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Foot & Ankle
intermediate
X-Type

Medial Ankle Sprains

Ankle Ligament Injuries

A 28-year-old rugby player presents after landing awkwardly with his ankle forced into eversion. He reports medial ankle pain and swelling. Examination reveals tenderness over the deltoid ligament, ecchymosis on the medial side, and pain with passive eversion. Radiographs show no fracture but there is mild medial clear space widening on the mortise view. Regarding medial ankle sprains (deltoid ligament injuries):

Mark each as TRUE or FALSE

A

Isolated deltoid ligament injuries are uncommon, occurring in approximately 3-5% of all ankle sprain...

B

The mechanism of deltoid injury involves forced ankle eversion and/or external rotation; this may oc...

C

Clinical examination for deltoid injury should focus only on the medial side; lateral malleolus and ...

D

Clinical signs include medial tenderness, ecchymosis, swelling, and pain with passive eversion; the ...

E

Radiographic signs of deltoid injury include medial clear space widening greater than 4mm or more th...

Answer the questions to see explanations

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