The effect of thickness and elastic modulus of the anterior talofibular ligament on anterior ankle joint stiffness: A subject-specific finite element study
Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous stabilizer of the ankle joint and typically the most vulnerable ligament injured in a lateral ankle sprain (LAS). This study aimed to quantitively in...
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| Published in | Frontiers in bioengineering and biotechnology Vol. 11; p. 1175347 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
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Switzerland
Frontiers Media S.A
25.04.2023
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| Online Access | Get full text |
| ISSN | 2296-4185 2296-4185 |
| DOI | 10.3389/fbioe.2023.1175347 |
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| Abstract | Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous stabilizer of the ankle joint and typically the most vulnerable ligament injured in a lateral ankle sprain (LAS). This study aimed to quantitively investigate the effect of the thickness and elastic modulus of ATFL on anterior ankle joint stiffness (AAJS) by developing nine subject-specific finite element (FE) models under acute injury, chronic injury, and control conditions of ATFL. A 120 N forward force was applied at the posterior calcaneus leading to an anterior translation of the calcaneus and talus to simulate the anterior drawer test (ADT). In the results, the ratio of the forward force to the talar displacement was used to assess the AAJS, which increased by 5.85% in the acute group and decreased by 19.78% in the chronic group, compared to those of the control group. An empirical equation described the relationship between AAJS, thickness, and elastic modulus (R-square 0.98). The equation proposed in this study provided an approach to quantify AAJS and revealed the effect of the thickness and the elastic modulus of ATFL on ankle stability, which may shed light on the potential diagnosis of lateral ligament injury. |
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| AbstractList | Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous stabilizer of the ankle joint and typically the most vulnerable ligament injured in a lateral ankle sprain (LAS). This study aimed to quantitively investigate the effect of the thickness and elastic modulus of ATFL on anterior ankle joint stiffness (AAJS) by developing nine subject-specific finite element (FE) models under acute injury, chronic injury, and control conditions of ATFL. A 120 N forward force was applied at the posterior calcaneus leading to an anterior translation of the calcaneus and talus to simulate the anterior drawer test (ADT). In the results, the ratio of the forward force to the talar displacement was used to assess the AAJS, which increased by 5.85% in the acute group and decreased by 19.78% in the chronic group, compared to those of the control group. An empirical equation described the relationship between AAJS, thickness, and elastic modulus (R-square 0.98). The equation proposed in this study provided an approach to quantify AAJS and revealed the effect of the thickness and the elastic modulus of ATFL on ankle stability, which may shed light on the potential diagnosis of lateral ligament injury. Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous stabilizer of the ankle joint and typically the most vulnerable ligament injured in a lateral ankle sprain (LAS). This study aimed to quantitively investigate the effect of the thickness and elastic modulus of ATFL on anterior ankle joint stiffness (AAJS) by developing nine subject-specific finite element (FE) models under acute injury, chronic injury, and control conditions of ATFL. A 120 N forward force was applied at the posterior calcaneus leading to an anterior translation of the calcaneus and talus to simulate the anterior drawer test (ADT). In the results, the ratio of the forward force to the talar displacement was used to assess the AAJS, which increased by 5.85% in the acute group and decreased by 19.78% in the chronic group, compared to those of the control group. An empirical equation described the relationship between AAJS, thickness, and elastic modulus (R-square 0.98). The equation proposed in this study provided an approach to quantify AAJS and revealed the effect of the thickness and the elastic modulus of ATFL on ankle stability, which may shed light on the potential diagnosis of lateral ligament injury.Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous stabilizer of the ankle joint and typically the most vulnerable ligament injured in a lateral ankle sprain (LAS). This study aimed to quantitively investigate the effect of the thickness and elastic modulus of ATFL on anterior ankle joint stiffness (AAJS) by developing nine subject-specific finite element (FE) models under acute injury, chronic injury, and control conditions of ATFL. A 120 N forward force was applied at the posterior calcaneus leading to an anterior translation of the calcaneus and talus to simulate the anterior drawer test (ADT). In the results, the ratio of the forward force to the talar displacement was used to assess the AAJS, which increased by 5.85% in the acute group and decreased by 19.78% in the chronic group, compared to those of the control group. An empirical equation described the relationship between AAJS, thickness, and elastic modulus (R-square 0.98). The equation proposed in this study provided an approach to quantify AAJS and revealed the effect of the thickness and the elastic modulus of ATFL on ankle stability, which may shed light on the potential diagnosis of lateral ligament injury. |
| Author | Yao, Yifei Zhao, Yichen Xiong, Ping Jia, Jingyi Gan, Yaokai Ding, Angang Yu, Lu Peng, Linjing |
| AuthorAffiliation | 1 School of Biomedical Engineering , Shanghai Jiao Tong University , Shanghai , China 2 Engineering Research Center of Digital Medicine of the Ministry of Education , Shanghai Jiao Tong University , Shanghai , China 4 Department of Ultrasound , Shanghai Ninth People’s Hospital , School of Medicine , Shanghai Jiao Tong University , Shanghai , China 3 Department of Orthopedics , Shanghai Ninth People’s Hospital , School of Medicine , Shanghai Jiao Tong University , Shanghai , China |
| AuthorAffiliation_xml | – name: 3 Department of Orthopedics , Shanghai Ninth People’s Hospital , School of Medicine , Shanghai Jiao Tong University , Shanghai , China – name: 1 School of Biomedical Engineering , Shanghai Jiao Tong University , Shanghai , China – name: 2 Engineering Research Center of Digital Medicine of the Ministry of Education , Shanghai Jiao Tong University , Shanghai , China – name: 4 Department of Ultrasound , Shanghai Ninth People’s Hospital , School of Medicine , Shanghai Jiao Tong University , Shanghai , China |
| Author_xml | – sequence: 1 givenname: Linjing surname: Peng fullname: Peng, Linjing – sequence: 2 givenname: Lu surname: Yu fullname: Yu, Lu – sequence: 3 givenname: Jingyi surname: Jia fullname: Jia, Jingyi – sequence: 4 givenname: Yaokai surname: Gan fullname: Gan, Yaokai – sequence: 5 givenname: Angang surname: Ding fullname: Ding, Angang – sequence: 6 givenname: Ping surname: Xiong fullname: Xiong, Ping – sequence: 7 givenname: Yichen surname: Zhao fullname: Zhao, Yichen – sequence: 8 givenname: Yifei surname: Yao fullname: Yao, Yifei |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37180042$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1186/s13047-017-0194-5 10.1016/j.fcl.2006.07.002 10.1046/j.1469-7580.2002.00050.x 10.1034/j.1600-0838.2002.00108.x 10.1080/00913847.2018.1409604 10.1186/s13018-022-03177-3 10.1007/s10237-022-01607-z 10.5312/wjo.v7.i1.8 10.21037/qims-21-203 10.1302/2046-3758.38.2000295 10.1016/j.foot.2015.05.004 10.1016/S0301-5629(01)00499-9 10.1177/1071100717693207 10.1016/j.jbiomech.2011.02.054 10.1007/s10439-019-02314-0 10.1177/0363546512458259 10.4085/1062-6050-447-17 10.1186/s13047-019-0330-5 10.1111/j.1440-1673.2008.02018.x 10.1007/s00167-016-4139-5 10.1002/mus.26863 10.1016/j.ejrad.2015.07.015 10.1016/j.joca.2014.04.029 10.1177/2473011421S00961 10.1053/j.jfas.2018.03.038 10.1016/j.ultrasmedbio.2012.02.032 10.1186/s12891-023-06246-8 10.1115/1.429623 10.1007/s11249-006-9069-9 10.1016/j.ultrasmedbio.2011.05.022 10.1177/107110079101100609 10.1115/1.1318904 10.3390/ijerph19042367 10.1016/S1836-9553(12)70109-1 10.29328/journal.jsmt.1001052 10.1080/00913847.2018.1484658 10.1177/107110078800800502 10.1016/j.medntd.2021.100067 10.1007/s10439-012-0607-3 10.4085/1062-6050-43.5.523 10.1249/MSS.0000000000000872 10.1114/1.1408926 |
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| Copyright | Copyright © 2023 Peng, Yu, Jia, Gan, Ding, Xiong, Zhao and Yao. Copyright © 2023 Peng, Yu, Jia, Gan, Ding, Xiong, Zhao and Yao. 2023 Peng, Yu, Jia, Gan, Ding, Xiong, Zhao and Yao |
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| Keywords | anterior talofibular ligament anterior ankle joint stiffness lateral ankle sprains finite element analysis ultrasound elastography |
| Language | English |
| License | Copyright © 2023 Peng, Yu, Jia, Gan, Ding, Xiong, Zhao and Yao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Wenxin Niu, Tongji University, China Edited by: Lizhen Wang, Beihang University, China These authors have contributed equally to this work and share first authorship Reviewed by: Duo Wai-Chi Wong, Hong Kong Polytechnic University, Hong Kong SAR, China |
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| Snippet | Ankle sprain is a frequent type of sports injury leading to lateral ligament injury. The anterior talofibular ligament (ATFL) is a primary ligamentous... |
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| SubjectTerms | anterior ankle joint stiffness anterior talofibular ligament Bioengineering and Biotechnology finite element analysis lateral ankle sprains ultrasound elastography |
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| Title | The effect of thickness and elastic modulus of the anterior talofibular ligament on anterior ankle joint stiffness: A subject-specific finite element study |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/37180042 https://www.proquest.com/docview/2813566040 https://pubmed.ncbi.nlm.nih.gov/PMC10166853 https://doaj.org/article/319e789e18af4a38b015dda828d4ad84 |
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