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Rehabilitation protocols for post-op patients with repaired or reconstructed posterolateral corner injuries focus on strengthening and achieving full range of motion. Similar to nonoperative treatments, the patient is non-weightbearing for 6 weeks followed by a return to partial weight-bearing on crutches. Range of motion exercises begin first ...
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.
The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament of the ankle. This type of injury can be difficult to detect. [1] [2]
The Broström operation (or Broström-Gould technique) is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL) in the ankle. It is thought that the majority of patients regain most function in their ankles.
Ankle sprains primarily occur as a result of tearing the ATFL (anterior talofibular ligament) in the talocrural joint. The ATFL tears most easily when the foot is in plantarflexion and inversion. Weakening of the ligaments can put the ankle at risk for dislocation.
The interosseous talocalcaneal ligament forms the chief bond of union between the talus and calcaneus. It is a portion of the united capsules of the talocalcaneonavicular and the talocalcaneal joints , and consists of two partially united layers of fibers, one belonging to the former and the other to the latter joint.
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]
An ultrasound is recommended over MRI and MRI is generally not needed. [11] [14] Both MRI and ultrasound are effective tools and have their strengths and limitations. However, when it comes to an Achilles tendon tear, an ultrasound is usually recommended first because of convenience, quick availability, and cost. [15]