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Ankle Ligaments



http://www.footcarewindsorlasalle.com/orthoticswindsor.html
Introduction
□ Ankle joint:
  □ hinge-type synovial joint
  □ distal ends of tibia and fibula
  □ superior part of talus
  □ malleolar mortise


□ Stable during dorsiflexion
□ Unstable during plantar flexion
Top 3 Ankle Injuries
#3: Actually, it’s only a scratch…
http://www.footcarewindsorlasalle.com/orth
Medial Ligaments of Ankle
Deltoid ligament:
□ Two deep bands:
  □ anterior tibiotalar ligament
  □ tibionavicular ligament


□ Two superficial bands:
  □ tibiocalcaneal ligament
  □ posterior tibiotalar ligament
Deep Deltoid Ligaments
□ Anterior tibiotalar ligament
  □ from medial malleolus to anteromedial side
    of talus




                                        (McAlindon, n.d.)
Deep Deltoid Ligaments
□ Tibionavicular ligament
  □ from medial malleolus to navicular tuberosity




                                         (McAlindon, n.d.)
Superficial Deltoid Ligaments
□ Tibiocalcaneal ligament
  □ from medial malleolus to sustentaculum tali
    of calcaneus




                                         (McAlindon, n.d.)
Superficial Deltoid Ligaments
□ Posterior tibiotalar ligament
  □ from medial malleolus to postermedial side of
    talus




                                         (McAlindon, n.d.)
Medial Ligaments of Ankle
□ Limits eversion of the foot at the
  subtalar joint

□ Limits dorsiflexion at the subtalar joint

□ Limits plantar flexion at the subtalar
  joint (anterior tibiotalar ligament)
Top 3 Ankle Injuries
#2

http://www.footcarewindsorlasalle.com/orth
Lateral Ligaments of Ankle
□ Ankle joint is reinforced laterally by
  three ligaments:

  □ anterior talofibular
  □ posterior talofibular
  □ calcaneofibular




                                     (Shannon, 2004)
Anterior Talofibular Ligament
□ Lateral malleolus to the neck of the talus
□ Flat and weak band
□ Most commonly injured during ankle sprains




                                  (Ellis & Henderson, 1994)
Posterior Talofibular Ligament
□ Malleolar fossa of fibula to the lateral
  tubercle of the talus
□ Thick and strong band




                        (D. Tyczynski, APCH 111 lecture, November 6, 2008)
Calcaneofibular Ligament
□ Tip of lateral malleolus to lateral
  surface of calcaneus
□ Round cord
□ Often torn




                                        (eOrthopod, n.d.)
Lateral Ligaments of Ankle
□ Dorsiflexion:
  □ limited by anterior talofibular ligament


□ Plantarflexion:
  □ limited by calcaneofibular ligament and
    posterior talofibular ligament
Conclusions
Body parts most often injured in sport:
  □ ankles         12%
  □ fingers        10%
  □ face           9%


□ Highest in basketball, ice skating &
  soccer
Conclusions
Most frequent injuries diagnosed:
  □ sprains/strains   29%
  □ fractures         21%
  □ abrasions         20%


Ankle sprains:
□ When motion of talus exceeds the limits of
  the joint-supporting ligaments
□ Results in a stretch, tear or complete rupture
  of one or more of these ligaments
□ Inversion, eversion, syndesmotic
References
Berkowitz, M.J. & Bottoni, C.R. (2006). Taping and bracing contest ankle sprain. Biomechanics, 13(7),
    18-24.

D. Tyczynski, APCH 111 lecture, November 6, 2008.

eOrthopod. (n.d.). Ankle anatomy. Retrieved November 28, 2008, from
    http://www.eorthopod.com/images/ContentImages/ankle/ankle_sprain/ankle_sprain_anat02.jp
    g

Ellis, J. & Henderson, J. (1994). Running injury-free. Emmanus: Rodale Press.

Ivins, D. (2006). Acute ankle sprain: an update. American Family Physician, 10,1714-1720.

McAlindon, R. (n.d.). Basketball and the foot and ankle. Retrieved November 28, 2008, from
   http://www.hughston.com/hha/a_16_4_3.htm

Micheli, L.J. & Jenkins, M. (2001). The sports medicine bible for young athletes. Naperville:
    Sourcebooks, Inc.

Moore, K.L., & Agur, A.M. (2007). Essential clinical anatomy. Baltimore: Lippincott Williams & Wilkins.

Shannon, J.B. (2004). Sports injuries information for teens. Detroit: Omnigraphics, Inc.
Top 3 Ankle Injuries
And the #1 ankle injury is…

http://www.youtube.com/watch?v=PCdjTkM

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Ankle presentationhttp://www.footcarewindsorlasalle.com/orthoticswindsor.html

  • 2. Introduction □ Ankle joint: □ hinge-type synovial joint □ distal ends of tibia and fibula □ superior part of talus □ malleolar mortise □ Stable during dorsiflexion □ Unstable during plantar flexion
  • 3. Top 3 Ankle Injuries #3: Actually, it’s only a scratch… http://www.footcarewindsorlasalle.com/orth
  • 4. Medial Ligaments of Ankle Deltoid ligament: □ Two deep bands: □ anterior tibiotalar ligament □ tibionavicular ligament □ Two superficial bands: □ tibiocalcaneal ligament □ posterior tibiotalar ligament
  • 5. Deep Deltoid Ligaments □ Anterior tibiotalar ligament □ from medial malleolus to anteromedial side of talus (McAlindon, n.d.)
  • 6. Deep Deltoid Ligaments □ Tibionavicular ligament □ from medial malleolus to navicular tuberosity (McAlindon, n.d.)
  • 7. Superficial Deltoid Ligaments □ Tibiocalcaneal ligament □ from medial malleolus to sustentaculum tali of calcaneus (McAlindon, n.d.)
  • 8. Superficial Deltoid Ligaments □ Posterior tibiotalar ligament □ from medial malleolus to postermedial side of talus (McAlindon, n.d.)
  • 9. Medial Ligaments of Ankle □ Limits eversion of the foot at the subtalar joint □ Limits dorsiflexion at the subtalar joint □ Limits plantar flexion at the subtalar joint (anterior tibiotalar ligament)
  • 10. Top 3 Ankle Injuries #2 http://www.footcarewindsorlasalle.com/orth
  • 11. Lateral Ligaments of Ankle □ Ankle joint is reinforced laterally by three ligaments: □ anterior talofibular □ posterior talofibular □ calcaneofibular (Shannon, 2004)
  • 12. Anterior Talofibular Ligament □ Lateral malleolus to the neck of the talus □ Flat and weak band □ Most commonly injured during ankle sprains (Ellis & Henderson, 1994)
  • 13. Posterior Talofibular Ligament □ Malleolar fossa of fibula to the lateral tubercle of the talus □ Thick and strong band (D. Tyczynski, APCH 111 lecture, November 6, 2008)
  • 14. Calcaneofibular Ligament □ Tip of lateral malleolus to lateral surface of calcaneus □ Round cord □ Often torn (eOrthopod, n.d.)
  • 15. Lateral Ligaments of Ankle □ Dorsiflexion: □ limited by anterior talofibular ligament □ Plantarflexion: □ limited by calcaneofibular ligament and posterior talofibular ligament
  • 16. Conclusions Body parts most often injured in sport: □ ankles 12% □ fingers 10% □ face 9% □ Highest in basketball, ice skating & soccer
  • 17. Conclusions Most frequent injuries diagnosed: □ sprains/strains 29% □ fractures 21% □ abrasions 20% Ankle sprains: □ When motion of talus exceeds the limits of the joint-supporting ligaments □ Results in a stretch, tear or complete rupture of one or more of these ligaments □ Inversion, eversion, syndesmotic
  • 18. References Berkowitz, M.J. & Bottoni, C.R. (2006). Taping and bracing contest ankle sprain. Biomechanics, 13(7), 18-24. D. Tyczynski, APCH 111 lecture, November 6, 2008. eOrthopod. (n.d.). Ankle anatomy. Retrieved November 28, 2008, from http://www.eorthopod.com/images/ContentImages/ankle/ankle_sprain/ankle_sprain_anat02.jp g Ellis, J. & Henderson, J. (1994). Running injury-free. Emmanus: Rodale Press. Ivins, D. (2006). Acute ankle sprain: an update. American Family Physician, 10,1714-1720. McAlindon, R. (n.d.). Basketball and the foot and ankle. Retrieved November 28, 2008, from http://www.hughston.com/hha/a_16_4_3.htm Micheli, L.J. & Jenkins, M. (2001). The sports medicine bible for young athletes. Naperville: Sourcebooks, Inc. Moore, K.L., & Agur, A.M. (2007). Essential clinical anatomy. Baltimore: Lippincott Williams & Wilkins. Shannon, J.B. (2004). Sports injuries information for teens. Detroit: Omnigraphics, Inc.
  • 19. Top 3 Ankle Injuries And the #1 ankle injury is… http://www.youtube.com/watch?v=PCdjTkM