J Korean Foot Ankle Soc.  2018 Dec;22(4):170-172. 10.14193/jkfas.2018.22.4.170.

Acute Anterior Talofibular Ligament Open Type Avulsion Fracture: A Case Report

• Kang C
• Lee GS
• Lee JK

• KMID: 2428658
• DOI: http://doi.org/10.14193/jkfas.2018.22.4.170

Abstract

An ankle sprain is a relatively common sports-related injury but a severe open ankle sprain (SOAS) is very rare. A 27-year-old female athlete was injured during running and was hospitalized because of an inversed ankle injury with an open wound. She was diagnosed initially with an open-avulsion fracture at the tip of the fibula with an anterior talofibular ligament tear. The patient was finally diagnosed with SOAS from the surgical findings and literature review. SOAS should also be considered if there is a transverse open wound at the time of an ankle injury.

Keyword

Ankle; Ligaments; Open fracture; Severe open ankle sprain

MeSH Terms

Adult
Ankle
Ankle Injuries
Athletes
Female
Fibula
Fractures, Open
Humans
Ligaments*
Running
Tears
Wounds and Injuries

Figure

• 

  Figure 1 A clinical photo was taken preoperatively clinical photo (A), initial diagnostic images (B, C) and intraoperative clinical photo (D).

Reference

1. Balduini FC, Vegso JJ, Torg JS, Torg E. Management and rehabilitation of ligamentous injuries to the ankle. Sports Med. 1987; 4:364–380.

2. Berlet G, Anderson RB, Davis W. Chronic lateral ankle instability. Foot Ankle Clin. 1999; 4:713–728.

3. Soubeyrand M, Vincent-Mansour C, Guidon J, Asselineau A, Ducharnes G, Molina V. Severe open ankle sprain (SOAS): a lesion presenting as a penetrating soft tissue injury. J Foot Ankle Surg. 2010; 49:253–258.

4. van den Bekerom MP, Oostra RJ, Golanó P, van Dijk CN. The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat. 2008; 21:619–626.

5. Kumai T, Takakura Y, Rufai A, Milz S, Benjamin M. The functional anatomy of the human anterior talofibular ligament in relation to ankle sprains. J Anat. 2002; 200:457–465.

6. Sinnott BA, Strote J. Severe open ankle sprain. West J Emerg Med. 2011; 12:581–582.

7. Carter CT, Schroerlucke SR, Rosenblum WJ, Martell JR. Open ligamentous disruption of the lateral aspect of the ankle without associated fracture or dislocation: a case report. JBJS Case Connect. 2013; 3:e19.

8. van den Bekerom MP, Kerkhoffs GM, McCollum GA, Calder JD, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013; 21:1390–1395.