The most commonly injured ligament is the anterior talofibular. A complete The posterior talofibular ligament is less likely to be damaged. This is the ligament that is most commonly sprained with lateral ankle sprains. Motion Functional Instability Patient History: Recurrent sprains and/or feeling of giving way of the ankle Freeman, 1965 Causes of ATFL sprain An ankle sprain typically occurs when the ankle is plantarflexed (toes pointing In regards to a grade I injury, the anterior talofibular ligament (ATFL) is involved. Occasionally small pieces of bone may be torn off with the ligaments. principle: R is for Rest. High impact exercise can resume at 14 weeks. The anterior talofibular ligament (ATFL) connects the talus to the fibula and is located on the outside of the ankle. Phase IV: Week 11-12. At 10 weeks you can start running. Treatment Rest Limit activity until pain decreases and weight-bearing is tolerable. In general, ankle ligament injuries are classified into three grades representing increasing severity. Guidelines • In regular shoe • Still wearing the ankle brace If the force is more severe, the calcaneofibular ligament is also damaged. Keywords: Brostro¨m repair; lateral ankle instability; suture anchor repair; anterior talofibular ligament Lateral ankle instability is a common problem in the ath-letic population.4,11,19,30,31 Patients report a feeling of instability because of chronic laxity of the lateral ankle lig-ament complex, including the anterior talofibular ligament Skeletal Radiol 2010; 39:41-47. The ligaments most often affected in a lateral ankle sprain are the posterior talofibular ligament, the calcaneofibular ligament, and the anterior talofibular ligament. 3-6 months after surgery You will hopefully start to enjoy the benefits of having undergone the Brostrom repair. In a few cases, a Caution around excessive stress to affected ligament i.e. • Anterior talofibular ligament (ATFL) • Calcaneofibular ligament (CFL) • Posterior talofibular ligament (PTFL) The inner portion of the ankle can also be sprained although it is much less common. using an exercise bike. Most people with ankle ligament instability have damage to the ankle ligaments usually caused by a trauma to the ankle. Grade I = mild ankle sprain, 2-4 week recovery. The deltoid ligament … This is the most commonly injured ligament in an ankle sprain. plantarflexion & inversion in anterior talofibular ligament involvement Full or PWB 1-2 elbow crutches according to gait pattern and symptoms Choose exercise, resistance & Exercise Goals Guidelines/Restrictions/ Precautions Aim to maintain ankle Active range within a pain-free range. Injury to this ligament results in swelling and pain on the outside of the ankle. Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging. When someone twists their ankle, the first ligaments to tear are the Anterior Talofibular, then the Calcaneofibular, usually in that order. The inner or medial ankle ligament is called the deltoid ligament. Oae K, Takao M, Uchio Y. Common Ankle Ligament Anatomy • Posterior talofibular ligament • Anterior talofibular ligament • Calcaneofibular ligament Additional possible related injuries include fractures, muscle strains, foot sprains or nerve injuries. You may need crutches. Anterior talofibular ligament (ATFL): limit inversion and PF Calcaneofibular ligament (CFL) and posterior talofibular ligament (PTFL): limit ... o Progress from bilateral to unilateral standing exercises (e.g., heel raises with proper eccentric control) core exercises – progress to standing exercises hip strength exercises knee strength exercises • Manual mobilization to joints not part of ligament reconstruction . Ankle sprains may take from 6 weeks to several months to heal. You will be able to return to work at 8 weeks if you have a light manual job, or 10 weeks if you have a heavy manual job. tion of physical activity, use of rehabilitative exercises, and evaluation of intrinsic and extrinsic causes of injury. Goals • Full ROM . In early treatment, you may learn the R.I.C.E. stability.
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