scholarly journals Anatomical study of the inferior extensor retinaculum and the oblique superolateral band: implications for the Brostrom-Gould procedure

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Guanghui Zeng ◽  
Qi Liu ◽  
Dongming Cui ◽  
Chao Liang ◽  
Chunsheng Tao ◽  
...  
Keyword(s):  
Outer Membrane ◽  
Ankle Instability ◽  
Anatomical Study ◽  
Chronic Ankle Instability ◽  
P Value ◽  
Lateral Part ◽  
Therapeutic Effects ◽  
Extensor Retinaculum ◽  
Average Value ◽  
Inferior Extensor Retinaculum

Abstract Purpose The Brostrom-Gould procedure is currently the gold standard surgical choice for the treatment of chronic ankle instability; it can significantly improve ankle function and stability in patients. However, recent studies have reported doubts regarding the feasibility of the inferior extensor retinaculum (IER) after Brostrom-Gould and therapeutic effects compared with the Brostrom procedure. The purpose of the present study was to observe the anatomical characteristics of the lateral part of the IER using cadaveric bodies in order to guide the surgical operation of chronic ankle instability. Methods Twenty-three cadaveric ankles were dissected. The morphology of the IER and its internal structure was observed and recorded for each ankle. The shortest distance between the Stem ligament of the IER and the anterior fibular periosteum (AFP) was measured and recorded, then attempts were made to suture the Stem to the AFP. Results Twelve of the cadaveric ankles were observed as having an oblique superolateral band (OSLB) that had a tough texture upward of the lateral IER connecting with SL, as are the characteristics of the oblique superolateral band (OSLB) reported in previous studies. The inner and outer membrane of the OSLB were connected with inner and outer membrane of Stem. The average value of the distance between the Stem and AFP was 11.60 ± 2.71 mm, and the maximum and the minimum distance were 19.04 mm and 6.53 mm, respectively. The P -value (P = 0.2) resulting from a single sample K-S test confirmed that the distribution of distances conformed to normality. None of the SL in the study could be sutured to the AFP. Conclusion The OSLB of the IER has a tough texture and connects with the Stem, and has the potential be utilised in the Brostrom-Gould procedure. However, we do not recommend utilization of the Stem in this operation regardless of the distance between the AFP and the Stem. When the Stem cannot be used to enhance repair in this operation, other solutions can be used for strengthening and to protect the repaired ATFL.

scholarly journals Anatomical Study of the Inferior Extensor Retinaculum and the Oblique Superolateral Band: Implications for the Brostrom-Gould Procedure

2021 ◽  
Author(s):  
Zeng Guang-Hui ◽  
Liu Qi ◽  
Liang Chao ◽  
Cui Dong-Ming ◽  
Tao Chun-Sheng
Keyword(s):  
Outer Membrane ◽  
Ankle Instability ◽  
Anatomical Study ◽  
Chronic Ankle Instability ◽  
P Value ◽  
Lateral Part ◽  
Therapeutic Effects ◽  
Extensor Retinaculum ◽  
Average Value ◽  
Inferior Extensor Retinaculum

Abstract Purpose The Brostrom-Gould procedure is currently the gold standard surgical choice for the treatment of chronic ankle instability; it can significantly improve ankle function and stability in patients. However, recent studies have reported doubts regarding the feasibility of the inferior extensor retinaculum (IER) after Brostrom-Gould and therapeutic effects compared with the Brostrom procedure. The purpose of the present study was to observe the anatomical characteristics of the lateral part of the IER using cadaveric bodies in order to guide the surgical operation of chronic ankle instability.Methods Twenty-three cadaveric ankles were dissected. The morphology of the IER and its internal structure was observed and recorded for each ankle. The shortest distance between the Stem ligament of the IER and the anterior fibular periosteum (AFP) was measured and recorded, then attempts were made to suture the Stem to the AFP.Results Twelve of the cadaveric ankles were observed as having an oblique superolateral band (OSLB) that had a tough texture upward of the lateral IER connecting with SL, as are the characteristics of the oblique superolateral band (OSLB) reported in previous studies. The inner and outer membrane of the OSLB were connected with inner and outer membrane of Stem. The average value of the distance between the Stem and AFP was 11.60±2.71mm, and the maximum and the minimum distance were 19.04mm and 6.53mm, respectively. The P -value (P=0.2) resulting from a single sample K-S test confirmed that the distribution of distances conformed to normality. None of the SL in the study could be sutured to the AFP. Conclusion The OSLB of the IER has a tough texture and connects with the Stem, and has the potential be utilised in the Brostrom-Gould procedure. However, we do not recommend utilization of the Stem in this operation regardless of the distance between the AFP and the Stem. When the Stem cannot be used to enhance repair in this operation, other solutions can be used for strengthening and to protect the repaired ATFL.

Additional Inferior Extensor Retinaculum Augmentation After All-Inside Arthroscopic Anterior Talofibular Ligament Repair for Chronic Ankle Instability Is Not Necessary

2021 ◽  
pp. 036354652110080
Author(s):  
Sung Hyun Lee ◽  
Hyung Gyu Cho ◽  
Je Heon Yang
Keyword(s):  
Clinical Outcomes ◽  
Ankle Instability ◽  
Surgical Techniques ◽  
Chronic Ankle Instability ◽  
Anterior Talofibular Ligament ◽  
Extensor Retinaculum ◽  
Level Of Evidence ◽  
Group A ◽  
The Mean ◽  
Inferior Extensor Retinaculum

Background: Although several arthroscopic surgical techniques for the treatment of chronic ankle instability (CAI) have been introduced recently, the effect of inferior extensor retinaculum (IER) augmentation remains unclear. Purpose: To compare the clinical outcomes after arthroscopic anterior talofibular ligament (ATFL) repair according to whether additional IER augmentation was performed or not. Study Design: Cohort study; Level of evidence, 3. Methods: We performed a retrospective review of consecutive patients who underwent arthroscopic ATFL repair surgery for CAI between 2016 and 2018. The mean age of the patients was 35.2 years (range, 19-51 years), and the mean follow-up period was 32.6 months (range, 24-48 months). Patients were divided into 2 groups according to the surgical technique used for CAI: arthroscopic ATFL repair (group A; n = 37) and arthroscopic ATFL repair with additional IER augmentation (group R; n = 45). The pain visual analog scale, American Orthopaedic Foot & Ankle Society score, Foot and Ankle Outcome Score, and the Karlsson Ankle Function Score were measured as subjective outcomes, and posturographic analysis was performed using a Tetrax device as an objective outcome. Radiologic outcome evaluations were performed preoperatively and at 2 years postoperatively using stress radiographs and axial view magnetic resonance imaging (MRI). Results: Out of 101 patients, 19 (18.5%) were excluded per the exclusion criteria, and 82 were evaluated. We identified 6 retears (7.3%) based on postoperative MRI evaluation. All patients who had ATFL retear on MRI (8.1% [3/37] in group A and 6.7% [3/45] in group R) demonstrated recurrent CAI with functional discomfort and anterior displacement >3 mm as compared with the intact contralateral ankle. All clinical scores and posturography results were improved after surgery in both groups ( P < .001). However, there were no significant differences in the clinical results and radiologic findings between the groups. Conclusion: The clinical and radiologic outcomes of patients with CAI improved after all-inside arthroscopic ATFL repair. However, additional IER augmentation after arthroscopic ATFL repair did not guarantee better clinical outcomes.

Reconstruction of the Lateral Ankle Ligaments Using an Inferior Extensor Retinaculum Flap

1997 ◽  
Vol 18 (11) ◽  
pp. 723-728 ◽  
Author(s):  
D. Saragaglia ◽  
F. Fontanel ◽  
E. Montbarbon ◽  
Y. Tourné ◽  
F. Picard ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
X Rays ◽  
Extensor Retinaculum ◽  
Sports Activity ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Functional Instability ◽  
Lateral Ankle Ligaments ◽  
Inferior Extensor Retinaculum

The aim of this study was to assess the results of 32 cases of chronic ankle instability. These were treated by ligament shortening and reinforced with an inferior extensor retinaculum flap. All patients complained of persistent functional instability unrelieved with proprioceptive exercises. Results were assessed clinically (pain, instability, recovery of sports activity, mobility) and radiologically (correction of laxity on stress x-rays). This enabled us to draw up a revision score on a scale of 100 points. We obtained a mean score of 86.7 points (45–100 points), and subjective results showed that 88% of the patients were satisfied with the surgery.

Long-Term Follow-up of Lateral Reconstruction with Extensor Retinaculum Flap for Chronic Ankle Instability

2012 ◽  
Vol 33 (12) ◽  
pp. 1079-1086 ◽  
Author(s):  
Yves Tourné ◽  
Christian Mabit ◽  
Paul J. Moroney ◽  
Christophe Chaussard ◽  
Dominique Saragaglia
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Extensor Retinaculum ◽  
Long Term Follow Up

Long-Term Results for Treatment of Chronic Ankle Instability With Fibular Periosteum Ligamentoplasty and Extensor Retinaculum Flap

2019 ◽  
Vol 58 (4) ◽  
pp. 674-678 ◽  
Author(s):  
Eric Dromzée ◽  
Benjamin Granger ◽  
Romain Rousseau ◽  
Camille Steltzlen ◽  
Hadrien Stolz ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Long Term Results ◽  
Extensor Retinaculum

Menurunkan Dismenoreaa Primer melalui Hipnoterapi pada Siswi Sekolah Menengah Pertama

1970 ◽  
Vol 3 (2) ◽  
Author(s):  
Oyoh O ◽  
Jenita Sidabutar
Keyword(s):  
High School ◽  
High School Students ◽  
Junior High School ◽  
Junior High ◽  
Sampling Technique ◽  
P Value ◽  
Primary Dysmenorrhea ◽  
School Students ◽  
Purposive Sampling ◽  
Average Value

Kejadian dismenorea primer di Indonesia sekitar 54,89%, sisanya 45,11% dismenorea sekunder. Dismenorea primer  pada siswi SMP X dari 35 siswi 25 siswi mengalami disminor bila haid. Salah satu pengobatan dismenorea secara non-farmakologis yaitu hipnoterapi. Hipnoterapi merupakan salah satu cara yang mudah, cepat, efektif, dan efisien dalam menjangkau pikiran bawah sadar. Penelitian ini bertujuan untuk mengetahui pengaruh hipnoterapi terhadap dismenorea pada siswi SMP. Metode penelitian yang digunakan adalah Pre Eksperimental dengan rancangan penelitian one group pre-test-post-test. Jumlah populasi yang didapat 117 orang dan jumlah sampel yang diambil 20 orang, dengan teknik purposive sampling. Pengumpulan data diperoleh secara langsung dari responden dengan menggunakan alat ukur Verbal Descriptor Scale (VDS). Analisis data melalui dua tahapan, yaitu univariat dan bivariat dengan menggunakan uji t-dependen. Hasil penelitian didapatkan nilai rata-rata skala dismenorea sebelum diberikan intervensi adalah 6,50 dan nilai rata-rata sesudah diberikan intervensi adalah 1,35, terdapat pengaruh hipnoterapi terhadap dismenorea (t=17,596, p-value= 0,001). Hipnoterapi dapat disarankan untuk diterapkan sebagai tindakan nonfarmakologis untuk mengatasi dismenorea.Kata kunci: Dismenorea primer, hipnoterapi, SMP.Effect of Hypnotherapy on Alleviating Primary Dysmenorrhea in Junior High School StudentsAbstractThe incidence of primary dysmenorrhea in Indonesia amounts to approximately 54.89%, while another 45.11% is secondary dysmenorrhea. 25 out of 35 female students at SMP Patriot Bangsa (Patriot Bangsa Junior High School) experience primary dysmenorrhea when menstruating. One of nonpharmacological treatments for dysmenorrhea is hypnotherapy. Hypnotherapy is an easy, fast, effective, and efficient way to treat dysmenorrhea by reaching the subconcious. This research aimed to identify the effect of hypnotherapy on dysmenorrhea in junior high school students. This research used a pre-experimental method with one group pretest- posttest design. The population of this research was 117 students and 20 students were chosen as sample with purposive sampling technique. Data were collected from respondents using Verbal Descriptor Scale (VDS) instrument. Data were analyzed in two steps, univariate and bivariate with t-dependent test. The results showed that the average value of dysmenorrhea before intervention is 6.5 and after intervention is 1.35. Hypnotherapy was found to have an effect on dysmenorrhea (t=17,596, p-value 0,001). It was suggested to the school that they should conduct nonpharmacological interventions such as hypnotherapy as treatment of dysmennorhea.Key words: Dysmenorrhea primer, hypnotherapy, SMP.

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