High Ankle Sprain

High Ankle Sprain

Clinical information

A 40 year old male presented to PT after an ankle sprain and then a fall with a second ankle sprain 1 month later. X rays were negative for fracture and patient presented to PT with ankle pain and instability.

Brief description

Diagnostic musculoskeleletal ultrasound was performed and a large ankle effusion was seen, a full thickness rupture of and anterior-inferior tibiofibular ligament and a sprain of the anterior talofibular ligament. The orthopedic doctor was called and the patient referred back for MRI and further imaging and surgery.

Ultrasound Images & Clips

Left Talocrural Joint Effusion LAX
Left Talocrural Joint Effusion LAX
Left Talocrural Joint Effusion LAX
Left Talocrural Joint Effusion LAX
Left Talocrural Joint Effusion SAX
Left Talocrural Joint Effusion SAX
Left Anterior Inferior Tibiofibular Ligament
Left Anterior Inferior Tibiofibular Ligament
Left ATFL
Left ATFL
Left Posterior Tibiofibular Ligament
Left Posterior Tibiofibular Ligament
Left Calcaneofibular Ligament
Left Calcaneofibular Ligament
Left AITFL Measurement
Left AITFL Measurement
Right AITFL Measurement
Right AITFL Measurement

Conclusion

Diagnostic musculoskeletal ultrasound was able to diagnose a full thickness rupture of the anterior inferior tibiofibular ligament and ankle effusion. Intact posterior talofibular ligament and calcaneofibular were seen.

Details

  • Age: 40
  • Body part: Left Ankle