If you remember, the anterior talofibular ligament is the weakest of the three ligaments and ruptures in almost all lateral ankle sprains. The calcaneofibular ligament ruptures in 50 to 70 percent of injuries and the posterior talofibular ligament ruptures in less than 10 percent. May 03, 2018 The in situ force in the calcaneofibular ligament and the contribution of this ligament to ankle joint stability. Clin Biomech (Bristol, Avon). Haraguchi N, Toga H, Shiba N, Kato F. Avulsion fracture of the lateral ankle ligament complex in. Dec 23, 2011 The main lateral (outside of ankle) ligaments involved in ankle sprains are named for the two bones they connect and are involved in ankle sprains usually in the following order 1) Anterior talofibular ligament (ATFL) (L1 in figure), 2) Calcaneofibular ligament (CFL) (L2 in figure), and rarely 3) Posterior talofibular ligament (PTFL) (L3 in. Calcaneofibular ligament sprain symptoms, causes, diagnosis, and treatment information for Calcaneofibular ligament sprain (Ankle sprain) with alternative diagnoses, full-text book chapters, misdiagnosis, research treatments, prevention, and prognosis. May 03, 2018 An inversion sprain results in an injury to the lateral ligaments, one of which is the calcaneofibular ligament (CFL). Most ankle sprains can be managed with a short period of immobilization followed by rehabilitation therapy, but chronic instability is best treated surgically.

Sprain Of Calcaneofibular Ligament Of Ankle
Sprain Of Talofibular Ligament Icd 10
Calcaneofibular Ligament Treatment
Sprain Of Posterior Talofibular Ligament
Sprain Atfl Ligament

This Article Discusses About The Following Aspects of Ankle Joint Ligament Injury:

The ankle joint ligament (calcaneofibular ligament) is a narrow thin bundle of tough fibrous tissue attached to outer malleolus of fibula and outer surface of calcaneus bone. Ankle joint ligament (calcaneofibular ligament) lies underneath the peroneal longus and brevis tendon. Forceful uncontrolled internal rotation or twist of the foot or injury at ankle joint results in overstretching of the ankle joint ligament (calcaneofibular ligament) and thus often causes injury, laceration, partial or complete tear of the ankle joint ligament. Complete tear of ankle joint ligament (calcaneofibular ligament) is rare.

Causes of Ankle Joint Ligament Injury

Sports injury involves mechanical problem resulting in twist of foot inward (internal rotation) and loss of balance during physical contact causes abrupt stretch of the ankle joint ligament.

Sports Injuries Causing Ankle Joint Ligament Injury

Sports like football, soccer, basketball and skiing involves quick movements of the foot and ankle and so people involved in playing such sports are likely to encounter ankle joint ligament injury.

Ankle Joint Ligament Injury Caused Due to Domestic Falls

Domestic injury causing ankle joint ligament injury or tear is observed mostly in elderly patients. Elderly patients are also often suffering with osteoporosis and ligament injury is associated with fracture of ankle bone, tibia or fibula. Causes of domestic fall such as fall on slippery surface, tripping on carpet, or fall over staircase can cause ankle joint ligament injury.

Sprain Of Calcaneofibular Ligament Of Ankle

Direct Impact Causing Ankle Joint Ligament Injury

Ankle joint ligament (calcaneofibular ligament) is superficial and ligament lies between skin and ankle bone. Direct impact is often associated with skin laceration and ankle joint ligament injury or tear. Causes of direct impact causing ankle joint ligament injury is as follows-

Work accident.

Ankle joint ligament injury can be a bruise, laceration which is superficial or deep and may be associated with superficial tear, partial tear or complete tear of the ankle joint ligament (calcaneofibular ligament).

Symptoms of Ankle Joint Ligament Injury

Ankle Pain- One of the most common symptom of ankle joint ligament injury is severe pain in ankle that is observed over the outer side of ankle joint. Pain intensity is increased with ankle joint movement. Symptoms of pain intensity is increased while walking or sitting. The patient suffering from ankle joint ligament injury feels better in lying down position and when leg is elevated above the level body.
Ankle Swelling- Patient with ankle joint ligament injury is most likely to have complaints of swelling of ankle joint. Ankle swelling could have grown slow or fast. Swelling is because of edema of soft tissue and bleeding in subcutaneous tissue caused due to ankle joint ligament injury.
Inability To Move Feet- Patient with ankle joint injury would have symptoms of inability to move feet. Patients often restrict movement of ankle joint because of pain and inability to move because of hematoma (blood clot).

Tenderness at Ankle Joint- One of the signs of ankle joint ligament injury is that the ankle joint on lateral side over outer malleolus is extremely painful. Pain is severe on palpation. Pain after examination continues at higher intensity.
Ankle Joint Stiffness- Examiner during examination of ankle joint following ankle joint ligament injury finds the ankles to be very stiff. Passive flexion (movement of feet towards floor) and extension (upward movement of feet) are restricted because of pain and hematoma (blood clot).
Skin Discoloration- Skin looks purple because of blood underneath the skin. Bleeding is caused by tear of small blood vessels around the ligament. Slow bleeding causes slow growth of swelling and rapid bleeding causes rapid growth or swelling. Patient can loose up to 200 to 300 mL of blood around injured tendon. Blood and blood clots spread in subcutaneous tissue under the skin.

Sprain Of Talofibular Ligament Icd 10

Investigations To Diagnose Ankle Joint Ligament Injury

Investigation is aimed to find the tissue injury and also to rule out fracture and dislocation of ankle joint.

X-Ray: X-ray examination is useful to diagnose if there is any fracture and dislocation of ankle joint in addition to the ankle joint ligament injury.
MRI: MRI is useful to evaluate fracture, dislocation and hematoma.
Ultrasound: Ultrasound is a specific investigation to evaluate hematoma.
Arthroscopy: An orthopedic surgeon performs arthroscopy. Arthroscopy examination is a specific test to diagnose and treat ankle joint ligament injury and tear.
Blood Examination: White Blood Cell Count (WBC) is increased in infection and septic arthritis. WBC is normal in ankle joint sprain without any infection.

Conservative Treatment for Ankle Joint Ligament Injury

Ankle joint sprain associated with laceration and partial tear of ankle joint ligament (calcaneofibular ligament) are often treated with conservative treatment. Sprain of ankle joint associated with complete tear of ankle joint ligament (calcaneofibular ligament) may not respond to conservative treatment. Choice of conservative treatment is as follows:

Ice bag is applied for 20 to 30 minutes for 3 to 4 times a day over the ankle joint ligament injury site.
Cold therapy is used during initial phase following injury to the ankle joint ligament.
Cold therapy helps to reduce bleeding.

Heat Treatment For Ankle Joint Ligament Injury

Heating pad is applied for containing pain after few days of sustaining ankle joint ligament injury.
Heating pad increases temperature of skin and underlying tissue.
Increased temperature dilates blood vessels and increases blood loss during active bleeding following injury.

Restriction of Ankle Joint Movement to Treat Ankle Joint Ligament Injury

Ankle joint movement is extremely painful following complete or partial tear of ankle joint ligament. Restriction of the ankle joint movement helps to prevent severe pain.
Restriction of ankle joint movement also helps to heal the ankle joint ligament injury faster.
Restriction is achieved by applying braces and cast to the ankles.