BACKGROUND Lateral ankle sprains are common sports injuries that may require surgery for chronic lateral ankle instability. Anatomic repair or reconstruction is desired, yet there is a scarcity of quantitative information regarding the origins and insertions of the lateral ligaments related to surgically pertinent osseous landmarks. METHODS Fourteen ankle specimens were dissected to isolate t...

A rare case of talar body fracture combined with traumatic rupture of the anterior talofibular ligament and peroneal longus tendon is presented and reports in the literature are reviewed. We suggest that the mechanism of the injury was initial plantar flexion and inversion with rupture of anterior talofibular ligament and peroneal longus tendon, followed by forced dorsiflexion with talar body f...

introduction anterior talofibular ligament (atfl) rupture is the most commonly injured anatomic structure in lateral ankle sprain. in some cases, atfl avulsion fracture from the lateral malleolus may occur instead of purely ligamentous injuries. the atfl avulsion fracture is detected as a small ossicle at the tip of lateral malleolus on direct radiographs, which is called os subfibulare in chro...

Supination injuries of the ankle ligament are among the most common injuries. They account for about 25% of all injuries in the musculoskeletal system. The most commonly injured part of the lateral ligament complex is the anterior talofibular ligament. In case of a multiligament rupture apart from the anterior talofibular ligament the calcaneofibular ligament is ruptured concomitantly. The calc...

BACKGROUND There is a lack of consensus regarding the magnitude of load for performing the anterior drawer test in evaluating acute ankle injuries. PURPOSE To determine how much load should be applied during the anterior drawer test to detect the integrity of the anterior talofibular ligament. METHODS First, the anterior-posterior load-displacement response of nine cadaveric ankles was meas...

The stress-tenogram is a radiological technique for the investigation of injuries to the lateral ligament of the ankle, and combines the information previously provided by inversion and anterior stress radiographs, and the peroneal tenogram. It is designed to differentiate between stable and unstable ankles, and between isolated ruptures of the anterior talofibular ligament and combined tears o...

Chronic instability of the ankle is frequently due to disruption of the fibres of the anterior talofibular ligament and the anterolateral capsule. This allows momentary subluxations at the ankle joint; the talus tilts into an abnormal varus position and rotates forwards and inwards about a vertical axis which passes through the medial malleolus. The use of a free tendon graft to reconstruct the...

The effect of sectioning the anterior talofibular ligament on the load-displacement behavior of the ankle was evaluated in vitro during the anterior drawer test using the flexibility approach. Controlled forces were applied across the ankle joint in the anterior-posterior direction, and the resulting displacements were measured at four flexion angles (10 degrees of dorsiflexion, neutral, and 10...

We treated 43 acute tears of the calcaneofibular ligament by operation in 43 patients after subtalar arthrography. There were 22 men and 21 women with a mean age of 22.3 years (14 to 61). Anteroposterior (AP), lateral and oblique views were obtained with the foot in 45 degrees of internal rotation and the ankle in the neutral position. Any communication or leakage to the ankle, tendon sheaths, ...

The anatomy of the lateral ankle ligaments that is frequently described in articles and book chapters often lacks the precision of orientation and attachment points. We believe a knowledge of this precise anatomy is important to better reconstruct or repair lateral ligaments. We dissected cadaveric ankles free of skin and soft tissue and made the following measurements: areas of attachments of ...