1,279 results match your criteria Calcaneofibular Ligament Injury


Comparison of high resolution ultrasonography with clinical findings in patients with ankle pain.

J Ultrason 2018 ;18(75):316-324

Department of Radiodiagnosis and Imaging, Sri Guru Ram Das University of Health Sciences , Vallah, Sri Amritsar, Punjab , India.

The aim of this study was to investigate the diagnostic accuracy of high resolution ultrasonography for the assessment of painful ankle joint as compared with the clinical findings. A prospective study was conducted on 136 patients having history of ankle pain and referred to the Department of Radiodiagnosis and Imaging for ultrasonography. Comparison of ultrasonography findings and clinical findings was done using McNemar Test. Read More

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http://dx.doi.org/10.15557/JoU.2018.0046DOI Listing
January 2018

Medial malleolar stress fracture resulting from repetitive stress caused by lateral ankle instability: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14311

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan, Korea.

Rationale: Stress fractures are most commonly sustained in the lower extremities owing to the repetitive weight-bearing forces. They are overuse injuries that are seen often in athletes, but rare in the general population, so early diagnosis and proper treatment are important to enable athletes to return to activity. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability. Read More

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http://dx.doi.org/10.1097/MD.0000000000014311DOI Listing
February 2019
1 Read

Ankle Lateral Ligament Augmentation Versus the Modified Broström-Gould Procedure: A 5-Year Randomized Controlled Trial.

Am J Sports Med 2019 Jan 30:363546518820529. Epub 2019 Jan 30.

Saint Vincent's Hospital, Darlinghurst, Australia.

Background:: "Ankle sprain" is a common injury, and >20% of patients may develop chronic instability for which surgery is indicated. The modified Broström-Gould (MBG) procedure remains the gold standard; however, there are a number of relative contraindications to this procedure, and the longer-term outcomes after the MBG have been questioned. An alternative procedure is augmentation of a primary repair with a ligament augmentation reconstruction system (LARS). Read More

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http://dx.doi.org/10.1177/0363546518820529DOI Listing
January 2019
1 Read

Hinged ankle braces do not alter knee mechanics during sidestep cutting.

J Biomech 2019 Feb 9;84:191-196. Epub 2019 Jan 9.

Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, TN, USA. Electronic address:

Lateral ankle sprains are common injuries in quick, dynamic movements and are caused by rapid ankle inversion. Ankle braces are used to reduce ankle inversion, while allowing normal plantar and dorsiflexion ranges of motion. Knee injuries, such as anterior cruciate ligament injuries, are also common in dynamic movements. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2018.12.046DOI Listing
February 2019
1 Read

BET 2: Diagnostic value of ultrasound in determining lateral ligament injury of the ankle.

Emerg Med J 2019 Jan;36(1):56-57

Medical and Sports Science Department, Manchester United Football Club Ltd, Manchester, UK.

A short cut review was carried out to establish whether diagnostic ultrasound can accurately diagnose integrity of the lateral ligament complex in comparison to MRI. Two studies were directly relevant to the question using the described search methodology. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. Read More

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http://dx.doi.org/10.1136/emermed-2018-208381.2DOI Listing
January 2019
5 Reads

Intraoperative Torque Test to Assess Syndesmosis Instability.

Foot Ankle Int 2018 Dec 31:1071100718816674. Epub 2018 Dec 31.

1 Hôpital du Sacré-Cœur de Montréal, Montreal, QC, Canada.

Background:: In this cadaveric study, a new "torque test" (TT) stressing the fibula posterolaterally under direct visualization was compared with the classical external rotation stress test (ERT) and lateral stress test (LST).

Methods:: The anteroinferior tibiofibular ligament (AiTFL), the interosseous membrane (IOM), and the posteroinferior tibiofibular ligament (PiTFL) were sectioned sequentially on 10 fresh-frozen human ankles. At each stage of dissection, instability was assessed using the LST, ERT, and TT under direct visualization. Read More

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http://dx.doi.org/10.1177/1071100718816674DOI Listing
December 2018
6 Reads

Arthroscopic All-Inside Anterior Talofibular Ligament Repair Through a Three-Portal and No-Ankle-Distraction Technique.

JBJS Essent Surg Tech 2018 Sep 26;8(3):e25. Epub 2018 Sep 26.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Background: Ankle instability is a common consequence of ankle sprains. Injury of the anterior talofibular ligament (ATFL) is the most common cause of ankle instability. Arthroscopic treatment of ankle instability is an emerging field attracting increased interest among surgeons. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292720PMC
September 2018
2 Reads

Occurrence of Lateral Ankle Ligament Disease With Stage 2 to 3 Adult-Acquired Flatfoot Deformity Confirmed via Magnetic Resonance Imaging: A Retrospective Study.

J Foot Ankle Surg 2018 Dec 21. Epub 2018 Dec 21.

Director of Residency Training, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Lateral hindfoot pain associated with stage 2 to 3 adult-acquired flatfoot is often attributed to subfibular impingement. Preoperative magnetic resonance imaging (MRI) is generally performed to assess the extent of degeneration within the posterior tibial tendon, attenuation of medial soft tissue constraints, and degeneration of hindfoot and/or ankle articulations. The purpose of this study is to determine the incidence of lateral collateral ligament disease/injury associated with stages 2 and 3 adult-acquired flatfoot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183037
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http://dx.doi.org/10.1053/j.jfas.2018.08.030DOI Listing
December 2018
2 Reads

The Role of Calcaneofibular Ligament Injury in Ankle Instability: Implications for Surgical Management.

Am J Sports Med 2018 Dec 20:363546518815160. Epub 2018 Dec 20.

Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Aspire Zone, Doha, Qatar.

Background:: Acute inversion ankle sprains are among the most common musculoskeletal injuries. Higher grade sprains, including anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) injury, can be particularly challenging. The precise effect of CFL injury on ankle instability is unclear. Read More

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http://journals.sagepub.com/doi/10.1177/0363546518815160
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http://dx.doi.org/10.1177/0363546518815160DOI Listing
December 2018
3 Reads

Arthroscopic treatment of lateral ankle instability. Is there a safe zone? An anatomic study.

Foot Ankle Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte EPE, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal. Electronic address:

Background: The purpose of this study is to describe the relative location of superficial anatomic landmarks and likely location of structures at risk in order to predict the proximity of the later and avoid their injury during the arthroscopic treatment of lateral ankle instability.

Methods: Fifteen cadaver ankles were dissected. Based on superficial anatomic landmarks, the location and distances to the structures at risk (extensor tendons, peroneus tertius, peroneal tendons, main branch or intermediate branch of the superficial peroneal nerve, and the sural nerve) were measured. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.011DOI Listing
November 2018
1 Read

Avulsion fracture of anterior talofibular ligament from talus: A case report.

Foot (Edinb) 2018 Dec 5;38:24-29. Epub 2018 Dec 5.

Antalya Education and Research Hospital, Department of Orthopaedics and Traumatology, Antalya, Turkey. Electronic address:

Anterior talofibular ligament (ATFL) injuries can occur in three different distinct patterns; rupture of the ligament as a pure soft tissue injury, an avulsion fracture at the ATFL's attachment to the either fibula or talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to ED. Read More

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http://dx.doi.org/10.1016/j.foot.2018.12.002DOI Listing
December 2018
2 Reads

Morphological evaluation of the calcaneofibular ligament in different ankle positions using a three-dimensional MRI sequence.

Surg Radiol Anat 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, 060-8543, Japan.

Purpose: Evaluating images of the lateral ligament of the ankle is not easy, and evaluation of the calcaneofibular ligament (CFL) in particular is difficult. We prospectively conducted morphological measurements of the CFL in different ankle positions and obtain basic data for use in functional assessment of the CFL, diagnosis of CFL injury, and determination of treatment effects.

Methods: The subjects were ten healthy volunteers (ten ankles) with a mean age of 27. Read More

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http://dx.doi.org/10.1007/s00276-018-2152-8DOI Listing
December 2018
2 Reads

Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?

Injury 2018 Dec;49(12):2312-2317

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, 100035 China.

Deltoid ligament reconstruction following type B ankle fractures continues to generate a vivid discussion amongst trauma surgeons. There is a difference of opinion as to whether operative or non operative treatment should prevail. We therefore conducted a prospective comparative cohort study to determine whether it is necessary to routinely repair the injured deltoid ligaments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183065
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http://dx.doi.org/10.1016/j.injury.2018.11.006DOI Listing
December 2018
5 Reads

10-Year Epidemiology of Ankle Injuries in Men's and Women's Collegiate Basketball.

Orthop J Sports Med 2018 Nov 5;6(11):2325967118805400. Epub 2018 Nov 5.

Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona, USA.

Background: Ankle injury is the most common injury in men's and women's basketball, regardless of the level of competition.

Purpose: To use the National Collegiate Athletic Association (NCAA) Injury Surveillance Program/System (ISP/ISS) to review the 10-year epidemiology of ankle injuries in men's and women's collegiate basketball players.

Study Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.1177/2325967118805400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240983PMC
November 2018
7 Reads

The Arterial Anatomy of the Lateral Ligament Complex of the Ankle: A Cadaveric Study.

Am J Sports Med 2018 Nov 19:363546518808060. Epub 2018 Nov 19.

Department of Orthopaedic Surgery, Washington University in Saint Louis/Barnes-Jewish Hospital, St Louis, Missouri, USA.

Background:: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. Read More

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http://journals.sagepub.com/doi/10.1177/0363546518808060
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http://dx.doi.org/10.1177/0363546518808060DOI Listing
November 2018
8 Reads

Effect of simulated joint instability and bracing on ankle and subtalar joint flexibility.

J Biomech 2019 Jan 2;82:234-243. Epub 2018 Nov 2.

Mechanical and Aerospace Engineering, Old Dominion University, Norfolk, VA, USA. Electronic address:

It is clinically challenging to distinguish between ankle and subtalar joints instability in vivo. Understanding the changes in load-displacement at the ankle and subtalar joints after ligament injuries may detect specific changes in joint characteristics that cannot be detected by investigating changes in range of motion alone. The effect of restricting joints end range of motion with ankle braces was already established, but little is known about the effect of an ankle brace on the flexibility of the injured ankle and subtalar joints. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2018.10.033DOI Listing
January 2019
2 Reads

Medial Ankle Instability: The Deltoid Dilemma.

Foot Ankle Clin 2018 Dec 25;23(4):639-657. Epub 2018 Sep 25.

Orthopaedic Department, Swiss Ortho Center, Swiss Medical Network, Schmerzklinik Basel, Hirschgässlein 15, Basel 4010, Switzerland. Electronic address:

Diagnosis and treatment of medial ankle instability (MAI) are still controversial and poorly discussed in literature. The purpose of this review is to highlight different clinical presentations of MAI and develop a guide for its management. The deltoid ligament complex is injured more commonly than expected, because deltoid ligament injuries may either be isolated or occur in combination with other lesions, such as lateral ankle ligament injury, posterior tibial tendon insufficiency, osteochondral lesion, and others. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183006
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http://dx.doi.org/10.1016/j.fcl.2018.07.008DOI Listing
December 2018
12 Reads

Revision of Surgical Lateral Ankle Ligament Stabilization.

Foot Ankle Clin 2018 Dec 22;23(4):605-624. Epub 2018 Sep 22.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA. Electronic address:

Ankle sprains continue to be among the most common musculoskeletal injuries, most of which never require surgical treatment. Surgical treatment has traditionally been successful for those patients whose symptoms do not improve with nonoperative care. However, recurrent instability, although rare, can occur early or late after a stabilization procedure, as the result of an acute traumatic event or chronic repetitive minor injury. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.006DOI Listing
December 2018
2 Reads

Arthroscopic Treatment of Ankle Instability - Allograft/Autograft Reconstruction.

Foot Ankle Clin 2018 Dec;23(4):571-579

Clinique du Sport, 2 rue Negrevergne, Bordeuax-Mérignac 33700, France. Electronic address:

Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183005
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http://dx.doi.org/10.1016/j.fcl.2018.07.004DOI Listing
December 2018
13 Reads

Acute Lateral Ankle Instability.

Authors:
Kim Slater

Foot Ankle Clin 2018 Dec 26;23(4):523-537. Epub 2018 Sep 26.

Mater Private Hospital, North Sydney, New South Wales, Australia. Electronic address:

Acute injuries to the lateral ankle complex remain common and account for 20% to 25% of musculoskeletal injuries. Initial assessment should use the Ottawa ankle rules, and grading should take into account degree of mechanical instability. Nonoperative measures are preferable for all grades of injury; however, mechanical instability is a predictor for resprains. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183005
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http://dx.doi.org/10.1016/j.fcl.2018.07.001DOI Listing
December 2018
7 Reads

Increased ATFL-PTFL angle could be an indirect MRI sign in diagnosis of chronic ATFL injury.

Knee Surg Sports Traumatol Arthrosc 2018 Nov 9. Epub 2018 Nov 9.

Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Sports Medicine Center of Fudan University, No. 12 Urumq Middle Road, Shanghai, 200040, China.

Purpose: Magnetic resonance imaging (MRI) has relatively low accuracy in diagnosing chronic anterior talofibular ligament (ATFL) injury. This study's purpose was to evaluate the angle between the ATFL and posterior talofibular ligament (PTFL) as a new indirect MRI sign of chronic ATFL injury in patients with mechanical ankle instability (MAI).

Methods: This study included 200 participants: 105 patients with MAI and 95 patients seen at our institution for reasons unrelated to ankle instability. Read More

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http://link.springer.com/10.1007/s00167-018-5252-4
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http://dx.doi.org/10.1007/s00167-018-5252-4DOI Listing
November 2018
6 Reads

The effect of differences in the number of fiber bundles of the anterior tibial ligament on ankle braking function: a simulation study.

Surg Radiol Anat 2019 Jan 7;41(1):69-73. Epub 2018 Nov 7.

Department of Anatomy, School of Life Dentistry at Niigata, Nippon Dental University, Niigata, Japan.

Purpose: The aim was to clarify the effect of differences in the number of fiber bundles of the anterior tibial ligament (ATFL) on ankle braking function.

Methods: The study sample included 81Japanese cadavers. ATFLs were categorized as: Type I with one fiber bundle; Type II with two fiber bundles that were completely separated; and Type III with three fiber bundles. Read More

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http://link.springer.com/10.1007/s00276-018-2133-y
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http://dx.doi.org/10.1007/s00276-018-2133-yDOI Listing
January 2019
12 Reads

[Deltoid ligament augmentation and repairing in ankle fracture associated with deltoid ligament injury and syndesmosis diastasis].

Zhonghua Yi Xue Za Zhi 2018 Oct;98(39):3192-3196

To evaluate the outcome of the deep component augmentation and superficial component repairing and syndesmosis screw fixation in treating ankle fracture associated with deltoid ligament injury and syndesmosis diastasis. From January 2014 to December 2017, 16 patients with ankle fracture combined with deltoid ligament injury and syndesmosis diastasis were treated with the deep component augmentation and superficial component repairing in Beijing Jishuitan Hospital.Of the patients, 13 were males and 3 were females, with an average age of (38±10) years (21-57 years). Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.39.013DOI Listing
October 2018
20 Reads

The lateral fibulotalocalcaneal ligament complex: an ankle stabilizing isometric structure.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 29. Epub 2018 Oct 29.

Human Anatomy and Embryology Unit, Experimental Pathology and Therapeutics Department, University of Barcelona, Barcelona, Spain.

Purpose: Ankle lateral collateral ligament complex has been the focus of multiple studies. However, there are no specific descriptions of how these ligaments are connected to each other as part of the same complex. The aim of this study was to describe in detail the components of the lateral collateral ligament complex-ATFL and CFL-and determine its anatomical relationships. Read More

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http://link.springer.com/10.1007/s00167-018-5188-8
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http://dx.doi.org/10.1007/s00167-018-5188-8DOI Listing
October 2018
18 Reads

The arthroscopic syndesmotic assessment tool can differentiate between stable and unstable ankle syndesmoses.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 26. Epub 2018 Oct 26.

Division of Foot & Ankle Surgery, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Harvard Medical School, Boston, USA.

Purpose: Patients with stable isolated injuries of the ankle syndesmosis can be treated conservatively, while unstable injuries require surgical stabilisation. Although evaluating syndesmotic injuries using ankle arthroscopy is becoming more popular, differentiating between stable and unstable syndesmoses remains a topic of on-going debate in the current literature. The purpose of this study was to quantify the degree of displacement of the ankle syndesmosis using arthroscopic measurements. Read More

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http://link.springer.com/10.1007/s00167-018-5229-3
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http://dx.doi.org/10.1007/s00167-018-5229-3DOI Listing
October 2018
10 Reads

Functional treatment for acute ankle sprains: Softcast wrap versus MOK-cast. A prospective randomized single-center trial.

Foot Ankle Surg 2018 Mar 26. Epub 2018 Mar 26.

Department of Orthopaedic Surgery, Onze Lieve Vrouwen Gasthuis, Jan Tooropstraat 164, P.O. Box 9243, 1006 AE Amsterdam, The Netherlands.

Background: The outcome of a removable (MOK-cast) versus a non-removable polyester wrap for acute lateral ankle ligament injury is unknown.

Methods: Patients with grade II-III lateral ankle ligament injuries were randomized between treatment with a MOK-cast and a wrap. Primary outcome is the Karlsson score for function. Read More

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http://dx.doi.org/10.1016/j.fas.2018.03.004DOI Listing
March 2018
2 Reads

Management of Isolated Lateral Malleolus Fractures.

J Am Acad Orthop Surg 2019 Jan;27(2):50-59

From the Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL (Dr. Aiyer and Dr. Zachwieja), the Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO (Dr. Lawrie), and the Orthopaedic Specialty Institute, Orange, CA (Dr. Kaplan).

Isolated lateral malleolus fractures represent one of the most common injuries encountered by orthopaedic surgeons. Nevertheless, appropriate diagnosis and management of these injuries are not clearly understood. Ankle stability is maintained by ligamentous and bony anatomy. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00417DOI Listing
January 2019
5 Reads

Chronic lateral ankle instability increases the likelihood for surgery in athletes with os trigonum syndrome.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 1. Epub 2018 Oct 1.

Aspetar Qatar Orthopaedic and Sports Medicine Hospital Doha, Near Khalifa Stadium, Doha, Qatar.

Purpose: The etiology and incidence of os trigonum syndrome in professional athletes is highly variable. There is a paucity of data to ascertain why some athletes evolve towards surgery whilst others remain asymptomatic. We hypothesized that a lateral ligament ankle injury would increase the likelihood for surgery in those athletes with os trigonum syndrome. Read More

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http://link.springer.com/10.1007/s00167-018-5183-0
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http://dx.doi.org/10.1007/s00167-018-5183-0DOI Listing
October 2018
3 Reads

Screw distraction technique for gaining fibular length.

Injury 2018 Dec 10;49(12):2322-2325. Epub 2018 Sep 10.

Beth Israel Deaconess Medical Center, Boston, MA, USA. Electronic address:

Shortening of fibular length is most commonly secondary to fracture, especially in cases of malreduction, malunion or nonunion. In the presence of deltoid ligament incompetence, a shortened fibula causes lateral talar shift, widening of the mortise, decreased tibiotalar contact area and increased incidence of post-traumatic arthrosis. Restoring fibular length is important for normal anatomic relationships and kinematics of the ankle joint. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.010DOI Listing
December 2018
4 Reads

Anatomy of the ankle capsule: A cadaveric study.

Clin Anat 2018 Oct 27;31(7):1018-1023. Epub 2018 Sep 27.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York.

Although bony and ligamentous injuries of the ankle are well understood, little is known about the degree to which injury of the ankle capsule can be a component of such injuries. The purpose of this study was to determine the dimensions of the ankle capsule and its relationship to adjacent structures. Thirteen fresh-frozen ankle specimens were systematically dissected. Read More

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http://doi.wiley.com/10.1002/ca.23219
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http://dx.doi.org/10.1002/ca.23219DOI Listing
October 2018
16 Reads

Effect of high and low-supportive footwear on female tri-planar knee moments during single limb landing.

J Foot Ankle Res 2018 10;11:51. Epub 2018 Sep 10.

1Centre for Health Exercise & Sports Medicine, Department of Physiotherapy, The University of Melbourne, 161 Barry St, Melbourne, 3052 Australia.

Background: Higher landing-related external knee joint moments at later stages of female pubertal development likely contribute to a higher incidence of non-contact anterior cruciate ligament (ACL) injury. Athletic footwear may provide a potential strategy to alter higher knee moments.

Methods: Thirty-one late/post-pubertal girls (Tanner stage IV-V, menarche and growth spurt attained) performed a single limb drop lateral jump in three footwear conditions (barefoot, low support shoes and high support shoes), in which peak knee abduction moment (KAbM), flexion moment (KFM) and internal rotation moments (KIRM) were measured. Read More

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http://dx.doi.org/10.1186/s13047-018-0294-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131882PMC
January 2019
2 Reads

Ultrasound Characteristics of Foot and Ankle Structures in Healthy, Coper, and Chronically Unstable Ankles.

J Ultrasound Med 2018 Sep 12. Epub 2018 Sep 12.

School of Health Sciences, University of Salford, Salford, UK.

Objective: Ankle sprains constitute approximately 85% of all ankle injuries, and up to 70% of people experience residual symptoms. While the injury to ligaments is well understood, the potential role of other foot and ankle structures has not been explored. The objective was to characterize and compare selected ankle structures in participants with and without a history of lateral ankle sprain. Read More

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http://dx.doi.org/10.1002/jum.14770DOI Listing
September 2018
2 Reads

Arthroscopic Grading of Injuries of the Inferior Tibiofibular Syndesmosis.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1125-1129. Epub 2018 Sep 7.

Consultant, Department of Orthopaedics, Friarage Hospital, South Tees NHS Trust, Northallerton, North Yorkshire, UK.

The objective of this study was to describe the technical details of performing a newly developed arthroscopic grading of inferior tibiofibular syndesmosis injuries. Arthroscopy is emerging as the gold standard for evaluating painful, unstable ankles. The inferior tibiofibular syndesmosis contributes substantially to disorders of the ankle. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.05.014DOI Listing
February 2019
2 Reads

Rotational Instability after Anterior Talofibular and Calcaneofibular Ligament Section: The Experimental Basis for the Ankle Pivot Test.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1087-1091. Epub 2018 Aug 23.

Orthopaedic Surgeon and Emergency Department Director, Department of Orthopaedics, Clinica del Remei, Barcelona, Spain; Associate Professor, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

The clinical diagnosis of the anterior talofibular ligament (ATFL) rupture is based on the findings from the medical history and the anterior drawer test, a maneuver that allegedly pushes the talus and rearfoot anteriorly, although with great variability in its sensitivity. We consider that an ATFL rupture is best evaluated by a rotational vector (i.e. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.038DOI Listing
February 2019
5 Reads

Propagation of Syndesmotic Injuries During Forced External Rotation in Flexed Cadaveric Ankles.

Orthop J Sports Med 2018 Jun 27;6(6):2325967118781333. Epub 2018 Jun 27.

Center for Applied Biomechanics, University of Virginia, Charlottesville, Virginia, USA.

Background: Forced external rotation of the foot is a mechanism of ankle injuries. Clinical observations include combinations of ligament and osseous injuries, with unclear links between causation and injury patterns. By observing the propagation sequence of ankle injuries during controlled experiments, insight necessary to understand risk factors and potential mitigation measures may be gained. Read More

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http://dx.doi.org/10.1177/2325967118781333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077923PMC
June 2018
2 Reads

Assessment of the Anterior Talofibular Ligament Thickness in Patients with Chronic Stroke: An Ultrasonographic Study.

J Med Ultrasound 2017 Jul-Sep;25(3):145-149. Epub 2017 Mar 23.

Department of Physical Medicine and Rehabilitation, Mustafa Kemal University Medical School, Hatay, Turkey.

Background: Patients with equinovarus deformity have an increased risk of fall and ankle ligament injury, because of inappropriate prepositioning of the ankle at the end of the swing phase, and inadequate leg and ankle stability during the stance phase. Accordingly, the aim of this study is to compare anterior talofibular ligament (ATFL) thickness of chronic stroke patients with that of healthy individuals using ultrasonography.

Methods: This was a case-control study conducted in a university hospital between July 2015 and July 2016. Read More

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http://dx.doi.org/10.1016/j.jmu.2017.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029297PMC
March 2017
18 Reads

[Lateral ligament injuries].

Unfallchirurg 2018 Sep;121(9):683-692

Klinik und Poliklinik für Unfall‑, Hand‑, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland.

Due to the frequency and potentially complicated course distortion of the upper angle joint represents an important entity in the orthopedic patient clientele. The initial diagnosis includes a detailed anamnesis of the injury mechanism and an accurate clinical examination. To exclude bony, ligamentous and chondral lesions, besides basic diagnostics consisting of X‑rays and ultrasound, magnetic resonance imaging (MRI) is considered the most important tool. Read More

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http://dx.doi.org/10.1007/s00113-018-0535-2DOI Listing
September 2018
2 Reads

REHABILITATION CONSIDERATIONS FOR AN UNCOMMON INJURY OF THE KNEE: A CASE REPORT.

Int J Sports Phys Ther 2018 Jun;13(3):511-519

Sports and Orthopedic Physical Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA.

Background And Purpose: Chronic instability of the proximal tibiofibular joint (PTFJ) is an uncommon condition that accounts for <1% of knee injuries. The mechanism of injury is a high-velocity twisting motion on a flexed knee. Surgical management is controversial due to complications; however, surgeons are now utilizing ligament reconstruction to restore stability. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044603PMC
June 2018
14 Reads

Surgical management of chronic lateral ankle instability: a meta-analysis.

J Orthop Surg Res 2018 Jun 25;13(1):159. Epub 2018 Jun 25.

Department of Orthopedics, Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: A key point to surgical treatment of chronic lateral ankle instability is choosing a suitable surgical procedure. The purpose of this meta-analysis was to compare different surgical techniques for management of chronic lateral ankle instability.

Methods: We searched the Cochrane Library, MEDLINE, and EMBASE. Read More

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http://dx.doi.org/10.1186/s13018-018-0870-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019311PMC
June 2018
23 Reads

Evaluation of the Talar Cartilage in Chronic Lateral Ankle Instability with Lateral Ligament Injury Using Biochemical T2* Mapping: Correlation with Clinical Symptoms.

Acad Radiol 2018 Nov 20;25(11):1415-1421. Epub 2018 Jun 20.

Department of Radiology and Institute of Medical Functional and Molecular Imaging, Huashan Hospital, Fudan University, 12 Wulumuqizhong Rd, Shanghai 200040, China. Electronic address:

Rationale And Objectives: This study aims to quantitatively compare T2* measurements of the talar cartilage between chronic lateral ankle instability (LAI) patients with lateral ligament injury and healthy volunteers, and to assess the association of T2* value with American Orthopedic Foot and Ankle Society (AOFAS) score.

Materials And Methods: Nineteen consecutive patients with chronic LAI (LAI group) and 19 healthy individuals (control group) were enrolled. Biochemical magnetic resonance examination of the ankle was performed in all participants using three-dimensional gradient-echo T2* mapping. Read More

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http://dx.doi.org/10.1016/j.acra.2018.01.021DOI Listing
November 2018
13 Reads
2.080 Impact Factor

Anatomic reconstruction of anterior talofibular ligament with tibial tuberosity-patellar tendon autograft for chronic lateral ankle instability.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(2):2309499018780874

1 Department of Sports Medicine, Xiangya Hospital, Central South University, Changsha, China.

Introduction: Anatomic repair of the anterior talofibular ligament (ATFL) is challenging when the local ligamentous tissue is severely attenuated. Anatomic reconstruction of the ATFL with tibial tuberosity-patellar tendon (TT-PT) autograft is a feasible choice that can avoid the complicated tendon-bone healing and restore ankle stability.

Materials And Methods: From 2009 to 2015, 31 chronic lateral ankle instability (CLAI) patients (31 ankles), who had a serious injury on the ATFL only, were treated with anatomic reconstruction of ATFL with TT-PT. Read More

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http://dx.doi.org/10.1177/2309499018780874DOI Listing
June 2018
19 Reads

A Modified Broström Repair with Transosseous Fixation for Chronic Ankle Instability: A Midterm Followup Study in Soldiers.

Indian J Orthop 2018 May-Jun;52(3):315-321

Department of Biomedical Engineering, National Yang-Ming University, Taiwan.

Background: Various surgical techniques are available to reduce chronic instability of the lateral ankle ligament complex. The most effective method for these procedures remains controversial. This report presents a surgical technique that is similar to the Broström procedure and uses a modified, nonaugmented repair technique. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_265_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961270PMC
June 2018
2 Reads

Acoustic radiation force impulse tissue characterization of the anterior talofibular ligament: a promising noninvasive approach in ankle imaging.

Phys Sportsmed 2018 11 4;46(4):435-440. Epub 2018 Jul 4.

e Department of Orthopedic Trauma Surgery , University Hospital Erlangen , Erlangen , Germany.

Objectives: The anterior talofibular ligament (ATFL) is the most frequently injured ligament during inversion strains of the ankle. The purpose of this study was to evaluate the feasibility of acoustic radiation force impulse (ARFI) elastography and to determine the in vivo mechanical properties of the ATFL in healthy athletes.

Methods: Sixty healthy athletes (32 female, 28 male; 28. Read More

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http://dx.doi.org/10.1080/00913847.2018.1484658DOI Listing
November 2018
16 Reads

[Injuries of the medial collateral ligament and spring ligament complexes].

Unfallchirurg 2018 Sep;121(9):704-714

Radiologie, Hessingpark-Clinic, Augsburg, Deutschland.

The medial collateral ligament (MCL) complex is characterized by a complex anatomical arrangement of the individual ligamentous structures including three joints and the spring ligament complex. Biomechanically it serves as the main stabilizing structure in the ankle region against rotational and pronating forces. Lesions in the region of the MCL complex are more frequent than previously thought and like lesions of the spring ligament complex can lead to pain and instability. Read More

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http://dx.doi.org/10.1007/s00113-018-0513-8DOI Listing
September 2018
2 Reads

[Effectiveness of anterior talofibular ligament repair in treatment of lateral ankle stability].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Apr;31(4):427-431

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200000,

Objective: To evaluate the effectiveness of anterior talofibular ligament repair in the treatment of lateral ankle stability and the effect of combined tarsal sinus syndrome on results.

Methods: Between December 2013 and October 2014, 47 cases of lateral ankle instability underwent anatomical repair of anterior talofibular ligament, and the clinical data were retrospectively analyzed. Of 47 cases, 32 had no tarsal sinus syndrome (group A); 15 had tarsal sinus syndrome (group B), arthroscopic debridement of tarsal sinus was performed at the same time. Read More

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http://dx.doi.org/10.7507/1002-1892.201611022DOI Listing
April 2017
3 Reads

[Effectiveness analysis of Ilizarov external fixation and ankle arthrodesis in treatment of late traumatic ankle arthritis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1311-1315

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To evaluate the effectiveness of Ilizarov external fixation and ankle arthrodesis in the treatment of late traumatic ankle arthritis.

Methods: Between June 2013 and June 2015, 27 patients with late traumatic ankle arthritis were treated with Ilizarov external fixation technique. There were 16 males and 11 females with an age of 27-69 years (mean, 45. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201702010
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http://dx.doi.org/10.7507/1002-1892.201702010DOI Listing
November 2017
18 Reads

Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis.

J Orthop Surg Res 2018 May 22;13(1):122. Epub 2018 May 22.

Department of Orthopedics, Huashan Hospital, Fudan University, No.12, Middle Wulumuqi Road, Jingan District, Shanghai, China.

Background: Various imaging techniques have been utilized for the diagnosis of chronic lateral ankle ligament injury. This systemic review will explore the effectiveness of different imaging techniques in diagnosing chronic lateral ankle ligament injury.

Methods: Relative studies were retrieved after searching 3 databases (MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trails). Read More

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http://dx.doi.org/10.1186/s13018-018-0811-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964890PMC
May 2018
7 Reads
1.580 Impact Factor

Surgical Treatment Paradigms of Ankle Lateral Instability, Osteochondral Defects and Impingement.

Adv Exp Med Biol 2018 ;1059:85-108

Ripoll y De Prado Sports Clinic: Murcia-Madrid FIFA Medical Centre of Excellence, Murcia/Madrid, Spain.

Ankle sprain is amongst the most frequent musculoskeletal injuries, particularly during sports activities. Chronic ankle instability (CAI) resulting from an ankle sprain might have severe long-lasting consequences on the ankle joint. Despite the fact that most patients will respond favourably to appropriate conservative treatment, around 20% will develop symptomatic CAI with sense of giving away and recurrent sprains leading to functional impairment. Read More

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http://dx.doi.org/10.1007/978-3-319-76735-2_4DOI Listing
November 2018
2 Reads

Compatibility of Lauge-Hansen Classification Between Plain Radiographs and Magnetic Resonance Imaging in Ankle Fractures.

J Foot Ankle Surg 2018 Jul - Aug;57(4):712-715. Epub 2018 Apr 19.

Professor, Department of Orthopedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul, Turkey.

We evaluated the accuracy of the predictive injury sequences of the Lauge-Hansen (L-H) classification using magnetic resonance imaging (MRI) in patients with ankle fractures and determined the possible causes of mismatch. Sixty-five patients with ankle fractures who had a complete series of anteroposterior, lateral, and oblique radiographs and ankle MRI studies available were included. The fracture pattern was assigned by 2 senior orthopedic surgeons according to the L-H classification system. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.12.009DOI Listing
December 2018
24 Reads

Operative treatment of terrible triad of the elbow with a modified Pugh standard protocol: Retrospective analysis of a prospective cohort.

Medicine (Baltimore) 2018 Apr;97(16):e0523

Department of Orthopedics, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.

The aim of the present study was to investigate the efficacy of the surgical treatment of terrible triad injuries of the elbow using a modified standard surgical approach, and treatment determined by the mode and mechanism of injury, and intraoperative findings.The study was a retrospective analysis of a prospective cohort of patients presenting with terrible triad injuries of the elbow, who underwent surgical treatment between July 2009 and January 2014. All patients were treated surgically according to a modified Pugh standard protocol. Read More

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http://dx.doi.org/10.1097/MD.0000000000010523DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916669PMC
April 2018
10 Reads