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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Chronic Ankle Instability - Classification and Surgical Options

Ligament Injuries

A 28-year-old soccer player presents with recurrent ankle sprains over 3 years despite physiotherapy. He describes his ankle "giving way" on uneven surfaces. Examination shows a positive anterior drawer test with soft endpoint and excessive talar tilt. Stress radiographs confirm more than 10mm anterior translation. MRI shows attenuated ATFL and CFL. Proprioceptive testing is abnormal. After discussing the components of instability, the surgeon recommends a Brostrom-Gould procedure. Regarding chronic lateral ankle instability:

Mark each as TRUE or FALSE

A

The anterior talofibular ligament (ATFL) is the MOST commonly injured lateral ankle ligament; it is ...

B

Chronic ankle instability may be MECHANICAL (pathologic ligamentous laxity demonstrated on examinati...

C

The Brostrom procedure is a tenodesis using the peroneus brevis tendon to reconstruct the lateral li...

D

The Brostrom procedure is an ANATOMIC REPAIR (not tenodesis) that imbricates/plicates the attenuated...

E

The anterior drawer test assesses ATFL integrity (ankle in slight plantarflexion, anterior force on ...

Answer the questions to see explanations

Click T (True) or F (False) for each option