Distorsio Pedis with an Isolated Lesion of the Ligamentum Calcaneo-Fibulare

Francillon, M R

doi:10.3109/17453676208989610

Cited by 19 publications

(6 citation statements)

References 5 publications

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“…It is also possible to rupture the CFL independent of the other two lateral ligaments when a dorsiflexed ankle is subject to supination force [24,25]. This can lead to subtalar instability in addition to ankle instability.…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

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Section: Mechanism Of Injurymentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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“…Similar injuries have indeed been produced experimentally by Honigschmied (1877) and Dias (1979). There have also been clinical reports on isolated CFL rupture (Hughes 1942, Berridge and Bonnin 1944, Coltart 1951, Evans 1953, Francillon 1962, Bouretz 1975, Prins 1978, Orlin et al 1980, Solheim et al 1980, Buch et al 1981, Kievernagel 1981, Taillard et al 1981, Tiedtke and Rahmanzadeh 1981. It may seem surprising that the CFL can rupture in isolation, when considering that such a rupture does not give rise to any notable talocrural instability, but it must be borne in mind that the CFL inserts onto the calcaneus and is accordingly also a subtalar ligament.…”

Section: Adduction Instabilitymentioning

confidence: 88%

“…The explanation is presumably that when it ruptures without simultaneous tears of other lateral collateral ligaments, it is an event associated with subtalar injury. Thus, it does not result in talocrural, but in subtalar instability (Francillon 1962, Vidal et al 1974. Kaufmann (1922) maintains that an adduction trauma may cause rupture of the ATFL-possibly in conjunction with the ATaFL and CFL, and Murray (1942) as well as Mullins and Sallis (1958) have reported increased adduction after rupture of the ATFL or PTFL.…”

Section: Adduction Instabilitymentioning

confidence: 99%

Stability of the Ankle Joint

Rasmussen

1985

Acta Orthopaedica Scandinavica

175

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“…Rupturen sind selten und bedingen dann möglicherweise auch eine Instabilität des unteren Sprunggelenks[4,6,11]. Die Ruptur aller 3 Bänder des Auß-enbandkomplexes ist sehr selten und Rupturen des PTFL mit oder ohne CFL sind eine Rarität.…”

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Akute Bandverletzung am oberen Sprunggelenk

Biber¹,

Bail²

2015

OP-JOURNAL

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Zusammenfassung Akute Bandverletzungen am oberen Sprunggelenk lassen sich einteilen in L?sionen des Au?enbands, des Innenbands und der Syndesmose. Ursache der h?ufigen Au?enbandverletzungen sind oft Supinationstraumen. Betroffen ist meist das Lig. fibulotalare anterius, manchmal in Kombination mit dem Lig. fibulocalcaneare. Im Akutfall erfolgt die Therapie meist konservativ mittels Sprunggelenksorthese. F?r die operative Versorgung kommt, je nach Rupturlokalisation, die direkte Naht sowie die Re-Insertion transoss?r oder mittels Fadenanker infrage. Rupturen des Innenbands treten nur sehr selten isoliert auf. Die Therapiewahl h?ngt daher von den Begleitverletzungen ab. Eine operative Versorgung erfolgt insbesondere dann, wenn das rupturierte Innenband ein Repositionshindernis einer gleichzeitig bestehenden Au?enkn?chelfraktur oder einer Syndesmosenverletzung darstellt. Innenbandrupturen sind i.?d.?R. intraligament?r, sodass eine direkte Nahtversorgung m?glich ist. Syndesmosenverletzungen treten oftmals gemeinsam mit Sprunggelenksfrakturen (Sonderfall: Maisonneuve-Fraktur) oder mit Innenbandl?sionen auf. Sie k?nnen aber auch isoliert vorkommen und werden dann leicht ?bersehen. Eine r?ntgenologisch nachweisbare Instabilit?t oder die Kernspintomografie ist dann richtungsweisend. Die Therapie ist i.?d.?R. operativ mit offener Einstellung und Naht des vorderen Syndesmosenbands sowie der Einbringung fibulotibialer Stellschrauben f?r etwa 6 Wochen. Kn?cherne Syndesmosenausrisse sollten, wenn m?glich, osteosynthetisch versorgt werden.

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Distorsio Pedis with an Isolated Lesion of the Ligamentum Calcaneo-Fibulare

Cited by 19 publications

References 5 publications

Operative treatment of lateral ligament instability

Operative treatment of lateral ligament instability

Stability of the Ankle Joint

Akute Bandverletzung am oberen Sprunggelenk

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