Deltoid ligament injuries: diagnosis and management.

Department of Orthopaedic Surgery, Orthopaedic Clinic, University of Basel, Kantonsspital Liestal, CH-4410 Liestal, Switzerland.
Foot and Ankle Clinics of North America (Impact Factor: 0.84). 10/2006; 11(3):625-37. DOI: 10.1016/j.fcl.2006.08.001
Source: PubMed

ABSTRACT The medial ligaments of the ankle are injured more often than generally believed. Complete deltoid ligament tears are occasionally seen in association with lateral malleolar fractures or bimalleolar fractures. Chronic deltoid ligament insufficiency can be seen in several conditions, including posterior tibial tendon disorder, trauma- and sports-related deltoid disruptions, and valgus talar tilting in patients who have a history of triple arthrodesis or total ankle arthroplasty. This article focuses on the anatomy and function of the medial ligaments of the ankle and establishes a rationale for the diagnosis and treatment of incompetent deltoid ligament.

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    ABSTRACT: IntroductionUp to 18 % of ankle sprains are associated with deltoid ligament and syndesmotic injury [8]. However, ankle diastasis without fibular fracture is rarely reported in literature and mostly in athletes [3, 4]. This injury usually occurs with forced pronation-abduction or pronation and eversion of the foot, leading to external rotation or abduction in the ankle. Early diagnosis and proper surgical anatomic reduction are very important to prevent chronic ankle instability and evolution towards ankle arthritis.Case reportA 44-year-old male was admitted to the emergency room with an ankle injury. The patient had an eversion trauma of the ankle while stepping down the stairs and missing the last two steps, landing on his ankle with his full weight, while the foot was in a pronated position. The patient heard a snapping sound in his ankle.At the time of admission, the patient was unable to bear weight on his ankle joint. Precise clinical assessment of the ankle joint was difficult d ...
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    ABSTRACT: Ankle sprains with injuries of the lateral or medial ligament complex have a high incidence in daily life and sports. Therefore an appropriate concept for clinical examination, diagnosis and surgical treatment is mandatory. While clinical presentation and treatment modalities are well described for the lateral ligaments, little is known about the medial ankle and its ligament injuries. The purpose of this article is to provide an update of clinical examination, diagnosis and treatment for these complex ligament injuries and report the primary results of our treatment concept.
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