502 results match your criteria Talofibular Ligament Injury

A Critical Biomechanical Evaluation of Foot and Ankle Soft Tissue Repair.

Clin Podiatr Med Surg 2022 Jul;39(3):521-533

Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA, USA. Electronic address:

The objective of this article is to review the biomechanical stresses that occur during normal physiologic function of lower extremity soft tissue anatomic structures and to use this as a baseline for a critical analysis of the medical literature because it relates to surgical reconstruction following injury. The Achilles tendon, anterior talofibular ligament, plantar plate, and spring ligament are specifically evaluated. Read More

View Article and Full-Text PDF

Rare pattern of Maisonneuve fracture: A case report.

World J Clin Cases 2022 May;10(14):4684-4690

Department of Foot and Ankle Surgery Ⅰ, Tianjin Hospital, Tianjin 300211, China.

Background: Maisonneuve fracture is a special type of ankle fracture that consists of proximal fibular fracture, a lesion of the inferior tibiofibular syndesmotic complex (interosseous ligament, anterior inferior tibiofibular ligament and posterior inferior tibiofibular ligament), and injury of the medial structure of the ankle (deltoid ligament tear or medial malleolar fracture). The accepted mechanism of Maisonneuve fracture is pronation external rotation according to the Lauge-Hansen classification. In this paper, we report a rare pattern of Maisonneuve fracture, which has the characteristics of both pronation external rotation ankle fracture and supination adduction ankle fracture. Read More

View Article and Full-Text PDF

Significant variations in surgical construct and return to sport protocols with syndesmotic injuries: an ISAKOS global perspective.

J ISAKOS 2022 02 17;7(1):13-18. Epub 2021 Nov 17.

Duke University School of Medicine, Department of Orthopedic Surgery, Durham, NC, USA.

Objectives: Although the body of literature on syndesmosis injuries is growing with regard to both the biomechanics and clinical outcomes for various fixation constructs, there is little consensus on the optimal treatment and return to sport strategy for these injuries. We endeavoured to assess the current approaches to managing syndesmotic injuries through a Research Electronic Data Capture survey.

Methods: The survey consisted of 27 questions, including respondent demographics, indications for treatment of syndesmotic injuries, preferred treatment and technique, and postoperative management. Read More

View Article and Full-Text PDF
February 2022

Isolated injuries to the lateral ankle ligaments have no direct effect on syndesmotic stability.

Knee Surg Sports Traumatol Arthrosc 2022 May 6. Epub 2022 May 6.

Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: This study aim was to detect the impact of lateral ankle ligaments injury on syndesmotic laxity when evaluated arthroscopically in a cadaveric model. The null hypothesis was that lateral ankle ligament injury does not affect the stability of syndesmosis.

Methods: Sixteen fresh-frozen above-knee amputated cadaveric specimens were divided into two groups of eight specimens that underwent arthroscopic evaluation of the distal tibiofibular joint. Read More

View Article and Full-Text PDF

Management of isolated anterior talofibular ligament lesion in patients suffering from chronic ankle instability: comparison of two minimally invasive surgical techniques.

Eur Rev Med Pharmacol Sci 2022 04;26(8):2944-2948

IRCCS Istituto Ortopedico Galeazzi, Sport Traumatology and Minimally Invasive Surgery Center, Milan, Italy.

Objective: The aim of the present study was to retrospectively compare the outcomes of two minimally invasive surgical techniques in patients with isolated anterior talofibular ligament (ATFL) lesion suffering from chronic ankle instability (CAI).

Patients And Methods: Thirty-six patients with ATFL lesion suffering from CAI were treated at our department from 2010 to 2017 and retrospectively reviewed after an average time of 4 years (2 to 9 years). Eighteen patients underwent a four-step operative protocol, including: synovectomy, debridement of ATFL lesion borders, capsular shrinkage, and 21-day immobilization and non-weightbearing. Read More

View Article and Full-Text PDF

Repair of distal fibular and lateral malleolus defects with individualized 3D-printed titanium alloy prosthesis: The first case report from China.

Int J Surg Case Rep 2022 May 13;94:107057. Epub 2022 Apr 13.

Orthopaedic Department, Xi Jing Hospital, Air Force Military Medical University, No. 127 Changle West Road, Xincheng District, Xi'an 710032, Shaanxi, PR China. Electronic address:

Introduction And Importance: This case report describes the reconstruction of the traumatic distal fibular and lateral malleolus defects with a novel method of using individualized 3D printed titanium prosthesis for the first time.

Case Presentation: A 63-year-old male farmer was hospitalized in emergency because of open injury and distal fibular and lateral malleolus defects in the left leg caused by a car accident. 3 months after debridement and latissimus dorsi muscle flap transplantation and skin graft operation, the patient re-hospitalized because of distal fibular and lateral malleolus defect and local pain. Read More

View Article and Full-Text PDF

Bone marrow edema of the medioplantar talar head is associated with severe ligamentous injury in ankle sprain.

Skeletal Radiol 2022 Mar 31. Epub 2022 Mar 31.

Department of Radiology, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zurich, Switzerland.

Purpose: To investigate the predictive value of talar head edema (THE) in acute ankle sprain for the presence of concomitant ligament injuries.

Methods: This retrospective study was approved by the ethics committee and informed consent was obtained. One hundred patients (mean age: 37 years ± 14 [standard deviation], range 13-77 years) with MRI of the ankle after acute trauma were included. Read More

View Article and Full-Text PDF

Imaging diagnosis for anterior talofibular ligament injury: a systemic review with meta-analysis.

Acta Radiol 2022 Mar 27:2841851221080556. Epub 2022 Mar 27.

Department of Radiology, Zhongshan Affiliated Hospital, 47879Guangzhou University of Chinese Medicine, Zhongshan, 528400, PR China.

A definite diagnosis of ankle ligament injury is crucial, and many imaging examinations can be used. This review systematically analyzed the effectiveness of various examination methods in the diagnosis of anterior talofibular ligament (ATFL) injuries. Three English databases (PubMed, Embase, and Cochrane Library) and three Chinese databases (CNKI, VIP Database, and Wanfang Database) were searched and relevant studies were summarized. Read More

View Article and Full-Text PDF

Maximal lateral ligament strain and loading during functional activities: Model-based insights for ankle sprain prevention and rehabilitation.

Clin Biomech (Bristol, Avon) 2022 Apr 11;94:105623. Epub 2022 Mar 11.

Human Movement Biomechanics Research Group, KU Leuven, Tervuursevest 157, 3001 Leuven, Belgium.

Background: Although it is generally accepted that sports activities present a high risk of lateral ligament injury, the extent to which ligaments are loaded during functional activities is less explored. This is relevant when considering ankle sprain prevention and staged rehabilitation following ligament sprain or reinforcing surgery. Therefore, anterior talofibular ligament, calcaneofibular ligament and posterior talofibular ligament strain and loading were evaluated, based on a newly developed loading index, during movements executed during daily life and rehabilitation. Read More

View Article and Full-Text PDF

[Arthroscopic treatment of ankle instability combined with anteromedial impingement syndrome].

Zhongguo Gu Shang 2022 Mar;35(3):238-42

Foot & Ankle Section, Department of Orthopaedics, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China.

Objective: To investigate the surgical skills and clinical curative results of arthroscopic treatment of ankle instability combined with anteromedial impingement syndrome.

Methods: From February 2019 to August 2020, 13 patients with ankle instability combined with anteromedial impingement were retrospectively analyzed. There were 10 males and 3 females with age of (40. Read More

View Article and Full-Text PDF

Ligamentous injury-induced ankle instability causing posttraumatic osteoarthritis in a mouse model.

BMC Musculoskelet Disord 2022 Mar 8;23(1):223. Epub 2022 Mar 8.

Department of Orthopedics, The First Affiliated Hospital of Soochow University, No.188 Shizi St, Suzhou, 215006, Jiangsu Province, P. R. China.

Background: This study aims to explore the relationship between surgically-induced ankle instability and posttraumatic osteoarthritis (PTOA) in a mouse model, and to provide reference for clinical practice.

Results: Ligamentectomy was performed on 24 eight-week-old male C57BL/6 J mice, which were divided into three groups. Both the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) were severed in the CFL + ATFL group, while only the CFL was removed in the CFL group. Read More

View Article and Full-Text PDF

Single Knotless Suture Anchor Repair of Anterior Talofibular Ligament Following Distal Fibula Nonunion Excision.

Arthrosc Tech 2022 Mar 28;11(3):e449-e455. Epub 2022 Feb 28.

AO Sports, Advanced Orthopaedics and Sports Medicine, San Francisco, California, 94108, U.S.A.

Anterior talofibular ligament (ATFL) tear is the most common ankle ligament injury. This can lead to recurrent ankle instability, which is detrimental to ankle function and the patient's quality of life. Currently, several techniques have shown successful outcomes for ATFL repair. Read More

View Article and Full-Text PDF

Is Internal brace augmentation a gold standard treatment compared to isolated Modified Brostrom Gould repair for chronic lateral ligament ankle instability? Effect on functional outcome and Return to preinjury activity: A retrospective analysis.

Foot (Edinb) 2022 Mar 23;50:101865. Epub 2021 Sep 23.

Department of Trauma and Orthopaedics, North Tees & Hartlepool University Hospital and NHS Foundation Trust, Stockton on Tees, United Kingdom.

Introduction: Modified Brostrom Gould (MBG) repair is widely accepted procedure for chronic lateral ankle instability (CLAI), but there are limitations with regards to strength of repair and risk of reinjury and complications. Internal brace has been recently used as augmentation of standard MBG repair. It provides stronger construct, facilitates early mobilisation and protects repaired ligament with minimal surgical morbidity. Read More

View Article and Full-Text PDF

Treatment of chronic lateral ankle instability by double-band anatomical reconstruction of the anterior talofibular ligament's fibular enthesis.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 Dec;46(12):1354-1362

Department of Sports Medicine; Research Center of Sports Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.

Objectives: Anterior talofibular ligament (ATFL) injury is one of the most common injuries in sports medicine, resulting in chronic lateral ankle instability (CLAI). The patients' daily life may be seriously affected by ankle osteoarthritis and other irreversible damages, if the ATFL injury is not treated in time and drags on. Patients with ATFL injury who show no significant recovery after 3-6 months of conservative treatment should consider surgical treatment as soon as possible to restore ankle stability and function. Read More

View Article and Full-Text PDF
December 2021

[Reconstruction of anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon in the treatment of chronic lateral ankle instability].

Zhongguo Gu Shang 2022 Feb;35(2):172-7

Orthopedic Hospital, Zhengzhou 450000, Henan, China.

Objective: To explore the clinical efficacy of reconstruction the anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon for the treatment of chronic lateral ankle instability.

Methods: The clinical data of 42 patients with chronic lateral ankle instability treated by anatomical reconstruction of anterior talofibular ligament and calcaneofibular ligament with autologous peroneus brevis tendon from July 2016 to July 2019 was retrospectively analyzed. Including 30 males and 12 females, age ranged from 25 to 46 years old with an average of (37. Read More

View Article and Full-Text PDF
February 2022

Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair.

J Orthop Surg Res 2022 Feb 3;17(1):69. Epub 2022 Feb 3.

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy.

Background: The arthroscopic modified Broström procedure, with repair of the anterior talofibular ligament and extensor retinaculum, produces good functional outcomes in patients with chronic lateral ankle instability (CLAI). CLAI can be associated with osteochondral lesions of the talus (OLTs). It remains unclear whether associated limited OLTs affect clinical outcomes in such patients. Read More

View Article and Full-Text PDF
February 2022

MRI appearance of the lateral fibulotalocalcaneal ligament complex injury in the patients with chronic lateral ankle instability.

Foot Ankle Surg 2022 Jan 29. Epub 2022 Jan 29.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima 734-8551, Japan.

Background: The anterior talofibular ligament (ATFL) comprises the superior and inferior fascicles. The inferior fascicle is connected to the calcaneofibular ligament, and forms "lateral fibulotalocalcaneal ligament (LFTCL) complex". This study aimed to evaluate the feasibility of diagnosing LFTCL complex injuries in patients with chronic lateral ankle instability (CLAI). Read More

View Article and Full-Text PDF
January 2022

Injury Prevalence of the Lower Limbs in Handball Players: A Systematic Review.

Int J Environ Res Public Health 2021 12 29;19(1). Epub 2021 Dec 29.

Facultad de Ciencias de la Actividad Física y del Deporte (INEF-Departamento de Deportes), Universidad Politécnica de Madrid, C/Martín Fierro 7, 28040 Madrid, Spain.

Lower limb injuries are frequent in handball and a serious hindrance to athletic performance. The aim of this systematic review was to synthesize the available research on the prevalence of lower limb injuries in handball players according to sex and competitive level. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, 19 studies were selected after a systematic search and selection process of three digital databases: Scopus, PubMed, and Web of Science. Read More

View Article and Full-Text PDF
December 2021

A Case Report of Tarsal Navicular Body Fracture with Lateral Ankle Ligament Complex Tear - a New Injury Combination.

J Orthop Case Rep 2021 Aug;11(8):63-67

Department of Orthopaedics, Trauma Surgery and Sports traumatology, Gelenkpunkt- Sports and Joint Surgery, Olympiastrasse 39, 6020 Innsbruck, Austria.

Introduction: Fractures of tarsal navicular bone are a rare injury. A navicular fracture can occur either in isolation or associated with other bony or ligamentous injuries, depending on the severity and mechanism of trauma at the time of impact. We report a previously undescribed injury combination of navicular fracture with tear of the lateral ankle ligament complex. Read More

View Article and Full-Text PDF

[Fibular ligament lesions-reliable ultrasound diagnostics : Tricks and tips].

Hartmut Gaulrapp

Unfallchirurg 2022 Feb 5;125(2):113-121. Epub 2022 Jan 5.

Orthopädie, Kinderorthopädie, Sportmedizin, Chirotherapie, Leopoldstr. 25, 80802, München, Deutschland.

In 2020 a total of 126 patients attended the practice with distortion trauma of the ankle. Based on a thorough clinical and ultrasound examination 25 ligamentous injuries of the anterior talofibular ligament (ATFL, 9.8%), 8 osseous ligament avulsions (6. Read More

View Article and Full-Text PDF
February 2022

Use of portable ultrasonography for the diagnosis of lateral ankle instability.

J Orthop Res 2022 Jan 5. Epub 2022 Jan 5.

Foot and Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Portable ultrasonography is increasingly used to evaluate ankle stability at the point of care. This study aims to determine the correlation of portable-ultrasonographic and fluoroscopic measurements of ankle laxity in a cadaveric ligament transection model of ankle ligament injury. We hypothesize that there is an association between portable-ultrasonographic and fluoroscopic measurements when performing stress evaluation of lateral ankle instability. Read More

View Article and Full-Text PDF
January 2022

Anatomical reconstruction of the anterior inferior tibiofibular ligament in elite athletes using InternalBrace suture tape.

Bone Joint J 2022 Jan;104-B(1):68-75

Academic Department of Trauma and Orthopaedics, University of Leeds, Leeds, UK.

Aims: The ideal management of acute syndesmotic injuries in elite athletes is controversial. Among several treatment methods used to stabilize the syndesmosis and facilitate healing of the ligaments, the use of suture tape (InternalBrace) has previously been described. The purpose of this study was to analyze the functional outcome, including American Orthopaedic Foot & Ankle Society (AOFAS) scores, knee-to-wall measurements, and the time to return to play in days, of unstable syndesmotic injuries treated with the use of the InternalBrace in elite athletes. Read More

View Article and Full-Text PDF
January 2022

Autologous osteochondral transplantation provides succesful recovery in patients with simultaneous medial and lateral talus osteochondral lesions.

Acta Orthop Traumatol Turc 2021 Dec;55(6):535-540

Clinic of Knee and Sport Surgery, Private Ortopedia Hospital, Adana, Turkey.

Objective: The aim of this study was to evaluate the success of simultaneous medial and lateral autologous osteochondral transplantation (AOT) in patients with both medial and lateral osteochondral lesions of the talus (OLT) who could not be treated with bone marrow stimulation techniques or whose previous treatments failed.

Methods: Five patients who underwent medial and lateral talus AOT in the same session due to simultaneous OLT on medial and lateral talar dome were included in this retrospective study. All the patients were male, and the mean age was 34. Read More

View Article and Full-Text PDF
December 2021

Arthroscopic treatment for anterolateral impingement of the ankle: Systematic review and exploration of evidence about role of ankle instability.

Orthop Traumatol Surg Res 2021 Nov 29:103159. Epub 2021 Nov 29.

SOS Pied Cheville, Bordeaux-Mérignac, France. Electronic address:

Background: Arthroscopic debridement is a common surgical treatment for patients with anterolateral impingement (ALI) of the ankle. Although they often have a history of ankle sprain, information regarding the role of ankle instability in ALI is limited. The aims of this review were to: 1) assess the clinical outcomes of arthroscopic surgical treatment for ALI of the ankle; and 2) review the data regarding anterior talofibular ligament (ATFL) injury and lateral ankle instability in patients who underwent arthroscopic surgery for ALI. Read More

View Article and Full-Text PDF
November 2021

The Ratio of Stress to Nonstress Anterior Talofibular Ligament Length on Ultrasonography: Normative Values.

Orthop J Sports Med 2021 Nov 19;9(11):23259671211056305. Epub 2021 Nov 19.

Division of Orthopaedic Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, University of Miyazaki, Kiyotake, Miyazaki, Japan.

Background: Stress ultrasonography (US) has been shown to be a valid procedure for evaluating chronic anterior talofibular ligament (ATFL) injury. The ratio of stress/nonstress ATFL length (ATFL ratio) as measured on US is clinically useful; however, there are no published normative data concerning this ratio.

Purpose: To report a normative value of the ATFL ratio on US and evaluate the relationships between sex, generalized joint laxity (GJL), and the grade of anterior drawer test (ADT). Read More

View Article and Full-Text PDF
November 2021

MRI-based Diagnosis of Anterior Talofibular Ligament Injury.

Lin An Yaowen Yan

J Coll Physicians Surg Pak 2021 Nov;31(11):1369-1371

Department of Radiology, Xinchang People's Hospital, Zhejiang, China.

The aim of this study was to explore the value of magnetic resonance imaging (MRI) in the diagnosis of anterior talofibular ligament injury. Eighty-two patients, diagnosed with anterior talofibular ligament injury by pathological examination after operation, were included. MRI showed that there were 15 cases (18. Read More

View Article and Full-Text PDF
November 2021

[Recognition of ankle sprain: not only lateral collateral ligament injury].

K L Tang

Zhonghua Yi Xue Za Zhi 2021 Oct;101(37):2930-2933

Chongqing Institute of Sports Medicine, Orthopedic Medicine Center/Sports Medicine Center, Southwest Hospital, Army Military University, Chongqing 400038, China, Email:

Ankle sprains are a common cause of morbidity in the general and athletic population. The majority of sprains involve the lateral aspect of the ankle, affecting the anterior talofibular ligament. However, the extent and categories of injury will depend upon the mechanism of injury. Read More

View Article and Full-Text PDF
October 2021

Straight Form of Calcaneofibular Ligament as a Three-Dimensional Magnetic Resonance Imaging Sign in Diagnosis of Calcaneofibular Ligament and Anterior Talofibular Ligament Inferior Fascicle Injury.

J Foot Ankle Surg 2022 Mar-Apr;61(2):327-332. Epub 2021 Sep 9.

Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Jonan-ku, Fukuoka, Japan.

The present study was performed to investigate the morphological characteristics of the calcaneofibular ligament (CFL) and evaluate its relationship to the anterior talofibular ligament (ATFL) in patients with lateral ankle ligament injury using 3-dimensional magnetic resonance imaging (3D-MRI). This retrospective study involved 35 patients with lateral ankle ligament injury and 24 patients without a history of ankle trauma and a bone abnormality as controls. Reconstructed 3D-MRI was used to classify the form of the CFL as curved, wavy, or straight. Read More

View Article and Full-Text PDF

Can virtual touch tissue imaging quantification be a reliable method to detect anterior talofibular ligament type I injury at the acute, subacute, and chronic stages?

Quant Imaging Med Surg 2021 Oct;11(10):4334-4341

Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Background: Anterior talofibular ligament (ATFL) injury affects ankle joint stability. To date, very few studies have examined tissue stiffness changes inside injured ligaments. Virtual touch tissue imaging quantification (VTIQ) allows for the non-invasive quantitative measurement of tissue stiffness. Read More

View Article and Full-Text PDF
October 2021

[Scanning Technique in Ankle nad Foot Ultrasonography].

Acta Chir Orthop Traumatol Cech 2021 ;88(4 Suppl):42-49

NZZ MUDr. Luboš Hrazdira s.r.o., Brno.

This guide to ultrasound imaging of the ankle and foot describes the basic scanning planes and contains corresponding high-resolution ultrasound images. The patient and probe positionings are explained in a simplified step-by-step manner using schematic drawings. This standard and simple examination technique seems to be an appropriate way to improve the learning curve of novice musculoskeletal sonographers. Read More

View Article and Full-Text PDF
October 2021