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However, should these structures fail, then the force will be transmitted beyond the anterior inferior tibiofibular ligament to the strong membrane that holds the tibia and fibula together for most of their length. This force may then exit through the upper end of the fibula, creating a so-called Maisonneuve fracture. [citation needed]
The anterior ligament of the lateral malleolus (anterior tibiofibular ligament or anterior inferior ligament) is a flat, trapezoidal band of fibers, broader below than above, which extends obliquely downward and lateralward between the adjacent margins of the tibia and fibula, on the front aspect of the syndesmosis.
Anterior ligament of the lateral malleolus; Posterior ligament of the lateral malleolus; Interosseous membrane of leg; The inferior transverse ligament of the tibiofibular syndesmosis is included in older versions of Gray's Anatomy, but not in Terminologia Anatomica. [1] However, it still appears in some anatomy textbooks. [2]
posterior talofibular ligament; The posterior talofibular ligament runs horizontally between the neck of the talus and the medial side of lateral malleolus calcaneofibular ligament; The calcaneofibular ligament is attached on the posteromedial side of lateral malleolus and descends posteroinferiorly below to a lateral side of the calcaneus.
The joint capsule is reinforced by anterior and posterior ligament of the head of the fibula. [2] The distal tibiofibular joint (tibiofibular syndesmosis) is formed by the rough, convex surface of the medial side of the distal end of the fibula, and a rough concave surface on the lateral side of the tibia. [2]
A Tillaux fracture is a Salter–Harris type III fracture through the anterolateral aspect of the distal tibial epiphysis. [1] It occurs in older adolescents between the ages of 12 and 15 when the medial epiphysis had closed but before the lateral side has done so, [2] due to an avulsion of the anterior inferior tibiofibular ligament, at the opposite end to a Wagstaffe-Le Fort avulsion fracture
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