Skip to main content
SpringerLink
Log in

Ankle Ligament Lesions

  • Chapter
  • First Online:
The Ankle in Football

Part of the book series: Sports and Traumatology ((SPORTS))

Abstract

This chapter describes injury to the ankle ligaments, including the lateral ankle ligaments, the syndesmotic ligaments and the deltoid ligaments. All aspects on diagnosis, clinical appearances and therapeutic treatment options are highlighted, specified if possible for the footballer.

You only stop learning about Football when you quit.

Ruud Gullit

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Beumer A, van Hemert WL, Swierstra BA et al (2003) A biomechanical evaluation of the tibiofibular and tibiotalar ligaments of the ankle. Foot Ankle Int 24:426–429

    PubMed  Google Scholar 

  2. Boss AP, Hintermann B (2002) Anatomical study of the medial ankle ligament complex. Foot Ankle Int 23:547–553

    PubMed  Google Scholar 

  3. Brostrom L (1964) Sprained ankles. I. Anatomic lesions in recent sprains. Acta Chir Scand 128:483–495

    Google Scholar 

  4. Brostrom L (1966) Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand 132:537–550

    CAS  PubMed  Google Scholar 

  5. Chen PY, Wang TG, Wang CL (2008) Ultrasonographic examination of the deltoid ligament in bimalleolar equivalent fractures. Foot Ankle Int 29:883–886

    Article  PubMed  Google Scholar 

  6. Chhabra A, Subhawong TK, Carrino JA (2010) MR imaging of deltoid ligament pathologic findings and associated impingement syndromes. Radiographics 30:751–761

    Article  PubMed Central  PubMed  Google Scholar 

  7. Coral A (1987) The radiology of skeletal elements in the subtibial region: incidence and significance. Skeletal Radiol 16:298–303

    Article  CAS  PubMed  Google Scholar 

  8. de Vries JS, Krips R, Sierevelt IN et al (2011) Interventions for treating chronic ankle instability Cochrane Database Syst Rev (10):CD004124

    Google Scholar 

  9. Ellis SJ, Williams BR, Wagshul AD et al (2010) Deltoid ligament reconstruction with peroneus longus autograft in flatfoot deformity. Foot Ankle Int 31:781–789

    Article  PubMed  Google Scholar 

  10. Femino JE, Vaseenon T, Phisitkul P et al (2013) Varus external rotation stress test for radiographic detection of deep deltoid ligament disruption with and without syndesmotic disruption: a cadaveric study. Foot Ankle Int 34:251–260

    Article  PubMed  Google Scholar 

  11. Gerber JP, Williams GN, Scoville CR et al (1998) Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 19:653–666

    Article  CAS  PubMed  Google Scholar 

  12. Golano P, Vega J, de Leeuw PA et al (2010) Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc 18:557–569

    Article  PubMed Central  PubMed  Google Scholar 

  13. Harper MC (1987) Deltoid ligament: an anatomical evaluation of function. Foot Ankle 8:19–22

    Article  CAS  PubMed  Google Scholar 

  14. Hertel J (2002) Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37:364–375

    PubMed Central  PubMed  Google Scholar 

  15. Hintermann B (2003) Medial ankle instability. Foot Ankle Clin 8:723–738

    Article  PubMed  Google Scholar 

  16. Hintermann B, Knupp M, Pagenstert GI (2006) Deltoid ligament injuries: diagnosis and management. Foot Ankle Clin 11:625–637

    Article  PubMed  Google Scholar 

  17. Hintermann B, Valderrabano V, Boss A et al (2004) Medial ankle instability: an exploratory, prospective study of fifty-two cases. Am J Sports Med 32:183–190

    Article  PubMed  Google Scholar 

  18. Hintermann B, Valderrabano V, Kundert HP (1999) Lengthening of the lateral column and reconstruction of the medial soft tissue for treatment of acquired flatfoot deformity associated with insufficiency of the posterior tibial tendon. Foot Ankle Int 20:622–629

    Article  CAS  PubMed  Google Scholar 

  19. Jones MH, Amendola A (2007) Syndesmosis sprains of the ankle: a systematic review. Clin Orthop Relat Res 455:173–175

    Article  PubMed  Google Scholar 

  20. Karlsson J, Eriksson BI, Sward L (1996) Early functional treatment for acute ligament injuries of the ankle joint. Scand J Med Sci Sports 6:341–345

    Article  CAS  PubMed  Google Scholar 

  21. Kerkhoffs GM, Struijs PA, Marti RK et al (2003) Functional treatments for acute ruptures of the lateral ankle ligament: a systematic review. Acta Orthop Scand 74:69–77

    Article  PubMed  Google Scholar 

  22. Kerkhoffs GM, Tol JL (2012) A twist on the athlete’s ankle twist: some ankles are more equal than others. Br J Sports Med 46:835–836

    Article  PubMed  Google Scholar 

  23. Kerkhoffs GM, van den Bekerom M, Elders LA et al (2012) Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med 46:854–860

    Article  PubMed  Google Scholar 

  24. Kerkhoffs GM, van Dijk CN (2013) Acute lateral ankle ligament ruptures in the athlete: the role of surgery. Foot Ankle Clin 18:215–218

    Article  PubMed  Google Scholar 

  25. Krips R, van Dijk CN, Lehtonen H et al (2002) Sports activity level after surgical treatment for chronic anterolateral ankle instability. A multicenter study. Am J Sports Med 30:13–19

    PubMed  Google Scholar 

  26. McCollum GA, van den Bekerom MP, Kerkhoffs GM et al (2013) Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc 21:1328–1337

    Article  PubMed  Google Scholar 

  27. Milner CE, Soames RW (1998) The medial collateral ligaments of the human ankle joint: anatomical variations. Foot Ankle Int 19:289–292

    Article  CAS  PubMed  Google Scholar 

  28. Parlamas G, Hannon CP, Murawski CD et al (2013) Treatment of chronic syndesmotic injury: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 21:1931–1939

    Article  PubMed  Google Scholar 

  29. Paterson RS, Brown JN (2001) The posteromedial impingement lesion of the ankle. A series of six cases. Am J Sports Med 29:550–557

    CAS  PubMed  Google Scholar 

  30. Ribbans WJ, Garde A (2013) Tibialis posterior tendon and deltoid and spring ligament injuries in the elite athlete. Foot Ankle Clin 18:255–291

    Article  PubMed  Google Scholar 

  31. Saltzman CL, el-Khoury GY (1995) The hindfoot alignment view. Foot Ankle Int 16:572–576

    Article  CAS  PubMed  Google Scholar 

  32. Sman AD, Hiller CE, Refshauge KM (2013) Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. Br J Sports Med 47:620–628

    Article  PubMed  Google Scholar 

  33. Tornetta P 3rd (2000) Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation. J Bone Joint Surg Am 82:843–848

    PubMed  Google Scholar 

  34. van den Bekerom MP, Mutsaerts EL, van Dijk CN (2009) Evaluation of the integrity of the deltoid ligament in supination external rotation ankle fractures: a systematic review of the literature. Arch Orthop Trauma Surg 129:227–235

    Article  PubMed  Google Scholar 

  35. van Dijk CN, Mol BW, Lim LS et al (1996) Diagnosis of ligament rupture of the ankle joint. Physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma. Acta Orthop Scand 67:566–570

    Article  PubMed  Google Scholar 

  36. Veltri DM, Pagnani MJ, O’Brien SJ et al (1995) Symptomatic ossification of the tibiofibular syndesmosis in professional football players: a sequela of the syndesmotic ankle sprain. Foot Ankle Int 16:285–290

    Article  CAS  PubMed  Google Scholar 

  37. Woods C, Hawkins R, Hulse M et al (2003) The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37:233–238

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, 22700, Amsterdam, 1100 DE, The Netherlands

    Gino M. M. J. Kerkhoffs MD, PhD & Peter A. J. de Leeuw MD

  2. Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, 27599-7055, USA

    Joshua N. Tennant MD, MPH

  3. Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, USA

    Annunziato Amendola MD

Authors
  1. Gino M. M. J. Kerkhoffs MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peter A. J. de Leeuw MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joshua N. Tennant MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Annunziato Amendola MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gino M. M. J. Kerkhoffs MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter P.R.N. d'Hooghe

  2. Department of Orthopedic Surgery, Academic Medical Centre Amsterdam University of Amsterdam, Amsterdam, The Netherlands

    Gino M.M.J. Kerkhoffs

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag France

About this chapter

Cite this chapter

Kerkhoffs, G.M.M.J., de Leeuw, P.A.J., Tennant, J.N., Amendola, A. (2014). Ankle Ligament Lesions. In: d'Hooghe, P., Kerkhoffs, G. (eds) The Ankle in Football. Sports and Traumatology. Springer, Paris. https://doi.org/10.1007/978-2-8178-0523-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-2-8178-0523-8_7

  • Published:

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0522-1

  • Online ISBN: 978-2-8178-0523-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation