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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]
Valgus stress test can be performed with the examined knee in 25 degrees flexion to determine the integrity of the medial collateral ligament. Similarly, varus stress test can be performed to access the integrity of the lateral collateral ligament. The degree of collateral ligament sprain can also be assessed during the valgus and varus tests.
Testing of the knee joint should be done using the following techniques and the findings compared to the contralateral, normal knee: [4] [5] Valgus stress at 0° and 20°- This test puts direct stress on the medial knee structures, reproducing the mechanism of injury. Valgus stress testing is done with the patient supine on the exam
Plantar intercuneiform ligaments; Plantar metatarsal ligaments; Plantar plate; Plantar tarsometatarsal ligaments; Posterior cruciate ligament injury; Posterior ligament of the head of the fibula; Posterior talocalcaneal ligament; Posterior talofibular ligament; Posterior tibiofibular ligament; Posterolateral corner injuries; Pubofemoral ligament
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.
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).
Varus stress test at 0° and 30° - Varus stress testing is accomplished while the patient is lying supine on an examination table. The physician supports the thigh against the side of the exam table and applies a varus force to the knee joint while holding the ankle or foot , first at 0°of flexion and then at 30°.
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.
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