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Volume 13
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10.3390/jcm13247565
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Article

Morphology of the Calcaneofibular Ligament Reflects Degeneration of the Talonavicular Articular Surface: A Cadaver Study

by
Ryuta Tanaka
1,2,
Daisuke Kiyoshima
1,*,
Kaori Suyama
1,
Ning Qu
3,
Miyu Inagawa
4 and
Shogo Hayashi
1
1
Department of Anatomy, Division of Basic Medicine, Tokai University School of Medicine, Isehara 259-1193, Kanagawa, Japan
2
Central Department of Rehabilitation Medicine, Kanto Rosai Hospital, Kawasaki 211-8510, Kanagawa, Japan
3
Department of Immunoregulation, Institute of Medical Science, Tokyo Medical University, Shinjuku, Tokyo 160-8402, Japan
4
Department of Sports Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki 211-8510, Kanagawa, Japan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(24), 7565; https://doi.org/10.3390/jcm13247565
Submission received: 4 November 2024 / Revised: 2 December 2024 / Accepted: 10 December 2024 / Published: 12 December 2024
(This article belongs to the Special Issue Clinical Advancements in Foot and Ankle Surgery)
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Abstract

Background: Osteoarthritis is caused by damage to the articular cartilage due to bone-on-bone collisions and friction. The length, width, and thickness of the ligaments are expected to change in order to regulate excessive bone-to-bone movement. We aimed to clarify the relationship between ligament morphology and joint surface degeneration in the ankle joints using macroscopic observations and measurements. Methods: The participants were 50 feet of 45 Japanese cadavers. The lengths, widths, and thicknesses of the tibionavicular, tibiospring, tibiocalcaneal, posterior tibiotalar, anterior tibiotalar, and calcaneofibular ligaments (CFLs) were measured. The degeneration of the talonavicular joint surface was investigated macroscopically and classified into two groups: the Degeneration (+) group and Degeneration (−) group. Unpaired t-tests were performed for each measurement. Logistic regression analysis was performed on the significantly different items to obtain cutoff values, sensitivity, and specificity. Results: Only the width of the CFL differed significantly between the Degeneration (+) (20 feet) and Degeneration (−) groups (p < 0.001). In the logistic regression analysis, the width of the CFL had an R2 of 0.262, sensitivity of 75.0%, and specificity of 83.3%, with a cutoff value of 8.7 mm. Conclusions: A wide CFL indicates a high likelihood of talonavicular articular surface degeneration.
Keywords: ankle; calcaneofibular ligament; cartilage damage; osteoarthritis; chronic ankle instability; hindfoot motion ankle; calcaneofibular ligament; cartilage damage; osteoarthritis; chronic ankle instability; hindfoot motion

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MDPI and ACS Style

Tanaka, R.; Kiyoshima, D.; Suyama, K.; Qu, N.; Inagawa, M.; Hayashi, S. Morphology of the Calcaneofibular Ligament Reflects Degeneration of the Talonavicular Articular Surface: A Cadaver Study. J. Clin. Med. 2024, 13, 7565. https://doi.org/10.3390/jcm13247565

AMA Style

Tanaka R, Kiyoshima D, Suyama K, Qu N, Inagawa M, Hayashi S. Morphology of the Calcaneofibular Ligament Reflects Degeneration of the Talonavicular Articular Surface: A Cadaver Study. Journal of Clinical Medicine. 2024; 13(24):7565. https://doi.org/10.3390/jcm13247565

Chicago/Turabian Style

Tanaka, Ryuta, Daisuke Kiyoshima, Kaori Suyama, Ning Qu, Miyu Inagawa, and Shogo Hayashi. 2024. "Morphology of the Calcaneofibular Ligament Reflects Degeneration of the Talonavicular Articular Surface: A Cadaver Study" Journal of Clinical Medicine 13, no. 24: 7565. https://doi.org/10.3390/jcm13247565

APA Style

Tanaka, R., Kiyoshima, D., Suyama, K., Qu, N., Inagawa, M., & Hayashi, S. (2024). Morphology of the Calcaneofibular Ligament Reflects Degeneration of the Talonavicular Articular Surface: A Cadaver Study. Journal of Clinical Medicine, 13(24), 7565. https://doi.org/10.3390/jcm13247565

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