Show Notes
Background
Among most common injuries evaluated in ED
A sprain is an injury to 1 or more ligaments about the ankle joint
Highest rate among teenagers and young adults
Higher incidence among women than men
Almost a half are sustained during sports
Greatest risk factor is a history of prior ankle sprain
Anatomy
Bone: Distal tibia and fibula over the talus → constitutes the ankle mortise
Aside from malleoli, ligament complexes hold joint together
Medial deltoid ligament
Lateral ligament complex
Anterior talofibular ligament
Most commonly injured
Weakest
85% of all ankle sprains
Posterior talofibular ligament
Calcaneofibular ligament
Syndesmosis
Mechanism of Injury