1,304 results match your criteria Calcaneofibular Ligament Injury


Relationships between differences in the number of fiber bundles of the anterior talofibular ligament and differences in the angle of the calcaneofibular ligament and their effects on ankle-braking function.

Surg Radiol Anat 2019 Apr 16. Epub 2019 Apr 16.

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

Purpose: The aim was to clarify the relationships between differences in the number of fiber bundles of the anterior talofibular ligament (ATFL) and differences in the angle of the calcaneofibular ligament (CFL) with respect to the long axis of the fibula and their effects on ankle braking function.

Methods: The study sample included 110 Japanese cadavers. ATFLs were categorized as: Type I with one fiber bundle; Type II with two fiber bundles with incomplete separation and complete separation; and Type III with three fiber bundles. Read More

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http://dx.doi.org/10.1007/s00276-019-02239-2DOI Listing
April 2019
1 Read

Varus talar tilt combined with an internal rotation pivot stress assesses the supination instability vector in lateral ankle ligaments' injury - cadaver study.

Foot Ankle Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Spain; Department of Orthopaedics, Clinica del Remei, Barcelona, Spain.

Background: The lack of consensus on the relevance of the varus talar tilt test (VTTT) might be due to the divergence between the insufficiency vector of lateral ankle instability and the direction of this clinical test. Our hypothesis is that the VTTT is more accurate to diagnose lateral ankle ligaments rupture when it's applied with a pre-positioning of the foot in internal rotation (IR).

Methods: We compared, in 12 cadaver ankles, the varus opening during a classic VTTT with the same test starting in an IR pivot, using a new arthrometer. Read More

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http://dx.doi.org/10.1016/j.fas.2019.03.007DOI Listing
March 2019
1 Read

MRI of ankle sprain: the association between joint effusion and structural injury severity in a large cohort of athletes.

Eur Radiol 2019 Apr 1. Epub 2019 Apr 1.

Department of Radiology, Quantitative Imaging Center, Boston University School of Medicine, Boston, MA, USA.

Objective: To test the hypothesis if presence and amount of effusion in the tibiotalar and talocalcaneal joints are associated with an increased risk for severe structural injury in ankle sprains.

Methods: A total of 261 athletes sustaining acute ankle sprains were assessed on MRI for the presence and the amount of joint effusion in the tibiotalar and talocalcaneal joints, as well as for ligamentous and osteochondral injury. Specific patterns of injury severity were defined based on lateral collateral ligament, syndesmotic, and talar osteochondral involvement. Read More

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http://dx.doi.org/10.1007/s00330-019-06156-1DOI Listing
April 2019
7 Reads

Surgical therapy vs conservative therapy for patients with acute injury of lateral ankle ligament: A meta-analysis and systematic review.

Int Wound J 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

The goal of this meta-analysis was to explore the overall safety and efficacy of surgical therapy vs conservative therapy for acute injury of the lateral ankle ligament based on eligible studies. Eligible studies were identified by searching PubMed, Cochrane, and Embase databases using appropriate updated index words to January 2018. We also searched relevant publication sources. Read More

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http://dx.doi.org/10.1111/iwj.13120DOI Listing
March 2019
1 Read

[Retrospective analysis of modified Karlsson surgery for chronic calcaneofibular ligament injury].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(11):818-822

Department of Orthopedics, Aerospace Center Hospital, Beijing 100049, China.

To retrospectively evaluate the therapeutic effect and influencing factors of the modified Karlsson operation (anchor method) in treating chronic rupture of the calcaneofibular ligament (CFL). From August 2010 to May 2014, the data of 24 patients with calcaneofibular ligament rupture treated in Institute of Sports Medicine, Third Hospital of Peking University were retrospectively analyzed. All cases were repaired with modified Karlsson operation (anchor method). Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.11.004DOI Listing
March 2019
1 Read

Arthroscopic all-inside ATiFL's distal fascicle transfer for ATFL's superior fascicle reconstruction or biological augmentation of lateral ligament repair.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 19. Epub 2019 Mar 19.

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

Purpose: Tendon grafts are often utilized for reconstruction of the lateral ligaments unamenable to primary repair. However, tendon and ligaments have different biological roles. The anterior tibiofibular ligament's (ATiFL) distal fascicle may be resected without compromising the stability of the ankle joint. Read More

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http://dx.doi.org/10.1007/s00167-019-05460-zDOI Listing
March 2019
6 Reads

3D MRI evaluation of morphological characteristics of lateral ankle ligaments in injured patients and uninjured controls.

J Orthop Sci 2019 Mar 15. Epub 2019 Mar 15.

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

Background: With ultrasonography or 2D magnetic resonance imaging (MRI) of the lateral ankle ligament, it is particularly difficult to show the entire calcaneofibular ligament (CFL). The purpose of this study was to evaluate the morphological characteristics of the lateral ankle ligaments in injured patients and uninjured controls using 3D MRI.

Methods: A total of 64 ankles of 59 healthy volunteers and lateral ligament injury patients (mean age of 32. Read More

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http://dx.doi.org/10.1016/j.jos.2019.02.018DOI Listing
March 2019
1 Read

The arthroscopic all-inside ankle lateral collateral ligament repair is a safe and reproducible technique.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 4. Epub 2019 Mar 4.

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

Purpose: Neurovascular structures around the ankle are at risk of injury during arthroscopic all-inside lateral collateral ligament repair for the treatment of chronic ankle instability. This study aimed to evaluate the risk of damage to anatomical structures and reproducibility of the technique amongst surgeons with different levels of expertise in the arthroscopic all-inside ligament repair.

Methods: Twelve fresh-frozen ankle specimens were used for the study. Read More

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http://dx.doi.org/10.1007/s00167-019-05427-0DOI Listing
March 2019
2 Reads

The FIFA 11 programme reduces the costs associated with ankle and hamstring injuries in amateur Spanish football players: A retrospective cohort study.

Eur J Sport Sci 2019 Mar 4:1-7. Epub 2019 Mar 4.

b Clinical Medicine Department , Miguel Hernandez Univesity , San Juan de Alicante , Spain.

This study aimed to assess the cost-effectiveness of the "Fédération Internationale de Football Association (FIFA) 11" injury prevention programme for ankle and hamstring injuries. This retrospective cohort study included eighty-four male amateur football players aged 18-40 years. The exposed group performed the FIFA 11 protocol twice a week throughout the 2010-2011 and 2011-2012 seasons; the unexposed group performed the usual training during the 2008-2009 and 2009-2010 seasons. Read More

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http://dx.doi.org/10.1080/17461391.2019.1577495DOI Listing
March 2019
1 Read

Does subtalar instability really exist? A systematic review.

Foot Ankle Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Development and Regeneration, KU Leuven, Leuven, Belgium; Department of Orthopaedics, Foot and Ankle Unit, University Hospitals Leuven, KU Leuven, Leuven, Belgium; Institute of Orthopaedic Research and Training, KU Leuven, Leuven, Belgium.

Background: Subtalar joint instability (STI) is considered as a potential source of chronic lateral hindfoot instability. However, clinical diagnosis of STI is still challenging. This systematic review was conducted to assess the consistency of the clinical entity "subtalar instability", to investigate the reliability of available diagnostic tools and to provide a critical overview of related studies. Read More

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http://dx.doi.org/10.1016/j.fas.2019.02.001DOI Listing
February 2019
7 Reads

Editorial Commentary: Mild Limb Asymmetry and Pediatric Anterior Cruciate Ligament Reconstruction-A Classic "Chicken and Egg" Scenario?

Arthroscopy 2019 Mar;35(3):950-952

Weill Cornell Medical College.

Growth disturbance from a physeal injury is considered by many surgeons to be the most feared iatrogenic surgical complication after anterior cruciate ligament (ACL) reconstruction in skeletally immature patients, typically resulting in valgus, recurvatum, and/or a short limb. These deformities also predispose children to an ACL injury in the first instance, and therefore, a firm understanding of the contributions of both preoperative deformity and iatrogenic injury to postoperative limb asymmetry is critical. Preoperative and postoperative imaging (until 2 years postoperatively or skeletal maturity) should include standing hip-to-ankle alignment radiographs when the patient is able to straighten the knee and fully bear weight, as well as a lateral projection of the knee to quantify tibial slope. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.11.032DOI Listing
March 2019
4 Reads

Medial and lateral gap laxity differential in computer-assisted kinematic total knee arthroplasty.

Bone Joint J 2019 Mar;101-B(3):331-339

Sport and Exercise Science, College of Healthcare Sciences, Division of Tropical Health & Medicine, James Cook University, Townsville, Australia.

Aims: The results of kinematic total knee arthroplasty (KTKA) have been reported in terms of limb and component alignment parameters but not in terms of gap laxities and differentials. In kinematic alignment (KA), balance should reflect the asymmetrical balance of the normal knee, not the classic rectangular flexion and extension gaps sought with gap-balanced mechanical axis total knee arthroplasty (MATKA). This paper aims to address the following questions: 1) what factors determine coronal joint congruence as measured on standing radiographs?; 2) is flexion gap asymmetry produced with KA?; 3) does lateral flexion gap laxity affect outcomes?; 4) is lateral flexion gap laxity associated with lateral extension gap laxity?; and 5) can consistent ligament balance be produced without releases?

Patients And Methods: A total of 192 KTKAs completed by a single surgeon using a computer-assisted technique were followed for a mean of 3. Read More

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http://dx.doi.org/10.1302/0301-620X.101B3.BJJ-2018-0544.R1DOI Listing
March 2019
1 Read

Biomechanical and Functional Outcomes After Medial Patellofemoral Ligament Reconstruction: A Pilot Study.

Orthop J Sports Med 2019 Feb 15;7(2):2325967119825854. Epub 2019 Feb 15.

University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Background: Previous studies have acknowledged the medial patellofemoral ligament (MPFL) as the primary stabilizer of the patella, preventing lateral displacement. MPFL reconstruction (MPFL-R) restores stability and functionality to the patellofemoral joint and has emerged as a preferred treatment option for recurrent lateral patellar instability.

Purpose: To objectively measure biomechanical characteristics of athletes cleared for return to sport after MPFL-R compared with healthy controls. Read More

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http://dx.doi.org/10.1177/2325967119825854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378443PMC
February 2019
11 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444321PMC
January 2018
1 Read

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380793PMC
February 2019
2 Reads

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

Am J Sports Med 2019 Mar 30;47(3):659-666. 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
March 2019
7 Reads

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
2 Reads

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
12 Reads

Intraoperative Torque Test to Assess Syndesmosis Instability.

Foot Ankle Int 2019 Apr 31;40(4):408-413. 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
April 2019
18 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
4 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 2019 Mar 21;58(2):243-247. 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
March 2019
3 Reads

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

Am J Sports Med 2019 Feb 20;47(2):431-437. 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
February 2019
4 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
3 Reads

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 either the fibula or the talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in the current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to the emergency department. Read More

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

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

Surg Radiol Anat 2019 Mar 11;41(3):307-311. 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
March 2019
6 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
8 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
13 Reads

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

Am J Sports Med 2019 Jan 19;47(1):138-143. 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
January 2019
9 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
3 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
19 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
5 Reads

Percutaneous Ankle Reconstruction of Lateral Ligaments.

Foot Ankle Clin 2018 Dec 28;23(4):581-592. Epub 2018 Sep 28.

Department of Orthopaedic Surgery, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan; Department of Sport and Medical Science, Teikyo Institute of Sports Science & Medicine, Tokyo, Japan.

Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. Within the 3 ligaments of the lateral ligament complex, 80% of patients tear the anterior talofibular ligament (ATFL), whereas the other 20% of patients tear the ATFL and calcaneofibular ligament (CFL). Rarely, the posterior talofibular ligament is involved. 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.2018.07.013DOI Listing
December 2018
26 Reads
0.844 Impact Factor

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
20 Reads

Arthroscopic Treatment of Ankle Instability: Brostrom.

Foot Ankle Clin 2018 Dec 25;23(4):555-570. Epub 2018 Sep 25.

Department of Orthopedics, Blue Ridge Division of Emergeortho, Foot and Ankle Center, 2585 Hendersonville Road, Arden, NC 28704, USA.

Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the arthroscope.Currently arthroscopic lateral ligament repair techniques can be grouped into "arthroscopic-assisted techniques," "all-arthroscopic techniques," and "all-inside techniques." Recent studies have proven these arthroscopic techniques to be a simple, safe, and biomechanically equivalent, stable alternative to open Brostrom Gould lateral ligament reconstruction. 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.2018.07.003DOI Listing
December 2018
16 Reads
0.844 Impact Factor

Chronic Lateral Ankle Instability: Open Surgical Management.

Foot Ankle Clin 2018 Dec 27;23(4):539-554. Epub 2018 Sep 27.

Department of Orthopedics, IU Health University Hospital, 550 N. University Boulevard, Suite 6201, Indianapolis, IN, USA.

Open surgical reconstruction for chronic lateral ankle instability is a proven and effective means of providing renewed stability. Ankle arthroscopy is recommended before reconstruction to address intra-articular pathology. The open procedure discussed is well researched and proven to restore stability and the ability to return to sport and daily activity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.002DOI Listing
December 2018
2 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
12 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
7 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
16 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
36 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
25 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
18 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
3 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
6 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
4 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
6 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
24 Reads

Use of F-sodium fluoride bone PET for disability evaluation in ankle trauma: a pilot study.

BMC Med Imaging 2018 09 20;18(1):34. Epub 2018 Sep 20.

Division of PM&R, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, 94063, USA.

Background: There are no objective and accurate rating tools for permanent impairment of traumatized ankles. The purpose of this study is to assess the role of 18F-Sodium fluoride (18F-NaF) positron emission tomography-computed tomography (PET/CT) bone scans in evaluating patients with limited ankle range of motion (ROM) after trauma.

Methods: 18F-NaF PET/CT was performed in 121 patients (75 men, 46 women; mean age: 45. Read More

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http://dx.doi.org/10.1186/s12880-018-0277-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149075PMC
September 2018
6 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
7 Reads

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

J Ultrasound Med 2019 Apr 12;38(4):917-926. 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
April 2019
4 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
3 Reads