

Therefore, comparing the results of these studies is challenging because the authors used different measurement techniques, thus obtaining noteworthy differences, even up to about 10 mm. Most studies have focused on only the length and width of these ligaments and have been performed on cadavers. To the best of our knowledge, there have been no studies on how the length, width, or thickness of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) correlate with each other in a normal in vivo MRI. The graft morphology and morphometry vary depending on the surgical technique but seem to be the most critical factors that influence the outcome of surgery. Due to unsatisfactory clinical outcomes, there is a need to develop new reconstruction methods and to improve the traditional methods. The ankle instability and pain after surgical ligament reconstruction is seen in about 20% of patients, which requires further treatment.

Routine MRI showed that most dimensions of the ATFL and CFL correlate with each other, which should be considered when planning new reconstruction techniques and developing a virtual biomechanical model of the human foot. A negative correlation was found between length and width for the CFL ( p < 0.001).

Resultsįor the ATFL, we observed a negative correlation between thickness and width, with a positive correlation between thickness and length ( p < 0.001). Differences between the length, thickness, width, and length of the bony attachments were evaluated twice. This study aimed to test the hypothesis that routine MRI ankle can be used to evaluate dimensions and correlations between dimensions of single and double fascicular variants of the ATFL and the CFL.
