367 results match your criteria Talofibular 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

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

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

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

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

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

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

Arthroscopic all-inside anterior talo-fibular ligament repair with suture augmentation gives excellent results in case of poor ligament tissue remnant quality.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 20. Epub 2018 Aug 20.

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

Purpose: An increasing role of arthroscopy as the definitive treatment for ankle instability has been reported, and assisted or all-arthroscopic techniques have been developed. However, treatment of chronic ankle instability with poor remnant ligament-tissue quality is still challenging. The aim of this study was to describe the technique and report the results of the arthroscopic ATFL all-inside repair with suture augmentation to treat patients with poor remnant ligament-tissue quality. Read More

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http://dx.doi.org/10.1007/s00167-018-5117-xDOI Listing
August 2018
5 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

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

[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

Talar process fractures: An overview and update of the literature.

EFORT Open Rev 2018 Mar 29;3(3):85-92. Epub 2018 Mar 29.

The Royal Stoke University Hospital, UK.

Fractures of the lateral and the posterior processes of the talus are uncommon and frequently missed because of a low level of suspicion and difficulty in interpretation on plain radiographs. Missed fractures can lead to persistent pain and reduced function.Lateral process fractures are usually a consequence of forced dorsiflexion and inversion of fixed pronated foot. Read More

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http://dx.doi.org/10.1302/2058-5241.3.170040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890124PMC
March 2018
3 Reads

Clinical Outcomes of the Modified Broström Technique in the Management of Chronic Ankle Instability After Early, Intermediate, and Delayed Presentation.

J Foot Ankle Surg 2018 Jul - Aug;57(4):685-688. Epub 2018 Apr 11.

Consultant Foot and Ankle Surgeon, Department of Trauma and Orthopaedics, King's Mill Hospital, Sutton-in-Ashfield, United Kingdom.

The modified Broström technique (MBT) is considered the reference standard for surgical management of ankle instability, with good short-term outcomes. However, limited evidence is available regarding outcomes for delayed presentations of instability. We report our outcomes for patients who underwent ligament repair using the MBT, from a single-surgeon retrospective study of consecutive patients. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.12.003DOI Listing
December 2018
11 Reads

Healing of Complete Tear of the Anterior Talofibular Ligament and Early Ankle Stabilization after Autologous Platelet Rich Plasma: a Case Report and Literature Review.

Arch Bone Jt Surg 2018 Mar;6(2):146-149

The Hong Kong Institute of Musculoskeletal Medicine, Hong Kong.

Lateral Ankle sprain (LAS) is a common sports injury associated with recurrent ankle sprain, chronic ankle instability (CAI) and post-traumatic ankle osteoarthritis (PTOA). Platelet Rich Plasma (PRP) has been increasingly used for herapeutic applications in sports-related injuries, and is thought to stimulate tissue healing. We reported a case of LAS with complete tear of anterior talofibular ligament, which showed complete healing of ligament and early ankle stabilization after PRP. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867359PMC
March 2018
4 Reads

Comparative evaluation between anatomic and non-anatomic lateral ligament reconstruction techniques in the ankle joint: A computational study.

J Biomech Eng 2018 Mar 12. Epub 2018 Mar 12.

Department of Mechanical Engineering, Kyung Hee University, Yongin, 17104, Korea.

Biomechanical studies have indicated that the conventional non-anatomic reconstruction techniques for lateral ankle sprain (LAS) tend to restrict subtalar joint motion compared to intact ankle joints. Excessive restriction in subtalar motion may lead to chronic pain, functional difficulties, and development of osteoarthritis. Therefore, various anatomic surgical techniques to reconstruct both the anterior talofibular and calcaneofibular ligaments have been introduced. Read More

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http://dx.doi.org/10.1115/1.4039576DOI Listing
March 2018
9 Reads

Intraoperative Findings of Lateral Ligament Avulsion Fractures and Outcome After Refixation to the Fibula.

Foot Ankle Int 2018 06 12;39(6):669-673. Epub 2018 Mar 12.

1 Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.

Background: An acute ankle sprain can result in a bony avulsion of the lateral ankle ligaments. The extent of concomitant lesions and subsequent instability patterns are not clearly understood. The high incidence of old avulsion fractures found in symptomatic chronic ankle instability may indicate the need for primary fixation. Read More

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http://dx.doi.org/10.1177/1071100718760273DOI Listing
June 2018
7 Reads

Influence of ankle joint plantarflexion and dorsiflexion on lateral ankle sprain: A computational study.

Proc Inst Mech Eng H 2018 May 9;232(5):458-467. Epub 2018 Mar 9.

1 Department of Mechanical Engineering, Kyung Hee University, Yongin, Korea.

Understanding the mechanism of injury involved in lateral ankle sprain is essential to prevent injury, to establish surgical repair and reconstruction, and to plan reliable rehabilitation protocols. Most studies for lateral ankle sprain posit that ankle inversion, internal rotation, and plantarflexion are involved in the mechanism of injury. However, recent studies indicated that ankle dorsiflexion also plays an important role in the lateral ankle sprain mechanism. Read More

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http://dx.doi.org/10.1177/0954411918762955DOI Listing
May 2018
4 Reads

Evaluation of the Anterior Talofibular Ligament via Stress Sonography in Asymptomatic and Symptomatic Populations.

J Ultrasound Med 2018 Aug 24;37(8):1957-1963. Epub 2018 Jan 24.

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

Objectives: Sonography during externally applied stress has the potential to identify ligamentous instability, but diagnostic parameters for the most commonly sprained ankle ligament, the anterior talofibular ligament (ATFL), have not yet been established. The purpose of this study was to determine normative values of the change in the length of the ATFL in an asymptomatic population during manual stress sonography and to compare these values to those in patients with clinical findings of anterolateral ankle instability.

Methods: Sonography of the ATFL at rest and with maximally applied manual stress was performed bilaterally in 20 asymptomatic volunteers from each of three 10-year age groups from 20 to 50 years. Read More

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http://dx.doi.org/10.1002/jum.14542DOI Listing
August 2018
2 Reads

Reliability and validity of preoperative MRI for surgical decision making in chronic lateral ankle instability.

Eur J Orthop Surg Traumatol 2018 May 3;28(4):713-719. Epub 2018 Jan 3.

Hôpitaux Universitaires Paris Ile-de-France Ouest, Assistance Publique-Hôpitaux de Paris, 92100, Boulogne-Billancourt, France.

Purpose: To evaluate the value of analyzing the anterior talofibular ligament (ATFL) on preoperative MRI as a decision-making tool to determine the surgical technique in patients undergoing surgery for chronic lateral ankle instability.

Methods: A retrospective study of prospective data was performed. All patients who underwent surgery between 2013 and 2016 for arthroscopic stabilization of the ankle were included. Read More

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http://dx.doi.org/10.1007/s00590-017-2116-4DOI Listing
May 2018
16 Reads

Accuracy of magnetic resonance imaging in diagnosing lateral ankle ligament injuries: A comparative study with surgical findings and timings of scans.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2017 Jan 20;7:15-20. Epub 2016 Nov 20.

Department of Orthopaedic Surgery, National University Health System, Singapore.

Objective: This study aimed to evaluate the accuracy of magnetic resonance imaging (MRI) in diagnosing lateral ankle ligament injuries and the effect of differences in time duration from injury to MRI.

Methods: Data were collected prospectively from 82 patients who underwent MRI and lateral ligament reconstruction, and were divided into either acute (≤3 months) or chronic (>3 months) group based on injury interval. Findings were classified as normal, partial, or complete tears of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). Read More

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http://dx.doi.org/10.1016/j.asmart.2016.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721913PMC
January 2017
4 Reads

Use of three-dimensional finite element models of the lateral ankle ligaments to evaluate three surgical techniques.

J Int Med Res 2018 Feb 12;46(2):699-709. Epub 2017 Sep 12.

1 Department of Orthopedics, Tumor Hospital Affiliated to Xinjiang Medical University, Xinshi, Urumqi, Xinjiang, PR China.

Objective To compare three surgical techniques for lateral ankle ligament reconstruction using finite element (FE) models. Methods A three-dimensional FE model of the left foot of a healthy volunteer and lateral collateral ligament injury models were developed. Three tendons [one-half of the autologous peroneus longus tendon (PLT), one-half of the peroneus brevis tendon (PBT), and an allogeneic tendon] were used for lateral collateral ligament reconstruction. Read More

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http://dx.doi.org/10.1177/0300060517727941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971510PMC
February 2018
5 Reads

Technique using the modified rolling hitch for split peroneus brevis tendon transfer in lateral ankle stabilization.

Foot Ankle Surg 2017 Dec 13;23(4):e35-e37. Epub 2017 Apr 13.

Department of Orthopaedics, Foot and Ankle, Chiayi Christian Hospital, Chiayi, Taiwan. Electronic address:

We report our technique for split peroneus brevis lateral ankle stabilization using the modified rolling hitch for tendon graft fixation. Applying the modified rolling hitch for tendon grasping in this procedure was useful, and it could decrease the surgical time and avoid the tendon injury caused by the needle. Read More

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http://dx.doi.org/10.1016/j.fas.2017.04.002DOI Listing
December 2017
4 Reads

Morphological features of the anterior talofibular ligament by the number of fiber bundles.

Ann Anat 2018 Mar 28;216:69-74. Epub 2017 Nov 28.

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Shimami-cho 1398, Kita-ku, Niigata City, Niigata 950-3198, Japan.

The aims of this study have been to clarify differences in morphological features based on the number of fiber bundles in the anterior talofibular ligament (ATFL), and to investigate the relationship between the ATFL and the calcaneofibular ligament (CFL). This study used 81 legs from 43 cadavers. The ATFL was classified according to differences in the number of fiber bundles as: Type I, with one fiber bundle; Type II-a, with two fiber bundles that were incompletely separated; Type II-b, with two fiber bundles that were completely separated; and Type III, with three fiber bundles. Read More

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http://dx.doi.org/10.1016/j.aanat.2017.11.001DOI Listing
March 2018
9 Reads

Combined arthroscopic all-inside repair of lateral and medial ankle ligaments is an effective treatment for rotational ankle instability.

Knee Surg Sports Traumatol Arthrosc 2017 Oct 5. Epub 2017 Oct 5.

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

Purpose: When the anterior fascicle of the deltoid ligament is injured in patients with chronic ankle instability, the diagnosis of rotational ankle instability is supported. The aim of this study was to report the results of an all-arthroscopic technique to concomitantly repair the lateral collateral and deltoid ligaments to treat patients with rotational ankle instability.

Methods: Thirteen patients [12 men and 1 woman, median age 32 (15-54) years] with rotational ankle instability were treated by arthroscopic means after failing non-operative management. Read More

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http://dx.doi.org/10.1007/s00167-017-4736-yDOI Listing
October 2017
18 Reads

An Ultrasound Classification of Anterior Talofibular Ligament (ATFL) Injury.

Open Orthop J 2017 31;11:610-616. Epub 2017 Jul 31.

Department of sonography, Huashan Hospital, Fudan University, Shanghai, China.

Background: To develop a classification of ATFL injury based on the ultrasonography.

Methods: The ultrasound images of 560 cases that had chronic ankle instability were studied from May 2012 to May 2015. All the patients accepted ultrasonography to type the ATFL injury. Read More

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http://dx.doi.org/10.2174/1874325001711010610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5620408PMC
July 2017
9 Reads

Imaging of Ankle Impingement Syndromes.

Can Assoc Radiol J 2017 Nov 31;68(4):431-437. Epub 2017 Aug 31.

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Republic of Singapore. Electronic address:

Ankle impingement syndromes are a commonly encountered clinical entity seen in athletes, secondary to repetitive forceful microtrauma. Symptoms are related to impingement of osseous or soft tissue abnormalities in the ankle joint, in particular the tibiotalar joint, which may result in painful limitation of ankle movements. Imaging modalities, such as radiographs and magnetic resonance imaging, are very useful in diagnosing osseous and soft tissue abnormalities seen in different types of ankle impingement syndromes. Read More

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http://dx.doi.org/10.1016/j.carj.2017.04.001DOI Listing
November 2017
10 Reads

[MRI anatomy and injury of the lateral collateral ligaments of ankle].

Zhonghua Yi Xue Za Zhi 2017 Aug;97(29):2271-2274

Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China.

To explore the MRI features of the lateral collateral ligament injuries of the ankle and determine the value MRI in diagnosing the ligament injuries of the ankle. The study was reviewed and approved by an institutional review board of hospital. Retrospective analysised 10 healthy volunteers and 26 ankle injury cases underwent surgery since January 2013 to September 2016, the MR imaging findings of patients were compared with volunteers' and operative documents, to analysis the MRI feature of the ligament injuries of the ankle. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2017.29.008DOI Listing
August 2017
9 Reads

The feasibility of point-of-care ankle ultrasound examination in patients with recurrent ankle sprain and chronic ankle instability: Comparison with magnetic resonance imaging.

Injury 2017 Oct 13;48(10):2323-2328. Epub 2017 Jul 13.

Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force, PO Box 335-21, 635 Danjae-ro, Namil-myeon, Cheongwon-gun, Chungcheongbuk-do 363-849, Republic of Korea. Electronic address:

Objective: To evaluate the feasibility of point-of-care ankle ultrasound compared with magnetic resonance imaging (MRI) for diagnosing major ligaments and Achilles tendon injuries in patients with recurrent ankle sprain and chronic instability, and to evaluate inter-observer reliability between an emergency physician and a musculoskeletal radiology fellow.

Material And Methods: A prospective cross-sectional study was conducted in an emergency department. Patients with recurrent ankle sprain and chronic instability were recruited. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383173043
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http://dx.doi.org/10.1016/j.injury.2017.07.015DOI Listing
October 2017
51 Reads

Biomechanical analysis of ankle ligamentous sprain injury cases from televised basketball games: Understanding when, how and why ligament failure occurs.

J Sci Med Sport 2017 Dec 25;20(12):1057-1061. Epub 2017 May 25.

Department of Bioengineering, Imperial College, United Kingdom. Electronic address:

Objectives: Ankle sprains due to landing on an opponent's foot are common in basketball. There is no analysis to date that provides a quantification of this injury mechanism. The aim of this study was to quantify the kinematics of this specific injury mechanism and relate this to lateral ankle ligament biomechanics. Read More

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http://dx.doi.org/10.1016/j.jsams.2017.05.006DOI Listing
December 2017
75 Reads

Treatment of talus osteochondral defects in chronic lateral unstable ankles: small-sized lateral chondral lesions had good clinical outcomes.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 2;26(7):2116-2122. Epub 2017 Jun 2.

Department of Sports Medicine, Huashan Hospital, No 12, Wulumuqi Zhong Road, Shanghai, 200040, People's Republic of China.

Purpose: To assess and compare the clinical and MRI outcomes of patients with talus osteochondral defect (OCD) and patients without OCD in a cohort with chronic lateral ankle instability.

Methods: All patients who underwent open or arthroscopic anterior talofibular ligament repair of the lateral ligament complex by a single surgeon were included in this study. Ankle arthroscopic surgery was initially performed to manage any intra-articular OCD, including debridement and microfracture. Read More

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http://dx.doi.org/10.1007/s00167-017-4591-xDOI Listing
July 2018
45 Reads

Accuracy of Point-of-Care Ultrasonography for Pediatric Ankle Sprain Injuries.

Pediatr Emerg Care 2018 Dec;34(12):842-847

Division of Emergency Medicine, Department of Pediatrics, The Hospital for Sick Children and the University of Toronto, Toronto, Ontario, Canada.

Objectives: In children with radiograph fracture-negative lateral ankle injuries, the main objective of this pilot study was to explore the accuracy, sensitivity, and specificity of point-of-care ultrasound (POCUS) performed by a pediatric emergency physician in diagnosing anterior talofibular ligament injuries, radiographically occult distal fibular fractures, and effusions compared with reference standard magnetic resonance imaging (MRI).

Methods: This was a prospective cohort pilot study. Children aged 5 to 17 years with an isolated, acute lateral ankle injury and fracture-negative ankle radiographs were eligible for enrolment. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001130DOI Listing
December 2018
13 Reads

Syndesmotic Brace for anatomic distal tibiofibular ligament augmentation.

World J Orthop 2017 Apr 18;8(4):301-309. Epub 2017 Apr 18.

Markus Regauer, SportOrtho Rosenheim, Praxis für Orthopädie und Unfallchirurgie, 83022 Rosenheim, Germany.

Reconstruction of unstable syndesmotic injuries is not trivial, and there is no generally accepted treatment guidelines. Thus, there still remain considerable controversies regarding diagnosis, classification and treatment of syndesmotic injuries. Syndesmotic malreduction is the most common indication for early re-operation after ankle fracture surgery, and widening of the ankle mortise by only 1 mm decreases the contact area of the tibiotalar joint by 42%. Read More

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http://dx.doi.org/10.5312/wjo.v8.i4.301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396014PMC
April 2017
14 Reads

T -Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear.

J Magn Reson Imaging 2018 01 27;47(1):69-77. Epub 2017 Apr 27.

Department of Radiology, Huashan Hospital, Fudan University, Shanghai, P.R. China.

Purpose: To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T -mapping at 3.0T.

Materials And Methods: In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL+CFL tear, and 21 healthy subjects were recruited. Read More

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http://dx.doi.org/10.1002/jmri.25745DOI Listing
January 2018
17 Reads

Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 25;26(7):2095-2102. Epub 2017 Apr 25.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göthenburg, Sweden.

Purpose: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions.

Methods: A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. Read More

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http://dx.doi.org/10.1007/s00167-017-4556-0DOI Listing
July 2018
27 Reads
1 Citation
2.840 Impact Factor

Acute Ankle Sprain in a Mouse Model: Changes in Knee-Joint Space.

J Athl Train 2017 Jun 24;52(6):587-591. Epub 2017 Apr 24.

Department of Kinesiology, University of North Carolina at Charlotte.

Context:   Ankle sprains remain the most common orthopaedic injury. Conducting long-term studies in humans is difficult and costly, so the long-term consequences of an ankle sprain are not entirely known.

Objective:   To measure knee-joint space after a single surgically induced ankle sprain in mice. Read More

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http://dx.doi.org/10.4085/1062-6050-52.3.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5488850PMC
June 2017
8 Reads

Finite element analysis of the influence of anterior talofibular ligament injury on Hook test results.

Injury 2017 Jul 31;48(7):1499-1502. Epub 2017 Mar 31.

The First Clinical Medical College of Jinan University, China.

Aim: To determine whether the anterior talofibular ligament injury will influence the Hook test result.

Method: A three-dimensional model of the ankle was established based on CT scan of a healthy volunteer and ligament attachment through references; Four groups (A-D) of operating conditions were set up. In group A, the anterior and posterior ligaments of the inferior tibiofibular joint were cut off and the anterior talofibular ligament was kept intact; in group B, all the anterior and posterior tibiofibular ligaments and the anterior talofibular ligament were cut off; in group C, the medial and lateral ligaments of the ankle joint and the inferior tibiofibular ligament were kept intact; in group D, only the talofibular ligament was cut off and other ligaments were kept intact. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383173019
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http://dx.doi.org/10.1016/j.injury.2017.03.040DOI Listing
July 2017
8 Reads

Activity Level and Function 2 Years After Anterior Talofibular Ligament Repair: A Comparison Between Arthroscopic Repair and Open Repair Procedures.

Am J Sports Med 2017 Jul 10;45(9):2044-2051. Epub 2017 Apr 10.

Department of Sports Medicine, Huashan Hospital, Shanghai, People's Republic of China.

Background: The open modified Broström anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. Despite recent increases in publications regarding arthroscopic repair of the anterior talofibular ligament (ATFL) for treatment of chronic ankle instability, research is lacking that compares the functional outcomes between arthroscopic repair and open repair procedures for chronic ankle instability.

Purpose: To compare function and activity level after arthroscopic repair versus open repair of the ATFL in patients with lateral ankle instability. Read More

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http://dx.doi.org/10.1177/0363546517698675DOI Listing
July 2017
8 Reads

Outcomes of the Modified Broström Procedure Augmented With Suture-Tape for Ankle Instability in Patients With Generalized Ligamentous Laxity.

Foot Ankle Int 2017 Apr 20;38(4):405-411. Epub 2016 Dec 20.

2 Department of Orthopaedic Surgery, School of Medicine, University of California, Los Angeles, CA, USA.

Background: Although recent biomechanical studies have reported mechanical superiority of augmented anterior talofibular ligament reconstruction using suture-tape, clinical evidence regarding the efficacy of suture-tape augmentation is still insufficient. This prospective study was performed to evaluate the outcomes of the modified Broström procedure augmented with suture-tape for chronic ankle instability with generalized ligamentous laxity, which has been known to be a poor prognostic factor for anatomic ligament repair.

Methods: Twenty-eight patients with generalized ligamentous laxity were followed for more than 2 years after the augmented modified Broström procedures for chronic ankle instability. Read More

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http://dx.doi.org/10.1177/1071100716683348DOI Listing
April 2017
8 Reads

All-arthroscopic anatomical reconstruction of anterior talofibular ligament using semitendinosus autografts.

Int Orthop 2017 05 23;41(5):975-982. Epub 2017 Feb 23.

Department of Sports Medicine, Sun Yat-sen Memorial Hospital, No.107 on Yanjiang Road West, 510120, Guangzhou, Guangdong, China.

Purpose: We introduced a new technique of all-arthroscopic anatomical anterior talofibular ligament (ATFL) reconstruction using semitendinosus autografts.

Methods: From June 2012 to June 2013, 28 patients with chronic ATFL rupture underwent arthroscopic anatomic reconstruction of the ATFL. They were divided into the Broström group (n = 16) and reconstruction group (n = 12). Read More

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http://dx.doi.org/10.1007/s00264-017-3410-9DOI Listing
May 2017
6 Reads

Anatomic Relationship and Imaging Relevance of the Perforating Branches of the Peroneal Vessels to the Anterior Talofibular Ligament.

J Emerg Med 2017 May 26;52(5):707-714. Epub 2017 Jan 26.

Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia.

Background: Patients frequently present to the emergency department after ankle injuries, and the anterior talofibular ligament (ATFL) is commonly damaged. Musculoskeletal ultrasound (US) can help to make a rapid diagnosis. There is a paucity of literature describing techniques to image the ATFL with US, and the complex ankle anatomy and potential pitfalls make imaging challenging. Read More

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http://dx.doi.org/10.1016/j.jemermed.2016.12.012DOI Listing
May 2017
15 Reads

Surgical outcome of posterior ankle impingement syndrome with concomitant ankle disorders treated simultaneously in patient engaged in athletic activity.

J Orthop Sci 2017 May 10;22(3):463-467. Epub 2017 Jan 10.

Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi, Tokyo, 173-8605, Japan.

Background: It is unclear whether simultaneous surgery for posterior ankle impingement syndrome (PAIS) and concomitant ankle disorders, such as anterior ankle impingement syndrome (AAIS), lateral ankle instability (LAI), and osteochondral lesion of the talus (OLT), allows for early return to athletic activity.

Methods: Ninety-seven patients who engaged in athletic activity (mean age 27 [range 18-43] years) and were treated by a hindfoot endoscopic approach for PAIS alone or simultaneously for PAIS and concomitant ankle disorders were included in this study. The patients were divided into four groups: PAIS alone (group A, n = 61), PAIS with AAIS (group B, n = 8), PAIS with LAI with or without AAIS (group C, n = 20), and PAIS with OLT with or without AAIS/LAI (group D, n = 8). Read More

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http://dx.doi.org/10.1016/j.jos.2016.12.017DOI Listing
May 2017
3 Reads

Sonographic Findings of Chondral Avulsion Fractures of the Lateral Ankle Ligaments in Children.

J Ultrasound Med 2017 Feb 10;36(2):421-432. Epub 2017 Jan 10.

Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.

In this series, we aimed to describe the sonographic findings of chondral avulsion fractures that develop concomitant with lateral ankle ligament injury in children. We performed stress sonography during a manual anterior drawer stress procedure of the ankle in 9 skeletally immature patients who had recently had a lateral ankle sprain. Echo videos were obtained through the course of treatment, and all videos were reviewed. Read More

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http://dx.doi.org/10.7863/ultra.15.09008DOI Listing
February 2017
2 Reads

Chronic ankle instability: Arthroscopic anatomical repair.

Rev Esp Cir Ortop Traumatol 2017 Mar - Apr;61(2):104-110. Epub 2016 Dec 9.

Unidad de Artroscopia, Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Cirugía, Universidad Complutense de Madrid, Madrid, España.

Introduction: Ankle sprains are one of the most common injuries. Despite appropriate conservative treatment, approximately 20-40% of patients continue to have chronic ankle instability and pain. In 75-80% of cases there is an isolated rupture of the anterior talofibular ligament. Read More

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http://dx.doi.org/10.1016/j.recot.2016.10.003DOI Listing
February 2018
4 Reads