue
6
Year of publication
1993
Pages
283 - 288
Database
ISI
SICI code
0936-8051(1993)112:6<283:EOTSIT>2.0.ZU;2-A
Abstract
The structure and variations of the peroneal tendon sheaths of 69 form aldehyde-fixed cadaver ankle joints were studied both macroscopically and microscopically. The peroneal tendon sheath is a structure which i s adapted to the mechanical requirements of the region overlying the l ateral malleolus. It serves simultaneously as a guide and restraint fo r the peroneal tendons and as a lateral stabiliser of the upper ankle joint. This conclusion is based on examinations of thickness as well a s light and polarisation microscopy. Mechanical cadaver studies of the stability of 24 ankle joints underlined the importance of the peronea l tendon sheath in stabilising the upper ankle joint. Defined lesions followed by suturing of the ligamentous structures and peroneal tendon sheats were performed with a simultaneous rotation drawer effect. A l ateral opening was documented radiologically. It has been demonstrated that, although the thickness of the peroneal tendon sheath differs gr eatly from individual to individual, suturing is always important to s tabilise the ankle joint after plantar flexion-supination-adduction tr auma.