Deltoid ligament injury
Citation, DOI, disclosures and article data
Citation:
Goel A, Knipe H, Jones J, et al. Deltoid ligament injury. Reference article, Radiopaedia.org (Accessed on 16 Jan 2025) https://doi.org/10.53347/rID-35124
Permalink:
rID:
35124
Article created:
23 Mar 2015,
Ayush Goel
Disclosures:
At the time the article was created Ayush Goel had no recorded disclosures.
View Ayush Goel's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
Revisions:
7 times, by
5 contributors -
see full revision history and disclosures
Systems:
Sections:
Tags:
Synonyms:
- Deltoid ligament injuries
- Deltoid ligament avulsion
- Deltoid ligament avulsions
Deltoid ligament injuries involve the deltoid ligament that forms the medial part of the ankle joint.
Pathology
Mechanism of injury
It occurs due to eversion and/or pronation injury, or can be associated with lateral ankle fractures.
The deltoid ligament is usually avulsed from its tibial attachment, causing lateral talar shift with increased medial clear space (>4 mm).
Types
Types of injuries to anterior part of the deltoid ligament:
- type 1: proximal tear or avulsion of the ligament
- type 2: intermediate tear of the ligament
- type 3: distal tear or avulsion of the deltoid and spring ligaments
Treatment and prognosis
Open reduction internal fixation is the treatment of choice.
Quiz questions
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References
- 1. Zhang C, Lin GM, Liu M. Progress of diagnosis and treatment in deltoid ligament injuries of ankle. Zhongguo Gu Shang. 2013;25 (11): 967-70. Pubmed citation
- 2. Wang X, Ma X, Zhang C et-al. Treatment of chronic deltoid ligament injury using suture anchors. Orthop Surg. 2014;6 (3): 223-8. doi:10.1111/os.12125 - Pubmed citation
- 3. Chhabra A, Subhawong TK, Carrino JA. MR imaging of deltoid ligament pathologic findings and associated impingement syndromes. Radiographics. 2010;30 (3): 751-61. Radiographics (full text) - doi:10.1148/rg.303095756 - Free text at pubmed - Pubmed citation
Incoming Links
Articles:
- Anterior to posterior fibular gap
- Medial clear space (ankle)
- Talus
- Chronic ankle instability
- Superficial posterior tibiotalar ligament
- Deltoid ligament of the ankle
- Lateral ankle sprain
- MRI of the ankle (an approach)
- Weber classification of ankle fractures
- Foot pain
- Calcaneofibular ligament injury
- Tibiospring ligament
- Tibiocalcaneal ligament
- Subtalar instability
- Anteromedial impingement of the ankle
- Anterior tibiotalar ligament
- Deep posterior tibiotalar ligament
- Distal tibiofibular syndesmosis injury
- Tibionavicular ligament
- Midtarsal sprain
Cases:
- Deltoid ligament tear - ankle stress view
- Maisonneuve fracture
- Posterior talofibular and calcaneofibular ligament injuries
- Deltoid ligament injury
- Medial malleolus avulsion fracture
- Collateral ligament injuries - ankle
- Syndesmotic and collateral ankle ligament injuries
- Deltoid ligament injury
- Ankle trimalleolar fracture - Weber C and posterior malleolus fractures with deltoid ligament injury
- Stress view of ankle - with deltoid ligament tear
Multiple choice questions:
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