Skip to main content

Ankle Sprain

  • Chapter
  • First Online:
Ultrasonography of the Lower Extremity
  • 882 Accesses

Abstract

Acute sporting injuries to the ankle present a substantial portion of cases of sporting injuries; inversion injuries are the most common. Running, twisting, and turning activities present a continued risk of injury that might range from an ankle sprain to a career-threatening injury. Ankle sprains most often occur during inversion; the anterior talofibular ligament is the most frequently affected ligament, and the calcaneofibular is the second most affected (rupture of both ligaments is possible and occurs in about 20% of cases). Isolated lesions of the calcaneofibular ligament are rare but can occur. Involvement of the posterior talofibular ligament and of the anterior talotibial ligament is extremely rare. Sonography is diagnostic for the evaluation of acute ankle injuries.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 89.99
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. Allison SJ, Nazarian LN. Musculoskeletal ultrasound: evaluation of ankle tendons and ligaments. AJR Am J Roentgenol. 2010;194:W514.

    Article  Google Scholar 

  2. Precerutti M, Bonardi M, Ferrozzi G, Draghi F. Sonographic anatomy of the ankle. J Ultrasound. 2013;17:79–87.

    Article  Google Scholar 

  3. Yıldız S, Yalcın B. The anterior talofibular and calcaneofibular ligaments: an anatomic study. Surg Radiol Anat. 2013;35:511–6.

    Article  Google Scholar 

  4. Peetrons P, Creteur V, Bacq C. Sonography of ankle ligaments. J Clin Ultrasound. 2004;32:491–9.

    Article  Google Scholar 

  5. Bianchi S, Martinoli C, Gaignot C, De Gautard R, Meyer JM. Ultrasound of the ankle: anatomy of the tendons, bursae, and ligaments. Semin Musculoskelet Radiol. 2005;9(3):243–59.

    Article  Google Scholar 

  6. Gursoy M, Dag F, Mete BD, Bulut T, Uluc ME. The anatomic variations of the posterior talofibular ligament associated with os trigonum and pathologies of related structures. Surg Radiol Anat. 2015;37(8):955–62.

    Article  Google Scholar 

  7. Draghi F, Gregoli B, Bortolotto C. Absence of elevation of fibular tendons during dorsal hyperflexion of the foot: a sign of loss of the calcaneofibular ligament. J Ultrasound Med. 2014;33(7):1307–8.

    Article  Google Scholar 

  8. Breitenseher MJ. Injury of the ankle joint ligaments [in German]. Radiologe. 2007;47:216–23.

    Article  CAS  Google Scholar 

  9. Milz P, Milz S, Steinborn M, Mittlmeier TH, Reiser M. 13-MHz high frequency ultrasound of the lateral ligaments of the ankle joint and the anterior tibia-fibular ligament: comparison and results of MRI in 64 patients [in German]. Radiologe. 1999;39:34–40.

    Article  CAS  Google Scholar 

  10. Muhle C, Frank LR, Rand T, et al. Collateral ligaments of the ankle: high resolution MR imaging with a local gradient coil and anatomic correlation in cadavers. Radiographics. 1999;19:673–83.

    Article  CAS  Google Scholar 

  11. Haraguchi N, Toga H, Shiba N, Kato F. Avulsion fracture of the lateral ankle ligament complex in severe inversion injury: incidence and clinical outcome. Am J Sports Med. 2007;35:1144–52.

    Article  Google Scholar 

  12. Yamaguchi S, Akagi R, Kimura S, Sadamasu A, Nakagawa R, Sato Y, Kamegaya M, Sasho T, Ohtori S. Avulsion fracture of the distal fibula is associated with recurrent sprain after ankle sprain in children. Knee Surg Sports Traumatol Arthrosc. 2018. https://doi.org/10.1007/s00167-018-5055-7.

  13. Stoppa D, Pagani C, Canepari E, Draghi F. Lesioni croniche del legamento peroneo-astragalico-anteriore dopo distorsione: correlazione clinico-ecografica Il giornale italiano di. Radiol Med. 2017;4:15–7.

    Google Scholar 

  14. Lapègue F, Faruch M, Brun C, Bakouche S, Chiavassa H, Sans N. Lésions du ligament collatéral latéral et de la syndesmose tibio-fibulaire inférieure en 10 points-clés, vol. 24. La cheville, Paris: Gel-Contact; 2015. p. 6–13.

    Google Scholar 

  15. Lapègue F, Sans N, Jacob D. Cheville et tarse. In: Sans N, Lapègue F, Jacob D, editors. Échographie musculosquelettique. 2nd ed. Paris: Elsevier Masson; 2014. p. 271–322.

    Google Scholar 

  16. Mansour R, Jibri Z, Kamath S, Mukherjee K, Ostlere S. Persistent ankle pain following a sprain: a review of imaging. Emerg Radiol. 2011;18(3):211–25.

    Article  Google Scholar 

  17. Sangiovanni A, Colli Tibaldi E, Draghi F. HIV-related osteonecrosis of the ankles and feet. EURORAD. 2016. https://doi.org/10.1594/EURORAD/CASE.13228.

  18. Taljanovic MS, Alcala JN, Gimber LH, Rieke JD, Chilvers MM, Latt LD. High-resolution US and MR imaging of peroneal tendon injuries. Radiographics. 2015;35(1):179–99.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Draghi, F. (2019). Ankle Sprain. In: Ultrasonography of the Lower Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-14991-8_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-14991-8_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14990-1

  • Online ISBN: 978-3-030-14991-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics