564 results match your criteria Talofibular Ligament Injury


Pediatric and adolescent ankle instability: diagnosis and treatment options.

Curr Opin Pediatr 2018 Dec 10. Epub 2018 Dec 10.

Department of Orthopaedic Surgery.

Purpose Of Review: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and treatment for lateral ankle instability in pediatric patients.

Recent Findings: Chronic ankle instability is a common sequela of lateral ankle sprain in young athletes. Incidence is increasing, possibly due in part to inadequate treatment of first-time ankle sprains, as well as increased youth participation in organized and competitive sports. Read More

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December 2018

Three-Dimensional computed tomography tunnel assessment of allograft anatomic reconstruction in chronic ankle instability: 33 cases.

Orthop Traumatol Surg Res 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea. Electronic address:

Introduction: Although clinical results of anatomic reconstruction using allograft are reportedly good, studies on how accurately the tunnel has been made after surgery are very rare. The purpose of this study was to analyze the postoperative locations of the tunnels through 3-dimensional computed tomography (3D-CT) after anatomic ligament reconstruction and to evaluate its clinical results.

Hypothesis: We hypothesized that anatomic lateral ligament reconstruction could lead to excellent results in clinical outcomes by repositioning anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) accurately. Read More

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November 2018
1 Read

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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November 2018
6 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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December 2018
4 Reads
0.840 Impact Factor

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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November 2018
5 Reads

Morphological characteristics of the lateral talocalcaneal ligament: a large-scale anatomical study.

Surg Radiol Anat 2018 Oct 30. Epub 2018 Oct 30.

Department of Health and Sports, Niigata University of Health and Welfare, Niigata, Japan.

Purpose: The purpose of this study is to clarify the morphological characteristics of the lateral talocalcaneal ligament (LTCL).

Methods: This study examined 100 legs from 54 Japanese cadavers. The LTCL was classified into three types: Type I, the LTCL branches from the calcaneofibular ligament (CFL); Type II, the LTCL is independent of the CFL and runs parallel to the calcaneus; and Type III, the LTCL is absent. Read More

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October 2018
2 Reads

All arthroscopic remnant-preserving reconstruction of the lateral ligaments of the ankle: A biomechanical study and clinical application.

Biochem Biophys Res Commun 2018 Nov 9;505(4):985-990. Epub 2018 Oct 9.

Department of Orthopaedic, The Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing, 210006, China. Electronic address:

Lateral ankle sprains are one of the most common injuries in sports. Recently, arthroscopic lateral ligament reconstruction has been recently advocated, however no biomechanical studies and clinical application of this technique are available. In this biomechanical study, eighteen fresh-frozen cadaveric ankles were randomized into three groups: (1) intact anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), (2) arthroscopic anatomic reconstruction of ATFL and CFL, and (3) all arthroscopic remnant-preserving reconstruction of ATFL and CFL. Read More

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November 2018
2 Reads
2.300 Impact Factor

Anatomical reconstruction produced similarly favorable outcomes as repair procedures for the treatment of chronic lateral ankle instability at long-term follow-up.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 5. Epub 2018 Oct 5.

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

Purpose: The aim of this study was to compare long-term outcomes after anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) repair and reconstruction at 5-10 years after surgery.

Methods: Forty-five patients who underwent surgical repair or reconstruction of both ATFL and CFL were retrospectively investigated in this study. American Orthopedic Foot and Ankle Society (AOFAS), Karlsson Score, and Tegner activity scale were used to evaluate the ankle function at a follow-up of 5-10 years. Read More

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October 2018
2 Reads

Arthroscopic treatment of chronic ankle instability: Prospective study of outcomes in 286 patients.

Orthop Traumatol Surg Res 2018 Dec 21;104(8S):S199-S205. Epub 2018 Sep 21.

15, rue Ampère, 92500 Rueil Malmaison, France.

Background: Chronic ankle instability (CAI) is the main complication of ankle sprains and requires surgery if non-operative treatment fails. Surgical ankle stabilisation techniques can be roughly classified into two groups, namely, repair involving retensioning and suturing of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) and reconstruction using a tendon graft. Arthroscopic repair and reconstruction techniques for CAI have been introduced recently. Read More

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December 2018
20 Reads

Arthroscopic Repair of Anterior Talofibular Ligament Using the Pull-Out Technique for Chronic Ankle Instability: Case Report.

J Foot Ankle Surg 2018 Sep 19. Epub 2018 Sep 19.

Professor, Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima City, Japan.

Arthroscopic repair of the lateral ankle ligament using the anchor system has been increasingly reported. We treated a 39-year-old woman who suffered from pain and instability in her left ankle joint. She was diagnosed with chronic ankle instability and an osteochondral lesion of the talar dome. Read More

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September 2018

Arthroscopic classification of chronic anterior talo-fibular ligament lesions in chronic ankle instability.

Orthop Traumatol Surg Res 2018 Dec 20;104(8S):S207-S211. Epub 2018 Sep 20.

15 rue Ampère, 92500 Rueil-Malmaison, France.

Background: The surgical treatment of chronic ankle instability (CAI) relies chiefly on anterior talo-fibular ligament (ATFL) repair (with or without augmentation) or anatomical reconstruction with a tendon graft. Arthroscopy enables not only a complete assessment and the same-stage treatment of concomitant articular lesions, but also an accurate assessment of ligament lesions. Pre-operative imaging studies (MRI, CT, US) may fail to provide sufficient detail about chronic ATFL lesions to guide the decision between repair and reconstruction. Read More

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December 2018
1 Read

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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September 2018
1 Read

Ankle and midfoot ligaments: Ultrasound with anatomical correlation: A review.

Eur J Radiol 2018 Oct 12;107:216-226. Epub 2018 Aug 12.

Department of Radiology, Universitair Ziekenhuis Brussel, Brussel, Belgium; Department of Experimental Anatomy and ARTE, Vrije Universiteit Brussel, Brussel, Belgium. Electronic address:

We present a detailed overview of anatomical and US features of ankle and midfoot ligaments based on our own dissections and cadaver studies as well as US imaging in cadavers and volunteers. The ligament anatomy about the ankle and midfoot is complex. Most ligaments are superficial and hence very well accessible for US. Read More

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October 2018

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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August 2018
1 Read

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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August 2018
1 Read

Repair of only anterior talofibular ligament resulted in similar outcomes to those of repair of both anterior talofibular and calcaneofibular ligaments.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 6. Epub 2018 Aug 6.

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-gu, Seoul, 06351, South Korea.

Purpose: To compare the surgical outcomes of the two different ankle stabilization techniques.

Methods: This randomized controlled trial aimed to compare the outcomes of the modified Broström procedure with [calcaneofibular ligament (CFL) group] or without CFL repair [anterior talofibular ligament (ATFL) only group]. Of the 50 patients randomly assigned to two groups, 43 were followed up prospectively for ≥ 2 years (CFL group: 22 patients, 36. Read More

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August 2018
4 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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March 2017
13 Reads

The Epidemiology of Ankle Injuries Identified at the National Football League Combine, 2009-2015.

Orthop J Sports Med 2018 Jul 18;6(7):2325967118786227. Epub 2018 Jul 18.

The Steadman Clinic, Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: American football is a leading cause of sports-related injuries, with the knee, ankle, and shoulder most commonly involved.

Purpose/hypothesis: The purpose of this study was to describe the epidemiology, characteristics, and imaging findings of ankle injuries in football players at the National Football League (NFL) Combine and determine the relationship to player position. We hypothesized that there would be a high relative incidence of ankle injuries in these players compared with other sports and that there would be a direct correlation between the incidence of ankle injuries and player position. Read More

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July 2018
6 Reads

Avulsion fracture of the distal fibula is associated with recurrent sprain after ankle sprain in children.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 10. Epub 2018 Jul 10.

Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba, Japan.

Purpose: The purpose of this study was to clarify radiographic and clinical outcomes, as well as their association, of ankle sprain in children.

Methods: Patients who sustained a first-time ankle sprain were prospectively surveyed. Patients underwent radiography of the ankle in the mortise, lateral, anterior talofibular ligament (ATFL), and calcaneofibular ligament views at the first clinic visit to assess avulsion fractures of the distal fibula. Read More

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July 2018
2 Reads

Percutaneous direct current stimulation - a new electroceutical solution for severe neurological pain and soft tissue injuries.

Med Devices (Auckl) 2018 14;11:205-214. Epub 2018 Jun 14.

Institute of Medical Sciences, University of Aberdeen, Aberdeen, Scotland.

There is a high medical need to improve the effectiveness of the treatment of pain and traumatic soft tissue injuries. In this context, electrostimulating devices have been used with only sporadic success. There is also much evidence of endogenous electrical signals that play key roles in regulating the development and regeneration of many tissues. Read More

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June 2018
2 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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June 2018
11 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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June 2018
1 Read

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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November 2018
13 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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April 2017
1 Read

Differences Between Subtalar Instability and Lateral Ankle Instability Focusing on Subtalar Ligaments Based on Three Dimensional Isotropic Magnetic Resonance Imaging.

J Comput Assist Tomogr 2018 Jul/Aug;42(4):566-573

From the Department of Radiology, and.

Objective: The purpose of this study was to assess the differences between subtalar instability (STI) and lateral ankle instability (LAI) focusing on subtalar ligaments using 3-dimensional (3D) isotropic magnetic resonance imaging (MRI).

Methods: Preoperative MRIs of 10 patients with STI who failed nonoperative treatment and consequently underwent arthroscopic subtalar reconstruction were compared with preoperative MRIs of 23 patients with LAI who underwent ligament repair or reconstruction. Dimensions of anterior capsular ligament (ACL), interosseous talocalcaneal ligament (ITCL), calcaneofibular ligament (CFL), and anterior talofibular ligament (ATFL) were measured. Read More

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August 2018
2 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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March 2018
2 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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December 2018
10 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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March 2018
3 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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March 2018
7 Reads

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

Foot Ankle Int 2018 Jun 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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June 2018
4 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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May 2018
3 Reads

Distal fibular malrotation and lateral ankle contact characteristics.

Foot Ankle Surg 2017 Sep 20. Epub 2017 Sep 20.

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

Background: Any amount of malreduction of the syndesmotic joint compared with the uninjured syndesmosis has been associated with an adverse effect on functional outcome. The amount of malrotation that may lead to clinically relevant pressure change in this joint has not been reported. Our purpose was to determine whether small degrees of external and internal malrotation would be associated with statistically significant changes in contact pressure in the tibiofibular and talofibular articulations. Read More

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September 2017
2 Reads

An anatomical study about the arthroscopic repair of the lateral ligament of the ankle.

Foot Ankle Surg 2018 Apr 20;24(2):143-148. Epub 2017 Jan 20.

Department of Human Anatomy, Dissection Room, Faculty of Medicine, University of Barcelona, Calle Casanova, 143, 08038 Barcelona, Spain; Foot and Ankle Surgery, Remei Hospital, Barcelona, Spain.

Background: The purpose of this anatomical study to was to determine the relationship of the structures involved in the arthroscopic repair of the anterior talofibular ligament.

Methods: Dissection of fifteen lower leg cadaveric specimens was made and distances in the anterior direction from the reference-point at the lateral malleolus origin of the anterior talofibular ligament were measured, to the talar insertion of the ligament, to the superficial peroneal nerve at 60° and 90° in relation to the lateral malleolus axis in the sagittal plane, and to the inferior extensor retinaculum.

Results: The mean±SD distance to superficial peroneal nerve from the reference-point was 25±6 (range 17-35) mm at 60°, and 32±9 (range 24-48) mm at 90° in relation to the lateral malleolus axis. Read More

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April 2018
1 Read

Clinical and magnetic resonance imaging assessment of anatomical lateral ankle ligament reconstruction: comparison of tendon allograft and autograft.

Int Orthop 2018 03 5;42(3):551-557. Epub 2018 Feb 5.

Dunn School, 2555 Highway 154, Los Olivos, CA, 93441, USA.

Purpose: To compare the results of anatomical lateral ankle ligament (LAL) reconstruction with tendon allograft and autograft using clinical scores and ultrashort echo time (UTE) sequence of MRI.

Methods: A total of 26 patients with LAL reconstruction were recruited in this study, including 16 using semitendinosus allografts and 10 using semitendinosus autograft. All of them were diagnosed as chronic ankle instability and accepted anatomic reconstruction. Read More

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March 2018
2 Reads

The distal margin of the lateral malleolus visible under ankle arthroscopy (articular tip) from the anteromedial portal, is separate from the ATFL attachment site of the fibula: A cadaver study.

J Orthop Sci 2018 May 1;23(3):565-569. Epub 2018 Feb 1.

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

Purpose: The purpose of this study was to evaluate the relationship between the lateral malleolus view under ankle arthroscopy and the anterior talofibular ligament (ATFL) attachment site.

Methods: Seven normal ankles from Thiel-embalmed cadavers were investigated. Ankle arthroscopy was performed using a 2. Read More

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May 2018
1 Read

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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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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May 2018
13 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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January 2017
3 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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February 2018
3 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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December 2017
3 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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March 2018
5 Reads

Subtalar instability: imaging features of subtalar ligaments on 3D isotropic ankle MRI.

BMC Musculoskelet Disord 2017 Nov 21;18(1):475. Epub 2017 Nov 21.

Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 05030, South Korea.

Background: MRI analysis of subtalar ligaments in the tarsal sinus has not been well performed. We retrospectively investigated the appearance of subtalar ligaments using 3D isotropic MRI and compared imaging findings of subtalar ligaments between patients with subtalar instability (STI) and controls.

Methods: Preoperative MRIs of 23 STI patients treated with arthroscopic subtalar reconstruction were compared to MRIs of 23 age- and sex-matched control subjects without STI. Read More

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November 2017
7 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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October 2017
16 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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July 2017
7 Reads

The effect of smoking on the outcomes of lateral ankle ligament reconstruction.

J Orthop Sci 2018 Jan 22;23(1):88-91. Epub 2017 Sep 22.

Department of Orthopedic Surgery, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, Republic of Korea. Electronic address:

Background: Although smoking is known to be harmful to the musculoskeletal system, no studies have investigated its effects on the outcomes of ankle ligament surgery. We determined the effects of smoking on the clinical and radiological outcomes of lateral ankle ligament reconstruction using tendon allografts according to smoking status.

Methods: From among 105 patients with chronic ankle instability who were treated with anatomical reconstruction of the anterior talofibular ligament and the calcaneofibular ligament using semitendinosus tendon allografts and bio-tenodesis screws, 70 ankles, from 23 smokers and 47 non-smokers, were analyzed. Read More

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January 2018

Quantitative magnetic resonance imaging (MRI) analysis of anterior talofibular ligament in lateral chronic ankle instability ankles pre- and postoperatively.

BMC Musculoskelet Disord 2017 Sep 12;18(1):397. Epub 2017 Sep 12.

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

Background: The aim of this study was to quantitatively evaluate and characterize the dimension and signal intensity of anterior talofibular ligament (ATFL) using 3.0 T MRI in the mechanical ankle instability group pre- and postoperatively.

Methods: A total of 97 participants were recruited retrospectively in this study, including 56 with mechanical chronic ankle instability (CAI group) and 41 without ankle instability (Control group). Read More

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September 2017
4 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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November 2017
9 Reads

Recalcitrant Lateral Premalleolar Bursitis of the Ankle Associated with Lateral Ankle Instability.

Case Rep Orthop 2017 3;2017:4854812. Epub 2017 Aug 3.

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

Lateral premalleolar bursitis of the ankle is a rarely reported disorder in the English literature although it is not uncommon in Asian countries where people commonly sit on their feet. Here, we present the case of a 66-year-old woman with recalcitrant lateral premalleolar bursitis associated with lateral ankle instability which was successfully treated with surgical resection of the bursa and repair of the anterior talofibular ligament. Operative findings revealed a communication between the bursa and articular cavity of the ankle joint via the sheath of the extensor digitorum longus tendon, which was considered to act as a check valve leading to a large and recalcitrant bursitis. Read More

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August 2017
9 Reads

Modified Broström Procedure Using Distal Fibular Periosteal Flap Augmentation vs Anatomic Reconstruction Using a Free Tendon Allograft in Patients Who Are Not Candidates for Standard Repair.

Foot Ankle Int 2017 Nov 24;38(11):1207-1214. Epub 2017 Aug 24.

1 Department of Orthopaedic Surgery, Inje University, Haeundae Paik Hospital, Busan, South Korea.

Background: The modified Broström procedure (MBP) is widely accepted as the primary operative treatment for chronic lateral ankle instability (CLAI). However, the MBP does not produce good clinical results in all patients, and anatomic reconstruction using a free tendon graft may be considered in those patients. The purpose of this study was to evaluate the efficacy of the MBP using distal fibular periosteal flap augmentation for CLAI in patients who were not candidates for standard repair. Read More

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November 2017
12 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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August 2017
9 Reads