Anterior talofibular ligament injury - rupture with soft-tissue impingement

Case contributed by Tim Luijkx
Diagnosis certain


Conservatively treated ankle fracture 7 months prior. Anterior talofibular ligament injury?

Patient Data

Age: 40 years
Gender: Male

Bone and joints:

yellow arrows: ruptured ATFL

Case Discussion

Key findings:

  • subtotal ATFL rupture with signs of active soft-tissue impingement
  • previous anterior syndesmosis injury, healed with fibrosis
  • focal thickening of the anterior tibiotalar joint capsule with signs of active impingement
  • Achilles tendon peritendinitis

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