Anatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay

The inferior extensor retinaculum (IER) is an aponeurotic structure, which is in continuation with the anterior part of the sural fascia. The IER has often been used to augment the reconstruction of the lateral ankle ligaments, for instance in the Broström-Gould procedure, with good outcomes reporte...

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Detalles Bibliográficos
Autores: Dalmau-Pastor, Miki, Yasui, Yutaka, Calder, J. D., Karlsson, Jessica, Kerkhoffs, G. M. M. J., Kennedy, J. G.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/110811
Acceso en línea:https://hdl.handle.net/2445/110811
Access Level:acceso abierto
Palabra clave:Turmell
Lligaments
Articulacions
Peu
Anatomia humana
Cirurgia ortopèdica
Ankle
Ligaments
Joints
Foot
Human anatomy
Orthopedic surgery
Descripción
Sumario:The inferior extensor retinaculum (IER) is an aponeurotic structure, which is in continuation with the anterior part of the sural fascia. The IER has often been used to augment the reconstruction of the lateral ankle ligaments, for instance in the Broström-Gould procedure, with good outcomes reported. However, its anatomy has not been described in detail and only a few studies are available on this structure. The presence of a non-constant oblique supero-lateral band appears to be important. This structure defines whether the augmentation of the lateral ankle ligaments reconstruction is performed using true IER or only the anterior part of the sural fascia. It is concluded that the use of this structure will have an impact on the resulting ankle stability.