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Tag Archives: anterior talofibular ligament tear

When an “ankle sprain” is not just an ankle sprain…

Were you told you have just an “ankle sprain” but it is not getting better?  Read more to see if you may have one of the other injuries that can occur when you roll your ankle.

Intro and basic ankle anatomy:  Ankle sprains (aka a rolled ankle, inversion ankle injuries) usually implies rolling of the ankle so the foot turns in compared to the leg and this injures tissues on the outer side of the ankle.  This injury is very common in almost any sport and even occurs in non-sporting activities when walking on uneven terrain.  When this happens the person usually falls, feels immediate pain on the outside part of the ankle (lateral) and may or may not be able to put weight back on the leg.  Over the next few hours, swelling and bruising develops and they may still not be able to put weight on their injured ankle.  Over the next few days most people employ protection, rest, ice, compression, elevation (the PRICE principles) and the pain and swelling may improve.  The bruising usually changes to all sorts of pretty colors and the actual bruising (just blood under the skin) may follow gravity and settle down closer to the bottom of the foot away from where it hurts.  Below is a diagram of ankle/foot bones and ankle ligaments for reference so you can see where they are when I speak about each boney injury later in the blog.  The main bones to focus on are the lateral malleolus (bottom of the fibula bone on the outside of the ankle), medial malleolus (inside of the ankle, bottom of the tibia bone), talus (foot portion of the ankle joint), calcaneus (heel bone, connects to talus and rest of foot bones), base of the fifth metatarsal (where peroneus brevis muscle attaches, boney spot on outside part of the foot touching the ground).

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