The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint

R. Shane Tubbs, Nihal Apaydin, Aysun Uz, Mohammadali Mohajel Shoja, John B. Slappey, Ayhan Comert, Halil Ibrahim Acar, Ibrahim Tekdemir, Marios Loukas

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Mention of the ligament of Barkow at the proximal tibiofibular joint is rarely found in the literature and it is not represented in most anatomical atlases. To our knowledge, quantitation of this structure has not been performed. As injury to the knee region is so common, a comprehensive knowledge of this regional anatomy is important to the clinician and surgeon alike. Materials and Methods: Forty lower limbs from embalmed cadavers underwent dissection of the proximal leg with special attention toward the presence or absence of ligament of Barkow. When identified, measurements of this structure were made. Results: The ligament of Barkow was identified in 95% of specimens. For right sides, the mean width was 1.5 cm and the mean length was 1.2 cm. For left sides, the mean width of this ligament was 1.2 cm and the mean length was 1.5 cm. The mean thickness of ligament of Barkow was 1.2 mm (range 0.9-1.4 mm). The upper edge of this ligament was on average 3 cm inferior to the inferior most aspect of the proximal tibiofibular joint. The lower edge of ligament of Barkow was a mean distance of 7 mm from the anterior tibial artery at its entrance into the anterior compartment of the leg. One ligament was found to be fully ossified; thereby, creating a bony bar superior to the anterior tibial vessels. Conclusions: Our hopes are these data will help further elucidate the ligament of Barkow. Imaging studies are now necessary to further elucidate functional and pathological involvement of this structure.

Original languageEnglish (US)
Pages (from-to)161-163
Number of pages3
JournalSurgical and Radiologic Anatomy
Volume31
Issue number3
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

Fingerprint

Ligaments
Anatomy
Joints
Leg
Regional Anatomy
Tibial Arteries
Knee Injuries
Atlases
Cadaver
Dissection
Lower Extremity

Keywords

  • Anatomy
  • Articulation
  • Fibular
  • Joint
  • Proximal
  • Tibia

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Tubbs, R. S., Apaydin, N., Uz, A., Mohajel Shoja, M., Slappey, J. B., Comert, A., ... Loukas, M. (2009). The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint. Surgical and Radiologic Anatomy, 31(3), 161-163. https://doi.org/10.1007/s00276-008-0419-1

The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint. / Tubbs, R. Shane; Apaydin, Nihal; Uz, Aysun; Mohajel Shoja, Mohammadali; Slappey, John B.; Comert, Ayhan; Acar, Halil Ibrahim; Tekdemir, Ibrahim; Loukas, Marios.

In: Surgical and Radiologic Anatomy, Vol. 31, No. 3, 01.01.2009, p. 161-163.

Research output: Contribution to journalArticle

Tubbs, RS, Apaydin, N, Uz, A, Mohajel Shoja, M, Slappey, JB, Comert, A, Acar, HI, Tekdemir, I & Loukas, M 2009, 'The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint', Surgical and Radiologic Anatomy, vol. 31, no. 3, pp. 161-163. https://doi.org/10.1007/s00276-008-0419-1
Tubbs RS, Apaydin N, Uz A, Mohajel Shoja M, Slappey JB, Comert A et al. The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint. Surgical and Radiologic Anatomy. 2009 Jan 1;31(3):161-163. https://doi.org/10.1007/s00276-008-0419-1
Tubbs, R. Shane ; Apaydin, Nihal ; Uz, Aysun ; Mohajel Shoja, Mohammadali ; Slappey, John B. ; Comert, Ayhan ; Acar, Halil Ibrahim ; Tekdemir, Ibrahim ; Loukas, Marios. / The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint. In: Surgical and Radiologic Anatomy. 2009 ; Vol. 31, No. 3. pp. 161-163.
@article{74d75a1003514cda9639598c7562e370,
title = "The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint",
abstract = "Introduction: Mention of the ligament of Barkow at the proximal tibiofibular joint is rarely found in the literature and it is not represented in most anatomical atlases. To our knowledge, quantitation of this structure has not been performed. As injury to the knee region is so common, a comprehensive knowledge of this regional anatomy is important to the clinician and surgeon alike. Materials and Methods: Forty lower limbs from embalmed cadavers underwent dissection of the proximal leg with special attention toward the presence or absence of ligament of Barkow. When identified, measurements of this structure were made. Results: The ligament of Barkow was identified in 95{\%} of specimens. For right sides, the mean width was 1.5 cm and the mean length was 1.2 cm. For left sides, the mean width of this ligament was 1.2 cm and the mean length was 1.5 cm. The mean thickness of ligament of Barkow was 1.2 mm (range 0.9-1.4 mm). The upper edge of this ligament was on average 3 cm inferior to the inferior most aspect of the proximal tibiofibular joint. The lower edge of ligament of Barkow was a mean distance of 7 mm from the anterior tibial artery at its entrance into the anterior compartment of the leg. One ligament was found to be fully ossified; thereby, creating a bony bar superior to the anterior tibial vessels. Conclusions: Our hopes are these data will help further elucidate the ligament of Barkow. Imaging studies are now necessary to further elucidate functional and pathological involvement of this structure.",
keywords = "Anatomy, Articulation, Fibular, Joint, Proximal, Tibia",
author = "Tubbs, {R. Shane} and Nihal Apaydin and Aysun Uz and {Mohajel Shoja}, Mohammadali and Slappey, {John B.} and Ayhan Comert and Acar, {Halil Ibrahim} and Ibrahim Tekdemir and Marios Loukas",
year = "2009",
month = "1",
day = "1",
doi = "10.1007/s00276-008-0419-1",
language = "English (US)",
volume = "31",
pages = "161--163",
journal = "Surgical and Radiologic Anatomy",
issn = "0930-1038",
publisher = "Springer Paris",
number = "3",

}

TY - JOUR

T1 - The clinical anatomy of the ligament of Barkow at the proximal tibiofibular joint

AU - Tubbs, R. Shane

AU - Apaydin, Nihal

AU - Uz, Aysun

AU - Mohajel Shoja, Mohammadali

AU - Slappey, John B.

AU - Comert, Ayhan

AU - Acar, Halil Ibrahim

AU - Tekdemir, Ibrahim

AU - Loukas, Marios

PY - 2009/1/1

Y1 - 2009/1/1

N2 - Introduction: Mention of the ligament of Barkow at the proximal tibiofibular joint is rarely found in the literature and it is not represented in most anatomical atlases. To our knowledge, quantitation of this structure has not been performed. As injury to the knee region is so common, a comprehensive knowledge of this regional anatomy is important to the clinician and surgeon alike. Materials and Methods: Forty lower limbs from embalmed cadavers underwent dissection of the proximal leg with special attention toward the presence or absence of ligament of Barkow. When identified, measurements of this structure were made. Results: The ligament of Barkow was identified in 95% of specimens. For right sides, the mean width was 1.5 cm and the mean length was 1.2 cm. For left sides, the mean width of this ligament was 1.2 cm and the mean length was 1.5 cm. The mean thickness of ligament of Barkow was 1.2 mm (range 0.9-1.4 mm). The upper edge of this ligament was on average 3 cm inferior to the inferior most aspect of the proximal tibiofibular joint. The lower edge of ligament of Barkow was a mean distance of 7 mm from the anterior tibial artery at its entrance into the anterior compartment of the leg. One ligament was found to be fully ossified; thereby, creating a bony bar superior to the anterior tibial vessels. Conclusions: Our hopes are these data will help further elucidate the ligament of Barkow. Imaging studies are now necessary to further elucidate functional and pathological involvement of this structure.

AB - Introduction: Mention of the ligament of Barkow at the proximal tibiofibular joint is rarely found in the literature and it is not represented in most anatomical atlases. To our knowledge, quantitation of this structure has not been performed. As injury to the knee region is so common, a comprehensive knowledge of this regional anatomy is important to the clinician and surgeon alike. Materials and Methods: Forty lower limbs from embalmed cadavers underwent dissection of the proximal leg with special attention toward the presence or absence of ligament of Barkow. When identified, measurements of this structure were made. Results: The ligament of Barkow was identified in 95% of specimens. For right sides, the mean width was 1.5 cm and the mean length was 1.2 cm. For left sides, the mean width of this ligament was 1.2 cm and the mean length was 1.5 cm. The mean thickness of ligament of Barkow was 1.2 mm (range 0.9-1.4 mm). The upper edge of this ligament was on average 3 cm inferior to the inferior most aspect of the proximal tibiofibular joint. The lower edge of ligament of Barkow was a mean distance of 7 mm from the anterior tibial artery at its entrance into the anterior compartment of the leg. One ligament was found to be fully ossified; thereby, creating a bony bar superior to the anterior tibial vessels. Conclusions: Our hopes are these data will help further elucidate the ligament of Barkow. Imaging studies are now necessary to further elucidate functional and pathological involvement of this structure.

KW - Anatomy

KW - Articulation

KW - Fibular

KW - Joint

KW - Proximal

KW - Tibia

UR - http://www.scopus.com/inward/record.url?scp=60949100018&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=60949100018&partnerID=8YFLogxK

U2 - 10.1007/s00276-008-0419-1

DO - 10.1007/s00276-008-0419-1

M3 - Article

VL - 31

SP - 161

EP - 163

JO - Surgical and Radiologic Anatomy

JF - Surgical and Radiologic Anatomy

SN - 0930-1038

IS - 3

ER -