Isolated Calcaneofibular Ligament Injury: A Report of Two Cases

Rigby, Ryan B.; Cottom, James M.; Rozin, Roman

doi:10.1053/j.jfas.2014.08.017

Cited by 17 publications

(14 citation statements)

References 7 publications

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“…There was one (25%) study of LOE I [22] [Yeo] and three studies (75%) of LOE III [11, 16, 19], according to established criteria. The weighted mean MCMS of the overall population of studies was 45.4 out of a possible 100 points, with a range in scores of 34–59.…”

Section: Resultsmentioning

confidence: 99%

“…As a consequence of this, several comparative studies investigating arthroscopic and open ATFL repair techniques have been recently reported. These have demonstrated similar clinical outcomes between the two groups [11, 16, 19, 22], although all studies have reported short‐ or mid‐term follow‐up and no studies have investigated long‐term follow‐up of minimum 5 years. To date, there remains no clear consensus on which surgical treatment is optimal for chronic lateral ankle instability, and no meta‐analysis has been performed comparing outcomes of these two procedures.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Arthroscopic versus open repair of lateral ankle ligament for chronic lateral ankle instability: a meta-analysis

Brown

Shimozono

Hurley

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Arthroscopic versus open repair of lateral ankle ligament for chronic lateral ankle instability: a meta-analysis

Brown

Shimozono

Hurley

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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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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“…An isolated injury of the CFL seems to be very rare in clinical practice (Francillon, 1962;Rigby et al, 2015;Mittlmeier and Rammelt, 2018). The limited reports in literature only described the intact ATFL and the injured CFL, they did not assess the subtalar ligaments.…”

Section: Isolated Cfl Lesions and Combined Atfl And Cfl Lesionsmentioning

confidence: 99%

Role of the intrinsic subtalar ligaments in subtalar instability and consequences for clinical practice

Michels

Vereecke

Matricali

2023

Front. Bioeng. Biotechnol.

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Subtalar instability (STI) is a disabling complication after an acute lateral ankle sprain and remains a challenging problem. The pathophysiology is difficult to understand. Especially the relative contribution of the intrinsic subtalar ligaments in the stability of the subtalar joint is still controversial. Diagnosis is difficult because of the overlapping clinical signs with talocrural instability and the absence of a reliable diagnostic reference test. This often results in misdiagnosis and inappropriate treatment. Recent research offers new insights in the pathophysiology of subtalar instability and the importance of the intrinsic subtalar ligaments. Recent publications clarify the local anatomical and biomechanical characteristics of the subtalar ligaments. The cervical ligament and interosseous talocalcaneal ligament seem to play an important function in the normal kinematics and stability of the subtalar joint. In addition to the calcaneofibular ligament (CFL), these ligaments seem to have an important role in the pathomechanics of subtalar instability (STI). These new insights have an impact on the approach to STI in clinical practice. Diagnosis of STI can be performed be performed by a step-by-step approach to raise the suspicion to STI. This approach consists of clinical signs, abnormalities of the subtalar ligaments on MRI and intraoperative evaluation. Surgical treatment should address all the aspects of the instability and focus on a restoration of the normal anatomical and biomechanical properties. Besides a low threshold to reconstruct the CFL, a reconstruction of the subtalar ligaments should be considered in complex cases of instability. The purpose of this review is to provide a comprehensive update of the current literature focused on the contribution of the different ligaments in the stability of the subtalar joint. This review aims to introduce the more recent findings in the earlier hypotheses on normal kinesiology, pathophysiology and relation with talocrural instability. The consequences of this improved understanding of pathophysiology on patient identification, treatment and future research are described.

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Isolated Calcaneofibular Ligament Injury: A Report of Two Cases

Cited by 17 publications

References 7 publications

Arthroscopic versus open repair of lateral ankle ligament for chronic lateral ankle instability: a meta-analysis

Arthroscopic versus open repair of lateral ankle ligament for chronic lateral ankle instability: a meta-analysis

Operative treatment of lateral ligament instability

Role of the intrinsic subtalar ligaments in subtalar instability and consequences for clinical practice

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