421 results match your criteria Talofibular Ligament Injury


MRI features of and factors related to ankle injuries in asymptomatic amateur marathon runners.

Skeletal Radiol 2020 Jul 6. Epub 2020 Jul 6.

Department of Radiology, The Affiliated Hospital of Hangzhou Normal University, No. 126, Wenzhou Road, Gongshu District, Hangzhou, 310000, Zhejiang, China.

Objective: To analyze the MRI manifestations of and factors related to ankle injuries in asymptomatic amateur marathon runners.

Materials And Methods: A total of 113 amateur marathon runners without any ankle joint symptoms were recruited. Each participant was asked to complete a questionnaire at the beginning of the study and underwent MRI of the ankle. Read More

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http://dx.doi.org/10.1007/s00256-020-03530-9DOI Listing

Posteroinferior tibiofibular ligament - A cadaveric study.

Foot Ankle Surg 2020 Jun 15. Epub 2020 Jun 15.

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

Background: Ankle injuries are one of the most common musculoskeletal disorder. The purpose of this study was to analyze and describe the detailed anatomical arrangement and relationship of posterior ligaments of the ankle, especially de posteroinferior tibiofibular ligament (PITFL) and intermalleolar ligament (IML). Controversy exists in the previous literature regarding their morphology and denomination, as well as the relation with ankle injuries including posterior soft tissue impingement syndrome. Read More

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http://dx.doi.org/10.1016/j.fas.2020.06.005DOI Listing

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve Mid-term Function in Chronic Ankle Instability.

Injury 2020 May 23. Epub 2020 May 23.

Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu, 221009, PR China.

Background: Anterior talofibular ligament (ATFL) reconstruction is routinely undertaken to manage chronic lateral ankle instability (CLAI). This study evaluated the effects on clinical outcome of preserving or not preserving the ATFL remnant when reconstructing the ATFL.

Methods: From January 2015 to July 2017, 53 CLAI patients with ATFL injury were randomized to undergo either a remnant-preserving (preservation of ATFL) or a non-preserving (no preservation of ATFL) anatomic reconstruction of the ATFL using an ipsilateral free semitendinosus tendon autograft. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.011DOI Listing

Ankle microinstability: arthroscopic findings reveal four types of lesion to the anterior talofibular ligament's superior fascicle.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 9. Epub 2020 Jun 9.

Laboratory of Arthroscopic and Surgical Anatomy. Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Via Augusta, 281, 08023, Barcelona, Spain.

Purpose: ATFL's superior fascicle injury has been considered to be the underlying cause in cases of ankle microinstability. As its clinical diagnosis can be difficult, arthroscopic examination may be the only objective diagnostic tool. The purpose of this study was to determine what types of injuries to the ATFL's superior fascicle are associated with ankle microinstability, and to provide the reader with an arthroscopic classification of the types of microinstability affecting the ankle. Read More

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http://dx.doi.org/10.1007/s00167-020-06089-zDOI Listing

Risk Factors for Osteochondral Lesions and Osteophytes in Chronic Lateral Ankle Instability: A Case Series of 1169 Patients.

Orthop J Sports Med 2020 May 26;8(5):2325967120922821. Epub 2020 May 26.

Institute of Sports Medicine, Peking University Third Hospital, Beijing Key Laboratory of Sports Injuries, Beijing, China.

Background: Osteochondral lesions (OCLs) and bony impingement are common secondary lesions of chronic lateral ankle instability (CLAI), but the risk factors that predict OCLs and bony impingement are unknown.

Purpose: To analyze the risk factors for the development of OCLs and osteophytes in patients with CLAI.

Study Design: Case-control study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967120922821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252382PMC

Arthroscopic anterior talofibular ligament reconstructin in chronic ankle instability. Two years results.

Injury 2020 May 20. Epub 2020 May 20.

Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, London, England.

Purpose: . In chronic lateral ankle instability, primary ligament repair is not always possible because of poor quality of the local tissues. A free autologous or allograft tendon graft or synthetic grafts are suitable alternative. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.054DOI Listing

Treatment of open ankle dislocation without associated fractures in a young athlete using external fixation and ligament repair with suture tape augmentation.

BMC Musculoskelet Disord 2020 Jun 5;21(1):351. Epub 2020 Jun 5.

Department of Orthopedic Surgery, Asahi University Hospital, 3-23 Hashimoto town, Gifu, 500-8523, Japan.

Background: Ankle dislocation without fracture is an extremely rare injury because it is usually accompanied by concomitant malleolar fractures from the anatomical and mechanical viewpoints.

Case Presentation: We report the case of a 17-year-old woman who was injured while playing basketball. Her ankle was swollen and deformed. Read More

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http://dx.doi.org/10.1186/s12891-020-03378-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275534PMC

Lateral Ligament Instability: Review of Pathology and Diagnosis.

Curr Rev Musculoskelet Med 2020 Aug;13(4):494-500

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Purpose Of Review: Ankle sprains are a common injury that can lead to chronic lateral ankle instability resulting in pain, poor function, and decreased quality of life. The purpose of this review is to present information regarding injury mechanisms to the lateral ligaments of the ankle and the necessary steps to appropriately diagnose lateral ligament instability.

Recent Findings: The literature demonstrates that history and physical examination is often a reliable method for diagnosis of lateral ankle instability. Read More

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http://dx.doi.org/10.1007/s12178-020-09641-zDOI Listing

Evaluation of the anterior inferior tibiofibular and anterior talofibular ligaments using 2D oblique coronal imaging and 3D isotropic resolution T2-weighted fast spin-echo sequences at 3.0 T: Is there additional diagnostic value?

J Med Imaging Radiat Oncol 2020 Jun 1;64(3):338-346. Epub 2020 Apr 1.

Department of Radiology, Soonchunhyang University Seoul Hospitial, Bucheon-si, Korea.

Introduction: To compare diagnostic performance of additional two-dimensional (2D) oblique coronal view and three-dimensional (3D) T2-weighted fast spin-echo(FSE) images for diagnosing injury of the anterior inferior tibiofibular (AiTFL) and anterior talofibular ligaments (ATFL).

Methods: This study included 48 patients with ankle sprain who had undergone MRI using standard protocol and two additional sequences with 2D oblique coronal and 3D isotropic images, followed by arthroscopic surgery. Ligament injuries was subdivided by intact tendon, partial or complete tear. Read More

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http://dx.doi.org/10.1111/1754-9485.13028DOI Listing

The correlation between clinical and ultrasound evaluation of anterior talofibular ligament and calcaneofibular ligament tears in athletes.

J Sports Med Phys Fitness 2020 May 4;60(5):749-757. Epub 2020 Mar 4.

National Sports Institute, Bukit Jalil, Kuala Lumpur, Malaysia.

Background: The objectives of this study were to find correlation between the clinical and ultrasound grading in anterior talofibular ligament and calcaneofibular ligament tear, and to determine the sensitivity and specificity of the two stability tests among the athletes. Subsequently, we would like to propose a new grading criterion for an ultrasound examination.

Methods: Two blinded assessors examined thirty-five patients with a history of recent lateral ankle sprain. Read More

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http://dx.doi.org/10.23736/S0022-4707.20.10050-1DOI Listing

All-Inside Arthroscopic Anterior Talofibular Ligament Anatomic Reconstruction With a Gracilis Tendon Autograft for Chronic Ankle Instability in High-Demand Patients.

J Foot Ankle Surg 2020 Mar - Apr;59(2):222-230

Associate Professor, Department of Orthopaedics, Wuhan General Hospital of Guangzhou Command, Hubei Province, China. Electronic address:

The goal of this study was to evaluate the surgical technique and clinical outcome of all-inside arthroscopic anterior talofibular ligament anatomic reconstruction with a gracilis tendon autograft for chronic ankle instability in high-demand patients. Fifteen consecutive patients (14 [93.3%] males and 1 [6. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.011DOI Listing
June 2017
0.979 Impact Factor

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium- and Long-Term Functional Follow-Up.

Orthop Surg 2020 Apr 2;12(2):505-514. Epub 2020 Mar 2.

Hand and Foot Microsurgery Department, Xuzhou Central Hospital, Xuzhou, China.

Objective: To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium- and long-term follow-up.

Methods: From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left ankles, 25 right ankles) aged between 21 and 56 years, with an average age of 32.17 ± 6. Read More

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http://dx.doi.org/10.1111/os.12651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189041PMC

Anatomic Knot Suture Anchor Versus Knotless Suture Anchor Technique for Anterior Talofibular Ligament Repair: A Biomechanical Comparison.

Orthop J Sports Med 2020 Jan 27;8(1):2325967119898125. Epub 2020 Jan 27.

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

Background: To date, there are few biomechanical studies comparing the strength between knot repair and knotless repair procedures for anterior talofibular ligament (ATFL) injury.

Purpose: To perform a biomechanical comparison of the strength of the arthroscopic ATFL repair technique with knot or knotless suture anchors in a cadaveric model with partial or complete ATFL injuries.

Study Design: Controlled laboratory study. Read More

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http://dx.doi.org/10.1177/2325967119898125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985968PMC
January 2020

Biomechanical effect of anterior talofibular ligament injury in Weber B lateral malleolus fractures after lateral plate fixation: A finite element analysis.

Foot Ankle Surg 2019 Dec 5. Epub 2019 Dec 5.

Department of Orthopedic, The First Affiliated Hospital of Jinan University, Guangzhou, China. Electronic address:

Objective: To determine the biomechanical effect of anterior talofibular ligament injury in Weber B lateral malleolus fractures after lateral plate fixation.

Method: A three-dimensional model was established based on CT images from a healthy volunteer. The simulation of lateral malleolus fracture, and the modeling and assembly of plate were completed by referring to characteristics of Weber B lateral malleolus fractures, as well as the technical characteristics of open reduction and internal fixation of lateral plate. Read More

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http://dx.doi.org/10.1016/j.fas.2019.11.004DOI Listing
December 2019

[A comparative study of all-arthroscopic technique and modified open Broström technique in repair of anterior talofibular ligament with anchors].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Dec;33(12):1503-1509

Department of Orthopedics, the Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China;Academician Workstation in Luzhou, Luzhou Sichuan, 646000,

Objective: To compare the effectiveness of all-arthroscopic technique and modified open Broström technique in repair of anterior talofibular ligament (ATFL) for lateral instability of the ankle (LIA).

Methods: A retrospective analysis was made on 65 patients who underwent ATFL repair with anchors for LIA between January 2014 and January 2017. The ATFL was repaired by all-arthroscopic technique in 35 patients (arthroscopic group) and modified open Broström technique in 30 patients (open group). Read More

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http://dx.doi.org/10.7507/1002-1892.201905072DOI Listing
December 2019

Extremity CT and ultrasound in the assessment of ankle injuries: occult fractures and ligament injuries.

Br J Radiol 2020 Jan 4;93(1105):20180989. Epub 2019 Dec 4.

St Luke's Radiology Oxford Ltd, Oxford, UK.

Objective: To assess the rates of fractures and ligament injuries in patients with an acute ankle injury and a normal radiographic examination, and to consider the most appropriate examination protocol.

Methods: Patients with an acute ankle injury who presented to the John Radcliffe Hospital Emergency Department with a normal radiographic examination were eligible for the study. They were invited to receive a cone beam CT and ultrasound examination at a local radiology department within 5 days of their ankle injury. Read More

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http://dx.doi.org/10.1259/bjr.20180989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948070PMC
January 2020

Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 14;28(1):86-92. Epub 2019 Nov 14.

Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium.

Purpose: Anatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique.

Methods: This study is a retrospective evaluation of a prospective database. Read More

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http://dx.doi.org/10.1007/s00167-019-05793-9DOI Listing
January 2020

High Ankle Sprains in Professional Ice Hockey Players: Prognosis and Correlation Between Magnetic Resonance Imaging Patterns of Injury and Return to Play.

Orthop J Sports Med 2019 Sep 27;7(9):2325967119871578. Epub 2019 Sep 27.

University of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, Ontario, Canada.

Background: Hockey players sustain a greater incidence of ankle syndesmosis injuries than other athletes. These injuries have a higher morbidity and more unpredictable recovery than lateral ankle sprains. Magnetic resonance imaging (MRI) has been used to establish the diagnosis but has not been evaluated for its ability to predict return to play. Read More

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http://journals.sagepub.com/doi/10.1177/2325967119871578
Publisher Site
http://dx.doi.org/10.1177/2325967119871578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767727PMC
September 2019
4 Reads

Reverse anterolateral drawer test is more sensitive and accurate for diagnosing chronic anterior talofibular ligament injury.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 26;28(1):55-62. Epub 2019 Sep 26.

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

Purpose: To diagnose chronic anterior talofibular ligament (ATFL) injury, three different physical examinations were compared: the anterior drawer test (ADT), the anterolateral drawer test (ALDT), and the reverse anterolateral drawer test (RALDT).

Methods: A total of 72 ankles from potential ATFL-injured patients and the normal population were included and examined using the ADT, ALDT, and RALDT by two examiners without knowing the injury histories of any of the participants. Ultrasound examination was then applied as the gold standard to divide the ankles into the ATFL-injured group and the control group. Read More

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http://dx.doi.org/10.1007/s00167-019-05705-xDOI Listing
January 2020
1 Read

Diagnostic performance of ankle ultrasound for diagnosing anterior talofibular and calcaneofibular ligament injuries: a meta-analysis.

Acta Radiol 2020 May 11;61(5):651-661. Epub 2019 Sep 11.

Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.

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http://dx.doi.org/10.1177/0284185119873119DOI Listing
May 2020
1 Read

Clinical outcomes of a modified all-inside arthroscopic repair of anterior talofibular ligament for chronic ankle instability: A preliminary report.

Medicine (Baltimore) 2019 Sep;98(36):e16734

Department of Orthopaedics, Central Theater Command General Hospital of PLA (Wuhan General Hospital, previously).

The present study was conducted to evaluate the clinical outcomes of a modified all-inside arthroscopic repair technique via anterolateral and accessory anterolateral port for anterior talofibular ligament (ATFL) repair. A consecutive series of 32 patients (34 ankles) with chronic ankle instability were included and treated with the modified all-inside arthroscopic repair. The function was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS), visual analog score (VAS) score system, the Sefton grading system, and the anterior drawer test and talar tilt test. Read More

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http://dx.doi.org/10.1097/MD.0000000000016734DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738992PMC
September 2019
5.723 Impact Factor

Arthroscopic all-inside ATFL and CFL repair is feasible and provides excellent results in patients with chronic ankle instability.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 20;28(1):116-123. Epub 2019 Aug 20.

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

Purpose: Chronic ankle instability has been described as presenting with complete tears of both the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) in 20% of cases. Arthroscopic techniques to treat chronic ankle instability are increasingly being reported and in some instances they can be technically demanding. The aim of this study was to describe an arthroscopic all-inside repair of both the ATFL and CFL, and to report the outcomes of a group of patients with chronic ankle instability that underwent the technique. Read More

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http://dx.doi.org/10.1007/s00167-019-05676-zDOI Listing
January 2020
5 Reads

Arthroscopic ankle lateral ligament repair with biological augmentation gives excellent results in case of chronic ankle instability.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 6;28(1):108-115. Epub 2019 Aug 6.

Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied (GRECMIP), Merignac, France.

Purpose: The open "Broström-Gould" procedure has become the gold standard technique for the treatment of chronic ankle instability. Although arthroscopic techniques treating ankle instability have significantly evolved in the last years, no all arthroscopic Broström-Gould has been described. The aim of the study was to describe the all-arthroscopic Broström-Gould technique [anterior talofibular ligament (ATFL) repair with biological augmentation using the inferior extensor retinaculum (IER)], and to evaluate the clinical results in a group of patients. Read More

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http://dx.doi.org/10.1007/s00167-019-05650-9DOI Listing
January 2020
1 Read

Prolonged Rest, Long-Term Dynamic Balance, and Gait in a Mouse Ankle-Sprain Model.

J Athl Train 2019 Jul 25;54(7):801-807. Epub 2019 Jul 25.

Department of Kinesiology, University of North Carolina at Charlotte.

Context: Lateral ankle sprains (LASs) result in short- and long-term adaptations in the sensorimotor system that are thought to contribute to the development of chronic ankle instability and posttraumatic ankle osteoarthritis. Debate continues as to the appropriateness of rapid return to sport after LASs given the prevalence of long-term consequences.

Objective: To examine the short- and long-term effects of prolonged rest, as a model of immobilization, on dynamic balance and gait outcomes after a severe LAS in a mouse model. Read More

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http://dx.doi.org/10.4085/1062-6050-38-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709752PMC
July 2019
3 Reads

A 14-Day Recovery and Physical Activity Levels After an Ankle Sprain in Mice.

J Athl Train 2019 Jul 23;54(7):796-800. Epub 2019 Jul 23.

Department of Kinesiology, University of North Carolina at Charlotte.

Context: Research is needed to find ways of improving physical activity after a lateral ankle sprain.

Objective: To investigate the effects of a prolonged rest period on lifelong activity after a surgically induced ankle sprain.

Design: Controlled laboratory study. Read More

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http://dx.doi.org/10.4085/1062-6050-135-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709763PMC
July 2019
3 Reads

Characterization of Ankle Kinematics and Constraint Following Ligament Rupture in a Cadaveric Model.

J Biomech Eng 2019 Jul 17. Epub 2019 Jul 17.

Department of Mechanical Engineering, University of Kansas, Lawrence, KS 66045-2234, USA; Bioengineering Graduate Program, University of Kansas, Lawrence, KS, USA.

Ankle sprains are a common injury that may need reconstruction and extensive physical therapy. The purpose of this study was to provide a description of the biomechanics of the ankle joint complex after anterior talofibular (ATFL) and calcaneofibular (CFL) ligament rupture to better understand severe ankle injuries. Envelope of motion of ten cadaveric ankles was examined by manual manipulations that served as training data for a radial basis function used to interpolate ankle mobility at flexion angles under load and torque combinations. Read More

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http://dx.doi.org/10.1115/1.4044234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826698PMC
July 2019
2 Reads

Reliability of ultrasonography measurement of the anterior talofibular ligament (ATFL) length in healthy subjects (in vivo), based on examiner experience and patient positioning.

J Exp Orthop 2019 Jul 2;6(1):30. Epub 2019 Jul 2.

Department of Musculoskeletal Radiology, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.

Background: The most common cause of ankle injury is the supination trauma, inflicting a partial or complete rupture of the anterior talofibular ligament (ATFL). Among conventional diagnostic tools and procedures of sports injuries, the method of stress-ultrasonography is reportedly a promising diagnostic tool for examining injuries of the lateral ligaments of the ankle. Preceding studies predominantly examined the comparability of stress-ultrasonography and other established diagnostic tools in terms of efficacy, viability and quality. Read More

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http://dx.doi.org/10.1186/s40634-019-0199-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6606687PMC
July 2019
1 Read

Lower Signal Intensity of the Anterior Talofibular Ligament is Associated with a Higher Rate of Return to Sport After ATFL Repair for Chronic Lateral Ankle Instability.

Am J Sports Med 2019 08 27;47(10):2380-2385. Epub 2019 Jun 27.

Department of Sports Medicine, Huashan Hospital, Shanghai, China.

Background: The treatment strategy for anterior talofibular ligament (ATFL) injury is usually determined by the ATFL remnant condition during surgery. Preoperative magnetic resonance imaging (MRI)-based signal intensity of the ATFL remnant, represented by the signal/noise ratio (SNR) value, can reveal the ATFL remnant condition. Thus far, there is a lack of evidence regarding the relationship between the ATFL remnant condition and functional outcomes. Read More

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http://dx.doi.org/10.1177/0363546519858588DOI Listing
August 2019
11 Reads

An oblique fibular tunnel is recommended when reconstructing the ATFL and CFL.

Knee Surg Sports Traumatol Arthrosc 2020 Jan 25;28(1):124-131. Epub 2019 Jun 25.

Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium.

Purpose: A bone tunnel is often used during the reconstruction of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL). The purpose of this study is to compare proposed directions for drilling this fibular tunnel and to assess potential tunnel length, using a 5-mm-diameter tunnel and surrounding bone.

Methods: Anonymous DICOM data from spiral CT-scan images of the ankle were obtained from 12 Caucasian patients: 6 females and 6 males. Read More

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http://dx.doi.org/10.1007/s00167-019-05583-3DOI Listing
January 2020
3 Reads

Ankle ultrasound for detecting anterior talofibular ligament tear using operative finding as reference standard: a systematic review and meta-analysis.

Eur J Trauma Emerg Surg 2020 Feb 11;46(1):73-81. Epub 2019 Jun 11.

Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul, 05278, Republic of Korea.

Purpose: To evaluate the diagnostic accuracy of ankle ultrasound for detection of anterior talofibular ligament (ATFL) tear with a reference standard of operative finding.

Methods: A computerized search of PubMed and EMBASE databases was performed to identify relevant original articles on ankle ultrasound for ATFL tear. The pooled proportions of the diagnostic accuracy estimates were assessed using random-effects modeling. Read More

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http://dx.doi.org/10.1007/s00068-019-01169-3DOI Listing
February 2020
8 Reads

An Updated Model of Chronic Ankle Instability.

J Athl Train 2019 Jun 4;54(6):572-588. Epub 2019 Jun 4.

Department of * Kinesiology, University of Virginia, Charlottesville.

Lateral ankle sprains (LASs) are among the most common injuries incurred during participation in sport and physical activity, and it is estimated that up to 40% of individuals who experience a first-time LAS will develop chronic ankle instability (CAI). Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. We present an updated model of CAI that aims to synthesize the current understanding of its causes and serves as a framework for the clinical assessment and rehabilitation of patients with LASs or CAI. Read More

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http://dx.doi.org/10.4085/1062-6050-344-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602403PMC
June 2019
6 Reads

Anatomical structures at risk in the arthroscopic Broström-Gould procedure: A cadaver study.

Foot Ankle Surg 2020 Apr 24;26(3):343-346. Epub 2019 Apr 24.

Dept of Orthopedic Surgery, UAB School of Medicine, 1802 6th Avenue South, Birmingham, AL, 35233, USA. Electronic address:

Background: The Broström Gould procedure is the gold standard for repair of lateral ankle ligament injury and ankle instability. This procedure has demonstrated excellent short- and long-term outcomes in the orthopedic literature. Arthroscopic Broström Gould techniques have become increasingly popular among some foot and ankle orthopedic surgeons. Read More

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http://dx.doi.org/10.1016/j.fas.2019.04.008DOI Listing
April 2020
7 Reads

Augmented Ligament Reconstruction Partially Restores Hindfoot and Midfoot Kinematics After Lateral Ligament Ruptures.

Am J Sports Med 2019 07 24;47(8):1921-1930. Epub 2019 May 24.

Human Movement Biomechanics Research Group, KU Leuven, Leuven, Belgium.

Background: Altered kinematics and persisting ankle instability have been associated with degenerative changes and osteochondral lesions.

Purpose: To study the effect of ligament reconstruction surgery with suture tape augmentation (isolated anterior talofibular ligament [ATFL] vs combined ATFL and calcaneofibular ligament [CFL]) after lateral ligament ruptures (combined ATFL and CFL) on foot-ankle kinematics during simulated gait.

Study Design: Controlled laboratory study. Read More

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http://dx.doi.org/10.1177/0363546519848421DOI Listing
July 2019
2 Reads

The role of the anterior talofibular ligament area as a morphological parameter of the chronic ankle sprain.

J Orthop Sci 2020 Mar 16;25(2):297-302. Epub 2019 May 16.

Department of Anesthesiology and Pain Medicine, Institute for Integrative Medicine, Catholic Kwandong University, College of Medicine, International ST. Mary`s Hospital, Incheon, Republic of Korea. Electronic address:

Background: Repetitive microtrauma can result in a hypertrophied ATFL. Previous studies have found that the anterior talofibular ligament thickness (ATFLT) is correlated with lateral ankle sprains, ligament injuries and chronic stroke in patients, and thickened anterior talofibular ligament (ATFL) has been considered to be a major morphologic parameter of hypertrophied ATFL. However, hypertrophy is different from thickness. Read More

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http://dx.doi.org/10.1016/j.jos.2019.05.001DOI Listing
March 2020
6 Reads

[Lateral ankle ligament bracing].

Authors:
H Lohrer

Oper Orthop Traumatol 2019 Jun 16;31(3):191-200. Epub 2019 May 16.

Zentrum für Sportorthopädie, European SportsCare Network (ESN), Borsigstr. 2, 65205, Wiesbaden-Nordenstadt, Deutschland.

Objective: Covering the anatomic reconstruction (Broström procedure) with suture tape for more initial stability. Seat belt principle.

Indications: Mechanical lateral ankle instability: athletes in sports at risk, patients with uncertain compliance with respect to the postoperative treatment regimen, patients with poor tissue quality, patients with generalized laxity, and patients with failed previous repairs. Read More

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http://dx.doi.org/10.1007/s00064-019-0603-yDOI Listing
June 2019
8 Reads

Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study.

J Foot Ankle Res 2019 3;12:27. Epub 2019 May 3.

1Institute for Human Movement and Medical Sciences, Physical Therapy Department, Niigata University of Health and Welfare, 1398 Shimami-cho, Kita-ku, Niigata-shi, Niigata, 950-3198 Japan.

Background: Chronic ankle instability (CAI) may result from repeated, frequent ankle sprains during sports activities. Manual examination for CAI is conducted; however, quantitative methods for the evaluation of CAI have not been established, and the reproducibility of the amount of stress is low. This cross-sectional study aimed to use a stress device and ultrasound for the quantitative evaluation of the change in the length of the anterior talofibular ligament (ATFL) during simulated anterior drawer and ankle inversion stress tests. Read More

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http://dx.doi.org/10.1186/s13047-019-0337-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500013PMC
December 2019
5 Reads

Biomechanical evaluation of different ankle orthoses in a simulated lateral ankle sprain in two different modes.

Scand J Med Sci Sports 2019 Aug 22;29(8):1174-1180. Epub 2019 May 22.

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

Ankle orthoses are commonly used for prevention of recurrent ankle sprains. While there are some data on their functional performance or restriction of range of motion, there is little knowledge on the quantifiable passive mechanical effectiveness of various devices. This study aimed to determine the prophylactic stabilization effect for commonly prescribed ankle orthoses in a simulated recurrent ankle sprain. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.13455
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http://dx.doi.org/10.1111/sms.13455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852038PMC
August 2019
19 Reads

Lateral collateral ligament repair : Anatomical ligament reinsertion with augmentation using inferior extensor retinaculum flaps.

Oper Orthop Traumatol 2019 Jun;31(3):169-179

Largo Agostino Gemelli, Facoltà di Medicina e Chirurgia, Istituto di Ortopedia e Traumatologia, Università cattolica del Sacro Cuore, 8-00168, Roma, Italy.

Objective: For chronic lateral ankle instability an anatomical repair procedure of the lateral collateral ligaments (LCL) of the ankle with augmentation by an inferior extensor retinaculum (IER) flap is proposed.

Indications: To treat the mechanical parts of an instable ankle involving both LCL and subtalar joint ligament damage.

Contraindications: This technique is not suitable when the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) are in a poor anatomical condition (exhaustive preoperative lesion mapping mandatory). Read More

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http://dx.doi.org/10.1007/s00064-019-0599-3DOI Listing
June 2019
2 Reads

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

Surg Radiol Anat 2019 Jun 16;41(6):675-679. Epub 2019 Apr 16.

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

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

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

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http://dx.doi.org/10.1007/s00276-019-02239-2DOI Listing
June 2019
8 Reads

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

Foot Ankle Surg 2020 Apr 27;26(3):258-264. Epub 2019 Mar 27.

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

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

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

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http://dx.doi.org/10.1016/j.fas.2019.03.007DOI Listing
April 2020
6 Reads

Ultrasound in Sports Medicine.

Radiol Clin North Am 2019 May 21;57(3):649-656. Epub 2019 Feb 21.

Division of Musculoskeletal Radiology, Department of Radiology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.

This article focuses on common sports-related injuries that are amenable to diagnosis by diagnostic ultrasonography. These injuries include rotator cuff-tears, lateral epicondylitis, distal biceps tendon tears, and anterior talofibular ligament injuries. The anatomy, scanning techniques, mechanism of injury, and sonographic appearance of each injury are discussed. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.012DOI Listing
May 2019
5 Reads

Function of ankle ligaments for subtalar and talocrural joint stability during an inversion movement - an in vitro study.

J Foot Ankle Res 2019 18;12:16. Epub 2019 Mar 18.

1Department of Sport and Sport Science, University of Freiburg, Schwarzwaldstraße 175, 79117 Freiburg, Germany.

Background: The lateral ankle ligament complex consisting of the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL) and the posterior talofibular ligament (PTFL) is known to provide stability against ankle joint inversion. As injuries of the ankle joint have been reported at a wide range of plantarflexion/dorsiflexion angles, the aim of the present study was to evaluate the stabilizing function of these ligaments depending on the sagittal plane positioning of the ankle joint.

Methods: Eight fresh-frozen specimens were tested on a custom-built ankle deflection tester allowing the application of inversion torques in various plantarflexion/dorsiflexion positions. Read More

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http://dx.doi.org/10.1186/s13047-019-0330-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421682PMC
July 2019
6 Reads

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

Knee Surg Sports Traumatol Arthrosc 2020 Jan 19;28(1):70-78. Epub 2019 Mar 19.

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

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

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http://dx.doi.org/10.1007/s00167-019-05460-zDOI Listing
January 2020
41 Reads

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

J Orthop Sci 2020 Jan 16;25(1):183-187. Epub 2019 Mar 16.

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

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

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

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http://dx.doi.org/10.1016/j.jos.2019.02.018DOI Listing
January 2020
9 Reads

Subgroup characteristics of patients with chronic ankle instability in primary care.

J Sci Med Sport 2019 Aug 6;22(8):866-870. Epub 2019 Mar 6.

Erasmus MC University Medical Center Rotterdam, Department of General Practice, The Netherlands.

Objectives: To examine clinical and radiological characteristics of participants with an ankle sprain in general practice, classified into subgroups of a previously described chronic ankle instability (CAI) model.

Design: Cross-sectional study.

Methods: 206 participants, who visited their general practitioner with a lateral ankle sprain 6-12 months before inclusion, completed a questionnaire, physical examination, radiography and magnetic resonance imaging. Read More

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http://dx.doi.org/10.1016/j.jsams.2019.02.009DOI Listing
August 2019
4 Reads

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

Knee Surg Sports Traumatol Arthrosc 2020 Jan 4;28(1):63-69. Epub 2019 Mar 4.

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

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

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

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http://dx.doi.org/10.1007/s00167-019-05427-0DOI Listing
January 2020
21 Reads

Reliability and validity of different ankle MRI scanning planes for the anterior talofibular ligament injury diagnosis: a cadaveric study.

J Orthop Surg Res 2019 Feb 28;14(1):69. Epub 2019 Feb 28.

Department of Radiology, Huashan Hospital, Fudan University, No.12, Middle Wulumuqi Road, Jingan District, Shanghai, 200040, China.

Background: The objective of the current study is to compare reliability, accuracy, sensitivity, and specificity in magnetic resonance imaging (MRI) evaluation of anterior talofibular ligament (ATFL) among the routine axial scanning plane, oblique axial-coronal scanning plane, and oblique axial-sagittal scanning plane.

Methods: Twenty cadaveric feet were studied. ATFL was exposed before scanning. Read More

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http://dx.doi.org/10.1186/s13018-019-1102-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393961PMC
February 2019
7 Reads
1.577 Impact Factor

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

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

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

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

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http://dx.doi.org/10.15557/JoU.2018.0046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444321PMC
January 2018
6 Reads

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

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

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

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

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http://dx.doi.org/10.1097/MD.0000000000014311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380793PMC
February 2019
11 Reads