Anterior talofibular ligament tear

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Trauma to ankle - about 1 wk back.

Patient Data

Age: about 40 yrs
Gender: Female

Ankle XR no fracture. Not...

ultrasound

Ankle XR no fracture. Not uploaded No copyRt Referred for ATFL evaluation.

Anterior talo-fibular ligament   - Loss of normal echopattern,

                                                 - hypoechoic

                                                 - full thickness fluid cleft at fibular attachment region

Anterior tibio - fibular ligament - Intact, normal.

Calcano-fibular ligament            - Mild thickening with patchy hypoechoic areas 

                                                   - No breach in continuty.

Case Discussion

Ultrasound findings suggest tear of anterior talo-fibular ligament at fibular attachment site, and possible mild sprain of calcno-fibular ligament.

MRI was done. Not uploaded. No copyright.

Surgery was done. It was tear of anterior talo-fibular ligament ( Source - operating surgeon ).

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