OCAD MSK

History

27-year-old soccer player with external rotation traumatism.

Figure 1 for case High ankle sprain Acute complete rupture of the syndemotic ligament complex — Figure 1

Figure 2 for case High ankle sprain Acute complete rupture of the syndemotic ligament complex — Figure 2

Figure 3 for case High ankle sprain Acute complete rupture of the syndemotic ligament complex — Figure 3

Figure 4 for case High ankle sprain Acute complete rupture of the syndemotic ligament complex — Figure 4

Discussion

Acute complete tear of the syndemotic ligament complex (anteroinferior tibiofibular, syndemotic, posteroinferior tibiofibular, and deep transverse ligaments).
Syndesmotic ligament injuries are the second most prevalent ankle ligament injury (10-15%) and are frequently associated with eversion-type ankle fractures, particularly high fibular fractures (Maissoneuve) and rupture of the deltoid ligament.
Most of the syndesmosis sprains occur in high impact or collision sports. The presence of a syndesmosis sprain is a strong predictor of chronic ankle dysfunction. Reference article.

Diagnosis

High ankle sprain Acute complete rupture of the syndemotic ligament complex

Luis Cerezal, MD

Courtesy

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