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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.
There are around 200,000 ACL tears each year in the United States. ACL tears newly occur in about 69 per 100,000 per year with rates in males of 82 per 100,000 and females of 59 per 100,000. [65] When breaking down rates based on age and sex, females between the ages of 14 and 18 had the highest rates of injury with 227.6 per 100,000.
grade 2: minor tears of less than one-half the thickness of the cartilage layer; grade 3: lesions have deep crevices of more than one-half the thickness of the cartilage layer; grade 4: the cartilage tear is full thickness and exposes the underlying (subchondral) bone; Doctors will often also measure the size of each defect.
The calcaneofibular ligament is commonly sprained ligament in ankle injuries. [2] It may be injured individually, or in combination with other ligaments such as the anterior talofibular ligament and the posterior talofibular ligament .
An ankle fracture is a break of one or more of the bones that make up the ankle joint. [1] Symptoms may include pain, swelling, bruising , and an inability to walk on the injured leg. [ 1 ] Complications may include an associated high ankle sprain , compartment syndrome , stiffness, malunion , and post-traumatic arthritis .
Achilles tendon rupture is when the Achilles tendon, at the back of the ankle, breaks. [5] Symptoms include the sudden onset of sharp pain in the heel. [3] A snapping sound may be heard as the tendon breaks and walking becomes difficult.
Forceful, external rotation of the ankle joint is the main cause of a Maisonneuve fracture. [4] [7] Engaging in high-intensity sports or falling over can increase the risk of tearing the deltoid ligament or cause an avulsion fracture of the medial malleolus from external rotation of the foot.
More severe ankle sprains (Grades 2-3) involving a full tear or rupture could take more than a few weeks or months to fully recover. [39] The mean time patients return to sports is 12.9 weeks. Average time to return to work after injury range from less than one week to two months.