Calcaneofibular ligament injuries typically occur along with an anterior talofibular ligament injury within the scope of a lateral ankle sprain. The typical mechanism is excessive supination of the rearfoot on an externally rotated lower leg, leading to an inversion-internal-rotation type injury 1,2.
What is Talofibular ligament?
The anterior talofibular ligament (ATFL) is part of the lateral collateral ligament complex of the ankle. Its role is to stabilize the talus. It is also the weakest of the lateral collateral ankle ligaments.
How do you treat a lateral ankle sprain?
Lateral ankle sprains respond well to the conservative treatment which includes initially RICE—rest, ice, compression, and elevation—followed by early mobilization. Rehabilitation focuses on restoring ROM, strength, balance, and normal gait patterns.
What is the deltoid ligament?
The deltoid ligament, also known as the medial collateral ligament complex, is a strong, broad ligament with multifascicular appearance that spans out from the medial malleolus toward the talus, calcaneus, and navicular bones.
How do you heal a calcaneofibular ligament?
Rest, ice, compression, and elevation (RICE) are vital components to a fast recovery. Nonsteroidal anti-inflammatory drugs (NSAIDs) are appropriate for the presence of pain and swelling. Crutches are also acceptable for a short time after the injury occurs until ambulation is pain free.
How do you treat a calcaneofibular ligament?
During the initial inflammatory response, RICE (rest, ice, compression, and elevation) is implemented in the first 4 to 5 days. Immobilization with cast or boots can be applied in the first week to reduce swelling and pain, after which, brace or taping can be provided for a return to activity.
Does ATFL tear require surgery?
Usually, the surgery is performed by tightening the damaged ATFL ligament and reattaching it to the bone so it returns to its original strength and shape. If your ligament is too damaged and will not be strong enough to repair a procedure called a tendon graft may be carried out instead.
Can you walk on a torn deltoid ligament?
The predominant symptom of a deltoid ligament injury is swelling and pain around the whole ankle, especially the inner part. Bruising may also present itself, and it is common for individuals to have problems putting weight on the affected ankle following the injury. This can lead to difficulty walking, and a limp.
What is the function of the deltoid ligament?
[1] The deltoid ligament as a whole has a dual function of providing stability to the talotibial joint as well as transferring forces between the tibia and tarsus. It fixates the tibia above the talus and restricts the talus from shifting into a valgus postion, translating antero-laterally or rotating externally.
