A clinical guide to the medial ligaments of the ankle: Anatomy, function, diagnosis of injuries and treatment of instability-a narrative review

Kenneth Obionu; Henrik Palm; Yvette Astrup; Naja Bjørslev Lange; Michael Rindom Krogsgaard

doi:10.1016/j.fas.2023.10.010

A clinical guide to the medial ligaments of the ankle: Anatomy, function, diagnosis of injuries and treatment of instability-a narrative review

Kenneth Obionu, Henrik Palm, Yvette Astrup, Naja Bjørslev Lange, Michael Rindom Krogsgaard^*

^*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift › Review › peer review

1 Citationer (Scopus)

Abstract

Background
The aim was to provide an update on anatomy and function of the medial ankle ligaments, diagnosis of their injuries and treatment of medial ankle instability.
Methods
Literature search on PubMed.
Results
Injuries to the deltoid ligament are not uncommon in relation to malleolar fractures and ankle sprains. Chronic instability may lead to ankle osteoarthritis. However, there is no consensus on diagnostic criteria (clinically, by imaging and by arthroscopy), on indications for non-operative and operative treatment, and on standards for repair and reconstruction of the ligament complex. There is no current evidence to support acute repair of deltoid ligament injury. Reports on the effect of isolated deltoid ligament reconstruction are very sparse.
Conclusion
There is a need for a focused effort to establish evidence for all aspects of deltoid ligament injury.

Originalsprog	Engelsk
Tidsskrift	Foot and Ankle Surgery
Vol/bind	30
Udgave nummer	2
Sider (fra-til)	85-91
Antal sider	7
ISSN	1268-7731
DOI	https://doi.org/10.1016/j.fas.2023.10.010
Status	Udgivet - 2024
Udgivet eksternt	Ja

Bibliografisk note

Funding Information:
☆ Level of evidence: 4. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Publisher Copyright:
© 2023 European Foot and Ankle Society

Adgang til dokumentet

10.1016/j.fas.2023.10.010

Citationsformater

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title = "A clinical guide to the medial ligaments of the ankle: Anatomy, function, diagnosis of injuries and treatment of instability-a narrative review",

abstract = "Background: The aim was to provide an update on anatomy and function of the medial ankle ligaments, diagnosis of their injuries and treatment of medial ankle instability. Methods: Literature search on PubMed. Results: Injuries to the deltoid ligament are not uncommon in relation to malleolar fractures and ankle sprains. Chronic instability may lead to ankle osteoarthritis. However, there is no consensus on diagnostic criteria (clinically, by imaging and by arthroscopy), on indications for non-operative and operative treatment, and on standards for repair and reconstruction of the ligament complex. There is no current evidence to support acute repair of deltoid ligament injury. Reports on the effect of isolated deltoid ligament reconstruction are very sparse. Conclusion: There is a need for a focused effort to establish evidence for all aspects of deltoid ligament injury.",

keywords = "Ankle instability, Ankle pain, Deltoid ligament injury, Injury, Medial ankle ligament anatomy, Reconstruction",

author = "Kenneth Obionu and Henrik Palm and Yvette Astrup and Lange, {Naja Bj{\o}rslev} and Krogsgaard, {Michael Rindom}",

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year = "2024",

doi = "10.1016/j.fas.2023.10.010",

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volume = "30",

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TY - JOUR

T1 - A clinical guide to the medial ligaments of the ankle

T2 - Anatomy, function, diagnosis of injuries and treatment of instability-a narrative review

AU - Obionu, Kenneth

AU - Palm, Henrik

AU - Astrup, Yvette

AU - Lange, Naja Bjørslev

AU - Krogsgaard, Michael Rindom

PY - 2024

Y1 - 2024

N2 - Background: The aim was to provide an update on anatomy and function of the medial ankle ligaments, diagnosis of their injuries and treatment of medial ankle instability. Methods: Literature search on PubMed. Results: Injuries to the deltoid ligament are not uncommon in relation to malleolar fractures and ankle sprains. Chronic instability may lead to ankle osteoarthritis. However, there is no consensus on diagnostic criteria (clinically, by imaging and by arthroscopy), on indications for non-operative and operative treatment, and on standards for repair and reconstruction of the ligament complex. There is no current evidence to support acute repair of deltoid ligament injury. Reports on the effect of isolated deltoid ligament reconstruction are very sparse. Conclusion: There is a need for a focused effort to establish evidence for all aspects of deltoid ligament injury.

AB - Background: The aim was to provide an update on anatomy and function of the medial ankle ligaments, diagnosis of their injuries and treatment of medial ankle instability. Methods: Literature search on PubMed. Results: Injuries to the deltoid ligament are not uncommon in relation to malleolar fractures and ankle sprains. Chronic instability may lead to ankle osteoarthritis. However, there is no consensus on diagnostic criteria (clinically, by imaging and by arthroscopy), on indications for non-operative and operative treatment, and on standards for repair and reconstruction of the ligament complex. There is no current evidence to support acute repair of deltoid ligament injury. Reports on the effect of isolated deltoid ligament reconstruction are very sparse. Conclusion: There is a need for a focused effort to establish evidence for all aspects of deltoid ligament injury.

KW - Ankle instability

KW - Ankle pain

KW - Deltoid ligament injury

KW - Injury

KW - Medial ankle ligament anatomy

KW - Reconstruction

U2 - 10.1016/j.fas.2023.10.010

DO - 10.1016/j.fas.2023.10.010

M3 - Review

C2 - 37926624

AN - SCOPUS:85176278687

SN - 1268-7731

VL - 30

SP - 85

EP - 91

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

IS - 2

ER -