One study found that 91% of syndesmotic injuries involved at least 1 of the lateral collateral ligaments (anterior talofibular
ligament [ATFL], calcaneofibular ligament [CFL], or posterior talofibular
The most important of these outside ligaments is the anterior talofibular
ligament connecting the fibula to the talus.
The former finding may be explained in terms of the role played by the anterior talofibular
ligament, which both regulates anterior translation and provides frontal plane stability of the ankle joint.
Seeing that LIFT is a consequence of an acute inversion injury of the ankle, a variable degree of the anterior talofibular
ligament (ATFL) damage is usually present (3).
(2003) Anterior drawer test for acute anterior talofibular
ligament injuries of the ankle.
The senior tore the anterior talofibular
ligament in an ankle in a Dec.
In the clinical setting, lateralization of the force vector in the acquired flatfoot deformity was demonstrated to cause hindfoot impingement including talofibular
, talocalcaneal, and calcaneofibular and subsequent stress fracture of the distal fibula [2, 3, 20].
Palpation revealed mild to moderate tenderness over the anterior talofibular
ligament, and restrictions in the subtalar and navicular joints.
(5) Results from the study showed that 30% of asymptomatic patients had abnormal findings with the anterior talofibular
ligament and peroneal tendons, and 11% had an abnormal calcancofibular ligament.
Among the procedures described in the literature, it is pertinent to note the reconstruction of various tendinous and ligamentous structures, such as joint ligaments of the foot (anterior talofibular
, calcaneofibular) (Pagenstert et al., 2005) and flexor tendons; using its distal segment as osteotendinous grafts.
The maximal stress in the cartilage of the primary foot joints (talonavicular, calcaneocuboid, tibiotalar, and talofibular
joints) is shown in Figure 6.