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433 results
  • Lateral Ligament Instability: Review of Pathology and Diagnosis. [Review]
    Curr Rev Musculoskelet Med. 2020 Jun 03 [Online ahead of print]Hur ES, Bohl DD, Lee S
  • 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.
  • StatPearls: Calcaneofibular Ligament Injury [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Le Minh Quan T. MQT University of Miami/Jackson Memorial Hospital Tiu Timothy K. TK University of Miami BOOK
  • Ankle sprains are a common reason for presentation to the emergency department, accounting for approximately 7% to 10% of visits and up to 40% of all sports injuries.[1] The majority of ankle injuries are sports-related and involve the lateral ankle compartment. The lateral ankle ligaments consist of the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL), and the posterior t…
  • StatPearls: Ankle Dislocation [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Frank Ashleigh L. AL Jefferson Northeast Charette Ryan S. RS Hospital of the University of Pennsylvania Groen Kimberly K Jefferson Health Northeast BOOK
  • Ankle dislocations are a relatively common type of dislocation encountered in the emergency department. They exist in two forms:  1. a true dislocation without fracture; 2. a fracture-dislocation, occurring in the vast majority [1]. The ankle joint complex is composed of three main articulations: talocalcaneal (subtalar), transverse-tarsal (talocalaneonavicular) and the tibiotalar (talocrural) jo…
  • The horizontal calcaneofibular ligament: a sign of hindfoot valgus on ankle MRI. [Journal Article]
    Skeletal Radiol. 2020 May; 49(5):739-746.Lee S, Oliveira I, … Saifuddin A
  • CONCLUSIONS: Hindfoot valgus as estimated by the increased TC angle on coronal non-weight-bearing ankle MRI is associated with a reduced CFL angle on sagittal MR images, but is not associated with AMA. Therefore, a horizontal orientation of the CFL on sagittal MR images may be a further useful sign of hindfoot valgus.
  • The calcaneofibular ligament has distinct anatomic morphological variants: an anatomical cadaveric study. [Journal Article]
    Knee Surg Sports Traumatol Arthrosc. 2020 Jan; 28(1):40-47.Pereira BS, van Dijk CN, … Oliva XM
  • CONCLUSIONS: The CFL presents four distinct morphological-oriented shapes. The double bundle, V-shaped and Y-shaped CFL variants are uncommon and poorly reported in the literature. Their relation to the lateral talocalcaneal ligament and the inferior fascicle of the anterior talofibular ligament requires further research. The CFL morphology provides detailed knowledge of CFL anatomy that can improve diagnostic procedures. Furthermore, this information can fine-tune graft selection and sizing and allow a more precise anatomic placement during surgical reconstruction.
  • Extremity CT and ultrasound in the assessment of ankle injuries: occult fractures and ligament injuries. [Journal Article]
    Br J Radiol. 2020 Jan; 93(1105):20180989.Allen GM, Wilson DJ, … Watson M
  • CONCLUSIONS: Conventional radiographic examination misses significant fractures of the foot and ankle and the presence of an ankle effusion does not relate to the severity of injury. Ultrasound is a useful imaging technique that can supplement clinical practice, but it is unlikely to replace current protocols alone. Cone beam CT is an appropriate alternative to plain radiography, being more sensitive in detecting fractures and delivering a similar dose of radiation. However, neither CT or ultrasound examination can detect all avulsion fractures. Simple anterior process fractures of the calcaneus are associated with talonavicular ligament injuries and the medial ligaments are injured in almost 50% of cases when there is a lateral ligament injury.
  • StatPearls: Anatomy, Bony Pelvis and Lower Limb, Ankle Joint [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Manganaro Daniel D Alsayouri Khalid K Mayo Clinic BOOK
  • The ankle joint is a hinged synovial joint that is formed by the articulation of the talus, tibia, and fibula bones. The articular facet of the lateral malleolus (bony prominence on the lower fibula) forms the lateral border of the ankle joint while the articular facet of the medial malleolus (bony prominence on the lower tibia) forms the medial border of the joint. The superior portion of the an…
  • Prolonged Rest, Long-Term Dynamic Balance, and Gait in a Mouse Ankle-Sprain Model. [Journal Article]
    J Athl Train. 2019 Jul; 54(7):801-807.Wikstrom EA, Hubbard-Turner T, … Turner MJ
  • CONCLUSIONS: Relative to 3 days of rest, prolonged rest (1 and 2 weeks) after a severe LAS in mice positively affected balance. The apparent benefit of prolonged rest was noted on both dynamic-balance outcomes and performance. Stride length was not altered by the duration of rest after a surgically induced severe LAS in mice. Future research is needed to determine if these results translate to a human model.
  • A 14-Day Recovery and Physical Activity Levels After an Ankle Sprain in Mice. [Journal Article]
    J Athl Train. 2019 Jul; 54(7):796-800.Hubbard-Turner T, Wikstrom EA, Turner MJ
  • CONCLUSIONS: Our findings suggest that the longer recovery period of 14 days can increase activity levels throughout the lifespan after a severe ankle sprain. Rest after an ankle injury is critical to restoring physical activity levels across the lifespan. Rest and time away from exercise after an ankle sprain may be necessary to restore physical activity to normal, uninjured levels.
  • StatPearls: Peroneal Tendon Syndromes [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Walt Jennifer J LSUHSC shreveport Massey Patrick P LSU Health BOOK
  • Peroneal tendon disorders are a cause of hindfoot and lateral foot pain. There are three primary disorders of the tendons; peroneal tendonitis, peroneal subluxation, and peroneal tendon tears; these conditions are a cause of lateral ankle pain and may lead to ankle instability. The peroneal tendons are in the lateral compartment of the leg and include the peroneus longus and peroneus brevis muscl…
  • Characterization of Ankle Kinematics and Constraint Following Ligament Rupture in a Cadaveric Model. [Journal Article]
    J Biomech Eng. 2019 Jul 17 [Online ahead of print]Akhbari B, Dickinson MH, … Maletsky LP
  • 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 t…
  • An oblique fibular tunnel is recommended when reconstructing the ATFL and CFL. [Journal Article]
    Knee Surg Sports Traumatol Arthrosc. 2020 Jan; 28(1):124-131.Michels F, Matricali G, … Stockmans F
  • CONCLUSIONS: An oblique tunnel allows for a longer tunnel and avoids the region of the digital fossa, thereby retaining more surrounding bone. In addition, absolute values of tunnel length are given, which can be useful when considering the use of certain implants. We recommend drilling an oblique fibular tunnel when reconstructing the ATFL and CFL.
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