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Palpation of the anterior talofibular ligament

The index finger is laid on the anterior surface of the lateral malleolus. A combined plantar flexion-inversion movement of the ankle makes the lateral process of the talus more prominent. The ligament is felt as a thin, flat and horizontal structure, pressing against the palpating finger.

Palpation of the sinus tarsi

Starting from the anterior surface of the lateral malleolus and moving anteriorly and medially, the finger falls into a depression – the sinus tarsi. If the finger is left in place and the foot is inverted, the depression excavates and its borders can be better ascertained. Just anterior to the malleolus the lateral process of […]

Ankle Sprain

Basics Description Acute sprains of the lateral ligaments about the ankle are the most common injury in sports and also occur commonly in the general population. Most commonly a partial tear or complete rupture of the ATFL occurs. More severe injuries include the CFL . Lateral ankle sprain results from an inversion mechanism. Classification […]

Ankle Instability

Basics Description Recurrent ankle sprains occurring primarily from an inversion stress on a plantarflexed ankle, which lead to chronic ankle pain and instability Divided into 2 types: Functional instability: Pain causes ankle to be unstable. Feeling of ankle giving way Neuromuscular deficit True mechanical instability: Frank insufficiency of ligaments Physiologic ROM is exceeded. Positive […]

A Patient’s Guide to Foot Anatomy

Introduction

Our feet are constantly under stress. It’s no wonder that 80 percent of us will have some sort of problem with our feet at some time or another. Many things affect the condition of our feet: activity level, occupation, other health conditions, and perhaps most importantly, shoes. Many of the problems that arise in […]

A Patient’s Guide to Adult-Acquired Flatfoot Deformity

Introduction

Adult acquired flatfoot deformity (AAFD) is a painful condition resulting from the collapse of the longitudinal (lengthwise) arch of the foot. As the name suggests, this condition is not present at birth or during childhood. It occurs after the skeleton is fully matured.

In the past it was referred to a posterior tibial tendon […]

A Patient’s Guide to Peroneal Tendon Subluxation

Introduction

The peroneals are two muscles and their tendons that attach along the outer edge of the lower leg. The peroneal tendons are enclosed in a fibrous tunnel that runs behind the outside ankle bone (the lateral malleolus). Damage or injury to the structures that form and support this tunnel may lead to a condition […]