Lateral Ankle Pathology

Question 1

Explain the anatomic relationships of the lateral ankle ligaments

Answer 1

ATFL - intra-capsular
CFL - exta-capsular
PTFL - intra-capsular

Question 2

What is functional instability?

Answer 2

Proprioceptive abnormalities

NM control loss

Strength deficits

Question 3

What is structural instability?

Answer 3

Previous tear
Genetics
RF varus
FF valgus
Rigid PF 1st ray

Question 4

Anterior drawer test

Answer 4

Hold lower leg and pull the heel anterior. Checks the integrity of the ATFL

Question 5

Talar tilt test

Answer 5

Put the heel into inversion. Checks the integrity of the CFL

Question 6

Describe the Brostrum procedure

Answer 6

Reapproximates the ATFL to the

Question 7

Describe the Brostrum-Gould procedure

Answer 7

Reapproximates the ATFL with the use of the extensor retinaculum

Question 8

Describe the Evans procedure

Answer 8

Peroneus brevis graft tenodesis

Question 9

Describe the Watson-Jones procdure

Answer 9

Peroneus brevis graft from fibula to the tibia

Question 10

Describe the Christman-snook procedure

Answer 10

Split peroneus brevis graft from fibula to calcaneus