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Physician CAQ · Sports Medicine

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Ankle-Foot

A basketball player rolls his ankle inward on landing and reports an audible pop followed by rapid lateral swelling and bruising. Which ligament is most likely torn?

  • AAnterior talofibular ligament
  • BCalcaneofibular ligament
  • CPosterior talofibular ligament
  • DDeltoid ligament
  • EDistal tibiofibular ligament

Correct — the answer is A

In the classic inversion-plantarflexion mechanism the anterior talofibular ligament fails first and is torn in roughly 90% of lateral sprains. The calcaneofibular ligament is added only in more severe injuries, and the posterior talofibular ligament rarely tears. The deltoid and syndesmotic ligaments involve different mechanisms.

Source: CAQ Sports Medicine — Ankle-Foot / Lateral Ankle Sprain

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