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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.
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament supports the ankle joint and also resists excessive eversion of the foot. [1] The deltoid ligament is composed of 4 fibers:
Ankle radiographs are used to detect widening of the tibiofibular syndesmosis or medial clear space. The medial clear space is the area between the talus of the ankle and the medial malleolus. Damage to the deltoid ligament and syndesmotic ligaments result in mortise instability, causing the talus to laterally shift and widen the medial clear ...
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). It prevents the foot from excessively everting, or turning outwards while also preventing the talus from externally rotating. [9]
at the level of the ankle joint, extending superiorly and laterally up the fibula; tibiofibular syndesmosis intact or only partially torn, but no widening of the distal tibiofibular articulation; medial malleolus may be fractured or deltoid ligament may be torn; variable stability; Type C. Fracture of the fibula proximal to the syndesmosis ...
Pott's fracture, also known as Pott's syndrome I and Dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. [1] The injury is caused by a combined abduction external rotation from an eversion force.
The Evans technique is a surgical procedure to treat the mechanical instability of the lateral ankle ligaments. [1] [2]In the Evans procedure, [3] the peroneus brevis muscle is separated from its musculotendinous compound and its proximal end is sutured to the peroneus longus.
The anterior border is rough, for the attachment of the anterior fibers of the deltoid ligament of the ankle-joint. The posterior border presents a broad groove, the malleolar sulcus, directed obliquely downward and medially, and occasionally double; this sulcus lodges the tendons of the tibialis posterior and flexor digitorum longus.