1,535 results match your criteria Calcaneofibular Ligament Injury


Association Between Knee Alignment and Meniscal Tear in Pediatric Patients with Anterior Cruciate Ligament Injury.

J Bone Joint Surg Am 2021 Jun 18. Epub 2021 Jun 18.

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: The present study aimed to evaluate the association between elapsed time from anterior cruciate ligament (ACL) injury to surgical treatment and the incidence of meniscal tears in a cohort of patients ≤16 years old with varus-aligned and non-varus-aligned knees.

Methods: The study cohort included 123 patients ≤16 years old who underwent primary ACL reconstruction between January 2016 and March 2020. Knee alignment was expressed as the hip-knee-ankle angle (HKAA), as measured preoperatively on an anteroposterior view of 3-dimensional computed tomography of the full length of the lower limb. Read More

View Article and Full-Text PDF

Quick and simple test to evaluate severity of acute lateral ankle sprain.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2021 Jul 30;25:30-34. Epub 2021 May 30.

Fujita Orthopedic & Sports Clinic, Japan.

Background/objective: For early return to sports after a lateral ankle sprain (LAS) and recurrence prevention, effective rehabilitation and gradual return to sports should be initiated while predicting the return time based on the appropriate severity evaluation immediately after injury. However, since severity evaluations performed in previous studies required large space and stairs and involved high-revel activity, their use as a test and index to evaluate severity after LAS was not appropriate considering convenience and risk of re-injury. Therefore, a quick and simple test was developed to evaluate the severity of acute LAS. Read More

View Article and Full-Text PDF

Differences in Muscle Activities and Kinematics between Forefoot Strike and Rearfoot Strike in the Lower Limb during 180° Turns.

Int J Sports Phys Ther 2021 Jun 1;16(3):715-723. Epub 2021 Jun 1.

University of Tsukuba, Ibaraki, Japan.

Background: A forefoot strike (FFS) could be a safer landing technique than a rearfoot strike (RFS) during a cutting motion to prevent anterior cruciate ligament (ACL) injury.

Purpose: This study aimed to determine the joint angles, ground reaction force (GRF), and muscle activity levels associated with FFS and RFS landings during 180° turns.

Study Design: Cross-sectional study. Read More

View Article and Full-Text PDF

Evaluation of the Intact Anterior Talofibular and Calcaneofibular Ligaments, Injuries, and Repairs With and Without Augmentation: A Biomechanical Robotic Study.

Am J Sports Med 2021 Jun 10:3635465211018645. Epub 2021 Jun 10.

The Steadman Clinic, Vail, Colorado, USA.

Background: Acute ankle sprains are common injuries. The anterior talofibular (ATFL) and calcaneofibular ligaments (CFL) are the most injured lateral structures. However, controversy exists on the optimal surgical treatment when the injury is both acute and severe or becomes chronic and unstable. Read More

View Article and Full-Text PDF

Open total dislocation of ankle joint without fractures: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26247

Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining City, Shandong Province, China.

Rationale: Open total dislocation of ankle joint is rare and often caused by high-energy injury. The present study describes a patient with open total lateral dislocation of ankle joint without fractures and obtained a satisfactory clinical result following early debridement and irrigation, one-stage repairment of ligaments, and plaster external fixation.

Patient Concerns: The patient, a 45-year-old male, complained of right foot pain with bleeding and limited motion. Read More

View Article and Full-Text PDF

Sensitivity and specificity of ultrasound in the diagnosis of traumatic ankle injury.

J Res Med Sci 2021 27;26:14. Epub 2021 Feb 27.

Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: This study was performed to determine the sensitivity and specificity of ultrasound in the diagnosis of traumatic ankle injury in comparison with magnetic resonance imaging (MRI).

Materials And Methods: This cross-sectional study was performed on 31 patients with soft-tissue injury or fracture, referring to the MRI imaging center of Alzahra and Kashani Hospitals in Isfahan from October 2018 to March 2019. After an MRI, an ultrasound of the affected ankle was performed for all patients. Read More

View Article and Full-Text PDF
February 2021

Association between joint effusions and concomitant structural injuries (tendinitis and structural injury) on MRI in ankle trauma without fracture.

Acta Radiol 2021 May 29:2841851211021038. Epub 2021 May 29.

Department of Nuclear medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: The evaluation of correlations among joint effusion, ligament injuries, tenosynovitis and osteochondral lesion of talus (OLT) in the ankle joint is important for developing a treatment plan and predicting prognosis.

Purpose: To evaluate correlations among tibiotalar (anterior) and talocalcaneal (posterior) joint effusion, tenosynovitis of major flexor tendons, ligaments, and OLT in a group of patients with ankle trauma.

Material And Methods: This retrospective study included 101 patients with ankle trauma who underwent magnetic resonance imaging. Read More

View Article and Full-Text PDF

The epidemiology of injury and illness at the Vitality Netball World Cup 2019: an observational study.

Phys Sportsmed 2021 Jun 7:1-10. Epub 2021 Jun 7.

Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa.

: Netball is a physical game with sudden direction changes, decelerations, jumping and landing, stop/start maneuvers and restrictive footwork rules exposing players to injury. Close contact play and shared facilities during tournaments, increase illness risk.: To describe incidence, period prevalence, types and severity of injuries and illnesses during the 10-day Vitality Netball World Cup 2019 (NWC). Read More

View Article and Full-Text PDF

Hysteresis and stiffness of the lateral ankle complex in those with chronic ankle instability.

Sports Biomech 2021 May 24:1-14. Epub 2021 May 24.

Wake Forest School of Medicine, Department of Internal Medicine, J Paul Sticht Center on Aging, Winston-Salem, NC, USA.

The role of mechanical laxity and viscoelastic tissue properties in chronic ankle instability (CAI) is unclear, but may influence repeated injury. The purpose was to determine if lateral ankle complex stiffness and hysteresis was altered in CAI individuals with and without mechanical laxity, compared to copers and uninjured controls. Thirty-five recreational athletes (19 females, 22. Read More

View Article and Full-Text PDF

Limited intrarater and interrater reliability of acute ligamentous ankle injuries on 3 T MRI.

J ISAKOS 2021 May 10;6(3):153-160. Epub 2020 Dec 10.

Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

Objectives: To determine the diagnostic reliability of the Schneck grading system for acute ligamentous injuries of (1) the three major ligamentous ankle complexes, (2) the individual ankle ligaments and (3) the Sikka classification for syndesmosis injury.

Methods: All acute ankle injuries in adult athletes (≥18 years), presenting to the outpatient department of a specialised Orthopaedic and Sports Medicine Hospital, within 7 days postinjury were screened for inclusion. Ankle injuries were excluded if imaging demonstrated a frank ankle fracture or if the 3 T MRI study could not be acquired within 10 days postinjury. Read More

View Article and Full-Text PDF

Chronic ankle instability has no correlation with the number of ruptured ligaments in severe anterolateral sprain: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2021 May 15. Epub 2021 May 15.

NOVA Medical School, Lisbon, Portugal.

Purpose: Despite being a significant public health problem, ankle sprains' prognostic factors are largely unknown. This review aimed to systematically analyze the literature on acute ankle sprains to compare the prognosis of a combined anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments rupture with an isolated ATFL rupture in terms of progression to chronic ankle instability and other clinical outcomes.

Methods: The databases for Pubmed, CENTRAL and Web of Science were searched. Read More

View Article and Full-Text PDF

Arthroscopic Assessment and Treatment of Medial Collateral Ligament Complex.

Foot Ankle Clin 2021 Jun 17;26(2):305-313. Epub 2021 Apr 17.

Casa di Cura Villa Montallegro, Via Monte Zovetto 27, Genoa 16145, Italy; Department of Orthopaedic Surgery "Gruppo Policlinico di Monza", Clinica Salus, Alessandria, Italy; Human Anatomy and Embryology Unit, Department of Morphological Sciences, Universitat Autònoma de Barcelona, Barcelona, Spain.

An increased interest in ankle instability has led to description of new concepts such as ankle microinstability or rotational ankle instability and the development of new arthroscopic techniques treating ankle instability. Ankle instability is constantly associated to intraarticular pathologies that contribute to generate pain and dysfunction. Arthroscopy plays an important role in identifying and treating all intraarticular abnormalities including ligament injuries. Read More

View Article and Full-Text PDF

Chronic Lateral Ankle Instability in Highly Active Patients: A Treatment Algorithm Based on the Arthroscopic Assessment of the Calcaneofibular Ligament.

Cureus 2021 Apr 5;13(4):e14310. Epub 2021 Apr 5.

Orthopaedics and Trauma Department, Ministry of Defence Hospital Unit (MDHU) Northallerton, Northallerton, GBR.

Background Ankle sprains are common injuries that may recur as chronic conditions. We aim to describe a treatment algorithm for chronic lateral ankle instability based on the arthroscopic findings of the calcaneofibular ligament (CFL). Methods We assessed 67 highly active patients with chronic lateral ankle instability. Read More

View Article and Full-Text PDF

Is lateral ankle sprain of the child and adolescent a myth or a reality? A systematic review of the literature.

Foot Ankle Surg 2021 May 1. Epub 2021 May 1.

Department of Orthopedics and Traumatology, Ambroise-Paré Hospital, AP-HP, Île-de-France Ouest University, 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France; Department of Orthopedic Surgery, Clinique du Sport, 36 Boulevard Saint-Marcel, 75005 Paris, France.

Background: Ankle trauma in children and adolescents is the most common orthopedic injury encountered in pediatric trauma. It has long been recognized that a lateral ankle injury in this population is often a Salter and Harris type I fracture of the distal fibula (SH1). The purpose of this study is to confirm the existence of a lateral ankle sprain and to report the incidence of each pathology of the lateral ankle compartment: SH1 fracture, ATFL injury, and osteochondral avulsions. Read More

View Article and Full-Text PDF

Therapeutic approach to combined deltoid ligament disruption with lateral malleolus fracture: Current evidence and literature review.

Orthop Rev (Pavia) 2021 Mar 31;13(1):8987. Epub 2021 Mar 31.

Galilee Medical Center, Department of Orthopedics, Nahariya, Israel.

Ankle fractures are among the most common injuries treated by orthopaedic traumatologists. These fractures range from stable, simple injuries to complex, multi-planar unstable ones. Osseo-ligamentous structures play a paramount role in maintaining the stability of the ankle joint. Read More

View Article and Full-Text PDF

Arthroscopic characterization of syndesmotic instability in the coronal plane: Exactly what measurement matters?

Injury 2021 Jul 9;52(7):1964-1970. Epub 2021 Apr 9.

Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Foot and Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital and Newton-Wellesley Hospital, Harvard Medical School, Boston, MA, USA.

Background: Although ankle arthroscopy is increasingly used to diagnose syndesmotic instability, precisely where in the incisura one should measure potential changes in tibiofibular space or how much tibiofibular space is indicative of instability, however, remains unclear. The purpose of this study was to determine where within the incisura one should assess coronal plane syndesmotic instability and what degree of tibiofibular space correlates with instability in purely ligamentous syndesmotic injuries under condition of lateral hook stress test (LHT) assessment.

Methods: Ankle arthroscopy was performed on 22 cadaveric specimens, first with intact ankle ligaments and then after sequential sectioning of the syndesmotic and deltoid ligaments. Read More

View Article and Full-Text PDF

[Characteristics and related factors of plantar pressure in the chronic ankle instability individuals].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Mar;53(2):279-285

Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China.

Objective: To analyze characteristics and related factors of the plantar pressure during the level walking and single leg standing in the chronic ankle instability (CAI) individuals.

Methods: From April 2019, 75 CAI individuals and 40 healthy individuals were enrolled in this study. Both of the static and dynamic plantar pressure were measured during six times level walking and three times single leg standing testing. Read More

View Article and Full-Text PDF

Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain.

J Athl Train 2021 Apr;56(4):408-417

University of Delaware, Newark.

Context: Approximately 72% of patients with an ankle sprain report residual symptoms 6 to 18 months later. Although 44% of patients return to activity in less than 24 hours after experiencing a sprain, residual symptoms should be evaluated in the long term to determine if deficits exist. These residual symptoms may be due to the quality of ligament tissue and motion after injury. Read More

View Article and Full-Text PDF

A Rare Pattern of Ligamentous Injury of the Ankle: A Case Report and Review of the Literature.

J Foot Ankle Surg 2021 Mar 6. Epub 2021 Mar 6.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, NHS Foundation Trust, Birmingham, UK.

Ankle sprains are the most frequent sport related injuries with involvement of the lateral collateral ligament complex occurring in 85% of cases. Isolated anterior talofibular ligament injury is by far the commonest followed by combined anterior talofibular and calcaneofibular ligament strain. The posterior talofibular ligament is the strongest component of the lateral collateral ligament complex and is injured in severe ankle injury along with the other lateral collateral ligaments. Read More

View Article and Full-Text PDF

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021.

J Orthop Sports Phys Ther 2021 04;51(4):CPG1-CPG80

This revised clinical practice guideline (CPG) addresses the distinct but related lower extremity impairments of those with a first-time lateral ankle sprain (LAS) and those with chronic ankle instability (CAI). Depending on many factors, impairments may continue following injury. While most individuals experience resolution of symptoms, complaints of instability may continue and are defined as CAI. Read More

View Article and Full-Text PDF

Calcaneal fracture with a concomitant unstable subtalar dislocation: A case report.

Int J Surg Case Rep 2021 Apr 19;81:105778. Epub 2021 Mar 19.

Department of Orthopedic Surgery, Military General Hospital, Beirut, Lebanon. Electronic address:

Background: Traumatic dislocation of the subtalar joint is an infrequently occurring injury, first described by DuFaurest in 1811. They were later on classified by Broca as medial, lateral, posterior and anterior dislocations based on the direction of the dislocation.

Case Report: We present a case of a 30 year old male who presented after a 5 m height fall and direct right foot trauma. Read More

View Article and Full-Text PDF

[Open reduction and internal fixation of posterior malleolus fractures].

Oper Orthop Traumatol 2021 Apr 25;33(2):112-124. Epub 2021 Mar 25.

Sektion Fuß- und Sprunggelenkchirurgie Campus Großhadern & Innenstadt, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, LMU München, Nussbaumstr. 20, 80336, München, Deutschland.

Objective: Stabilization of the syndesmotic complex by open reduction and internal fixation (ORIF) of the posterior malleolus, restoration of the tibial articular surface, stability of the ankle, posterior tibiofibular ligament and the incisura tibiae, reduction of the fibula into the incisura tibiae by ligamentotaxis.

Indications: Unstable ankle fractures (OTA/AO type 44-B3, C1.3, C2. Read More

View Article and Full-Text PDF

Osteotomy combined with lateral ligament reconstruction in treating osteochondral lesion in patients with talar injury and varus ankle.

Authors:
Mu Hu Xiang-Yang Xu

Medicine (Baltimore) 2021 Mar;100(12):e24330

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

Abstract: This study aimed to investigate the therapeutic effects of osteotomy combined with lateral ligament reconstruction on the osteochondral lesion of patients with talar injuries and varus ankles.Seventy five patients with talar injuries and varus ankles who received osteotomy combined with lateral ligament reconstruction for the osteochondral lesions from June 2008 to December 2014 were retrospectively reviewed. Patients were followed up for 32. Read More

View Article and Full-Text PDF

A lateral ankle sprain during a lateral backward step in badminton:A case report of a televised injury incident.

J Sport Health Sci 2021 Mar 17. Epub 2021 Mar 17.

National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK.

Background: This study presents a kinematic analysis of an acute lateral ankle sprain incurred during a televised badminton match. The kinematics of this injury were compared to those of 19 previously reported cases in the published literature.

Methods: Four camera views of an acute lateral ankle sprain incurred during a televised badminton match were synchronized and rendered in 3-dimensional animation software. Read More

View Article and Full-Text PDF

Biomechanics Following Anatomic Lateral Ligament Repair of Chronic Ankle Instability: A Systematic Review.

J Foot Ankle Surg 2020 Oct 7. Epub 2020 Oct 7.

Professor of Orthopaedic Surgery, Foot and Ankle Research and Innovation Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA; Chief of Division of Foot & Ankle Surgery, Department of Orthopaedic Surgery, Foot & Ankle Service, Massachusetts General Hospital, Boston, MA; President-Elect, American Orthopaedic Foot and Ankle Society, Newton-Wellesley Hospital, Harvard Medical School, Massachusetts General Hospital, Boston, MA.

One of the most common orthopedic injuries in the general population, particularly among athletes, is ankle sprain. We investigated the literature to evaluate the known pre- and postoperative biomechanical changes of the ankle after anatomic lateral ligament repair in patients suffering from chronic ankle instability. In this systematic review, studies published till January 2020 were identified by using synonyms for "kinetic outcomes," "kinematic outcomes," "Broström procedure," and "lateral ligament repair. Read More

View Article and Full-Text PDF
October 2020

Acute Compartment Syndrome of the Leg Following Injury to Perforating Branch of Peroneal Artery After a Severe Ankle Sprain in a Pediatric Patient - A Case and a Review of Literature.

J Orthop Case Rep 2020 Nov;10(8):68-71

Department of Orthopaedics, Southampton General Hospital, Southampton, UK.

Introduction: Acute compartment syndrome (ACS) of the leg is seen most often following severe fractures, crush injuries, burns, tight casts, or dressings but rarely after ankle sprains. Very few cases have been found in the literature of compartment syndrome developing after ankle ligament disruptions. We report a case of ACS secondary to an ankle sprain in a 10-year-old child. Read More

View Article and Full-Text PDF
November 2020

Quantitative Analysis of Deltoid Ligament Degradation in Patients With Chronic Ankle Instability Using Computed Tomographic Images.

Foot Ankle Int 2021 Mar 11:1071100721997070. Epub 2021 Mar 11.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Background: Rotational ankle instability (RAI) is associated with the faster onset of severe ankle osteoarthritis via dysfunction of the anterior talofibular ligament, calcaneofibular ligament, and deltoid ligament. No specific clinical examination is available for RAI, and diagnostic imaging has limitations in evaluating ligament degradation. This study investigated the deltoid ligament degeneration using Hounsfield unit (HU) values on computed tomography (CT) images. Read More

View Article and Full-Text PDF

[Anatomical reconstruction of lateral ligament complex with singletunnel pullout stutrue fixation for chronic lateral ankle instability].

Zhongguo Gu Shang 2021 Feb;34(2):143-7

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To explore clinical effects of single-tunnel pullout structure fixation and anatomical reconstruction of lateral ligament complex in treating chronic lateral ankle instability.

Methods: From January 2016 to December 2018, clinical data of 23 patients with chronic lateral malleolus instability who underwent anatomical reconstruction of lateral malleolus ligament complex with single-tunnel pullout structure fixation, were retrospectively studied. Among them, including 7 males and 16 females, aged from 17 to 33 years old with an avergae of (26. Read More

View Article and Full-Text PDF
February 2021

Isolated partial tear of extensor digitorum longus tendon with overlying muscle herniation in acute ankle sports injury: role of high resolution musculoskeletal ultrasound.

J Ultrasound 2021 Mar 3. Epub 2021 Mar 3.

Sport Sciences Faculty, Castilla La Mancha University, Ciudad Real, Spain.

Lateral Ankle sprain is a common sports-related trauma with the mechanism of injury ranging from inversion to plantar flexion. These injuries commonly affect the ligaments but can also affect the associated soft tissue structures like the eversion muscles and tendons. Prompt and accurate diagnosis of such injuries is warranted so as to ensure early return to play and prevent long-term complications. Read More

View Article and Full-Text PDF

Connecting fibers between ATFL's inferior fascicle and CFL transmit tension between both ligaments.

Knee Surg Sports Traumatol Arthrosc 2021 Mar 1. Epub 2021 Mar 1.

MIFAS By Grecmip (Minimally Invasive Foot and Ankle Society), Merignac, France.

Purpose: The lateral ligament complex of the ankle has been extensively studied. Recently an anatomical study described a connection between anterior talofibular ligament inferior fascicle (ATFLif) and calcaneofibular ligament (CFL). The applicability and the mechanical role of these connections have not yet been studied and need to be clarified. Read More

View Article and Full-Text PDF