The role of the passive structures in the mobility and stability of the human ankle joint: A literature review

Alberto Leardini, John J. O'Connor, Fabio Catani, Sandro Giannini

Research output: Contribution to journalArticle

Abstract

The mobility and stability of the ankle joint have been extensively investigated, but many critical important issues still need to be elucidated. However, there seems to be a general agreement on several important observations. A more isometric pattern of rotation for the calcaneofibular and the tibiocalcaneal ligaments with respect to all the others has been reported. Many recent studies have found changing positions of the instantaneous axis of rotation, suggesting that the hinge joint concept is an oversimplification for the ankle joint. A few recent works have also claimed anterior shift of the contact area at the tibial mortise during dorsiflexion, which would imply combined rolling and sliding motion at this joint. Many findings from the literature support the view of a close interaction between the geometry of the ligaments and the shapes of the articular surfaces in guiding and stabilizing motion at the ankle joint.

Original languageEnglish
Pages (from-to)602-615
Number of pages14
JournalFoot and Ankle International
Volume21
Issue number7
Publication statusPublished - Jul 2000

Keywords

  • Ankle
  • Articular contact
  • Axis of rotation
  • Ligaments
  • Motion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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