Anterior talofibular ligament bony avulsion - paediatric

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Right ankle inversion injury followed by lateral ankle pain, swelling, and difficulty in walking.

Patient Data

Age: 15 years
Gender: Female

A vertically orientated linear bone flake between fibula and talus in the frontal view. No dislocation/ bone lesion. Soft tissue thickening involving the ankle.

Avulsion of the anterior talofibular ligament from the talus. A linear echogenic bone flake in the avulsed end of the ligament. A small corresponding defect in the talus is a donor site. Normal calcaneofibularlar ligament.

Case Discussion

The case shows anterior talofibular ligament avulsion from the talus.

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