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The calcaneofibular ligament is a narrow, rounded cord, running from the tip of the lateral malleolus of the fibula downward and slightly backward to a tubercle on the lateral surface of the calcaneus. It is part of the lateral collateral ligament, which opposes the hyperinversion of the subtalar joint, as in a common type of ankle sprain. [1]
- make anterior capsular incision, leaving a small cuff of tissue, identify the calcaneofibular ligament (CFL) at the inferior tip of the fibula;ankle is then placed in valgus and dorsiflexion, and the redundancy of the ligament is assessed; sutures are passed through the proximal edges of the ATFL and CFL; drill holes are made in the distal ...
These ligaments include the anterior talofibular ligament (ATFL) and the posterior talofibular ligament (PTFL). [9] The calcaneofibular ligament (CFL), which connects the fibula to the calcaneus, or heel bone, also provides lateral support. The deltoid ligament provides support to the medial part of the ankle (closest to the midline).
The anterior talofibular ligament is one of the most commonly involved ligaments in this type of sprain, followed by the calcaneofibular ligament [10] and posterior talofibular ligament [10] respectively, the later found in more severe ankle sprains. Approximately 70–85% of ankle sprains are inversion injuries.
posterior talofibular ligament; The posterior talofibular ligament runs horizontally between the neck of the talus and the medial side of lateral malleolus calcaneofibular ligament; The calcaneofibular ligament is attached on the posteromedial side of lateral malleolus and descends posteroinferiorly below to a lateral side of the calcaneus.
An isolated injury to this ligament is often called a high ankle sprain. The bony architecture of the ankle joint is most stable in dorsiflexion . [ 14 ] Thus, a sprained ankle is more likely to occur when the ankle is plantar-flexed, as ligamentous support is more important in this position.
The anterior border is thick and rough and marked below by a depression for the attachment of the anterior talofibular ligament. The posterior border is broad and presents the shallow malleolar sulcus, for the passage of the tendons of the peronæi longus and brevis. The summit is rounded and gives attachment to the calcaneofibular ligament.
It is one of the lateral ligaments of the ankle and prevents the foot from sliding forward in relation to the shin. It is the most commonly injured ligament in a sprained ankle —from an inversion injury—and will allow a positive anterior drawer test of the ankle if completely torn.
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