![]() All patients underwent 3-T MRI for the diagnosis of anterior talofibular ligament injury. ![]() The study included 34 patients who had an ankle injury and underwent arthroscopic surgery. The purpose of this article is to determine whether bright rim lesions on MRI are a marker for anterior talofibular ligament injury. Coexistent fracture, bursitis, tendinitis, arthritis, or internal derangement of the ankle may confuse the clinical picture after trauma to the knee joint making clinical diagnosis difficult ( Fig. Sleep disturbance is common in patients suffering from trauma to the anterior talofibular ligament of the ankle. Local heat and decreased activity as well as elevation of the affected ankle may provide a modicum of relief. Activity, especially involving weight bearing, plantar flexion, and inversion of the ankle will exacerbate the pain. Significant swelling and ecchymosis are often evidentĪfter acute injury. Point tenderness just below the lateral malleolus is often present on physical examination. ![]() The pain of anterior talofibular ligament damage is localized to the lateral ankle and is made worse with inversion of the ankle joint. The anterior talofibular ligament is frequently injured from inversion injuries to the ankle that occur when tripping when wearing high heels, landing hard or running on hard uneven surfaces, and during dancing, soccer, and basketball ( Fig. ![]() Also known as the medial ligament of talocrural joint, the anterior talofibular ligament is susceptible to strain at the joint line or avulsion at its origin or insertion. One of the four major ligaments of the ankle joint, the anterior talofibular ligament runs from anterior border of the lateral malleolus to the lateral surface of the talus ( Fig. ![]()
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