[MRI 자신감키우기-02] Distal tibiofibular syndesmosis, 군자출판사, anatomy, Anterior inferior tibiofibular ligament, Inferior transverse ligament

 

[MRI 자신감 키우기: 족부편] 제 책이 출간되었습니다.

 

안녕하세요

영상의학과 이지은입니다.

2020년 겨울부터 쓰기 시작한 제 책이 드디어 출간되었습니다.

 

이미지가 워낙 많고, 동영상 QR코드가 수 백개이다보니 1년이 넘게 걸렸네요. 

(군자출판사와 제가 13차 수정까지 했더라구요) 

 

제 책을 기다려 주신 선생님들에게 생각보다 오래 걸려서 죄송하다는 말씀을 드리고 싶습니다.

제 책의 여러 판매처 중 몇 군데만 링크를 아래 달아두겠습니다. 

부족할 수 있지만, 최선을 다한 책이니 많은 관심 가져주시면 감사드리겠습니다 ^^

 

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A.      Distal tibiofibular syndesmosis

 

         1.      Anterior inferior tibiofibular ligament (AITFL)

 

 

⬧ The AITFL had a trapezoidal shape, with multiple bands of fibers that extended obliquely in a distal and lateral direction from the tibia to the fibula. (13)

⬧ This ligament had a variable number of bands, ranging from three to four. (13)

⬧ AITFL as a striated band with an oblique orientation between the anterolateral tibia and the lateral malleolus.  

⬧ The oblique orientation and craniocaudal extent of the AITFL often requires 2 to 3 axial images to completely assess.

 

         2.      Accessory Anterior Inferior Tibiofibular (Bassett’s) Ligament

  

⬧ The accessory anterior inferior tibiofibular ligament (also published in the radiology literature as “Bassett’s ligament”) runs parallel and distal to the AITFL, also attaching to the tibia and fibula. (14)

⬧ The distal attachment of Bassett’s ligament approximates the fibular attachment of the anterior talofibular ligament (ATFL). (14)

⬧ Presumably the abnormally thickened accessory AITFL contacts the superolateral talar dome, resulting in the cartilage abrasion.

 

         3.      Posterior inferior tibiofibular ligament (PITFL)

 

Posterior inferior tibiofibular ligament (PITFL)   

⬧ The PITFL is the strongest component of the syndesmotic ligament complex. 

⬧ The PITFL was a compact ligament that was triangular in shape and extended from the posterior edge of the fibular notch of the distal tibia to the malleolar fossa behind the triangular articular facet of the lateral malleolus of the fibula 

⬧ The ligament was multifascicular, with a broad attachment to the lateral malleolus

 

         4.      Inferior transverse ligament (ITL)

 

 

⬧ The deep fibers of the PITFL are also known as the transverse ligament 

⬧ The inferior component of the deep fibers extends below the articular surface and is triangular in cross-sectional morphology, resembling a labrum. (15)

 ⬧ The course of this ligament was more horizontal than that of the PITFL

 

         5.      Interosseous ligament (IOL)

  

⬧ The interosseous ligament, which is the lower margin of the interosseous membrane, is visible as a thin linear hypointense band extending from the tibia to the fibula. 

⬧ Small amount of joint fluid protrudes superiorly into the normal interosseous synovial recess

 

         6.      Posterior Intermalleolar ligament (IML)

 

IML is as a distinct separate ligament traversing between the posterior talofibular ligament (PTFL) and the ITL. (13) 

⬧ The configuration of the IML is variable, ranging from a thin set of fibers to a thick compact band. (13)

⬧ The IML clinically important as a cause of posterior impingement syndrome