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Anterior talofibular ligament injury

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Ankle twist injury 3 weeks ago

Patient Data

Age: 30 years
Gender: Female
ultrasound
  • complete tear of the anterior talofibular ligament corresponding to the site of pain
  • comparison with the intact anterior talofibular ligament of the contralateral side
  • intact tibiofibular and calcaneofibular ligaments of the symptomatic side
  • mild effusion in the anterior recess of ankle joint

Bare talus due to the complete tear of the anterior talofibular ligament.

Case Discussion

Ultrasound findings suggest anterior talofibular ligament disruption. Surgery confirmed a mid substance tear along with an anterior capsular tear.

Intraoperative photo courtesy: operating surgeon Dr. Ritesh Patel.

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