Deltoid Ligament Ankle

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The deltoid ligament ankle or ligament of the lower leg frames the average piece of the lower leg joint. It joins the average malleolus to numerous tarsal bones.




Structure: The ligament is made of two layers. The thin layer has adjustable connections and crosses two joints while the profound layer has talar connections and crosses one joint:


Superficial layer

  1. Tibiocalcaneal ligament
  2. Tibionavicular ligament
  3. Back shallow tibiotalar ligament
  4. Tibiospring ligament


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Profound layer:  this layer is intra-articular and is secured by synovium

  1. Anterior tibiotalar ligament (ATTL)
  2. Posterior deep tibiotalar ligament (PDTL)


  1. Description of Deltoid ligament ankle sprain

  • Interruption of deltoid ligament complex of the average lower leg may be intense or ceaseless


      2. Deltoid ligament complex

  • Limits average interpretation of the calcaneus on the bone
  • Can burst amid constrained dorsiflexion of the lower leg and eversion of the foot
  • Can also burst amid over the top outside revolution of the bone with or without eversion of the foot
  • Normally harmed amid a parallel malleolus break, where the bone is quickly dislodged against the fibula amid inordinate dorsiflexion
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  1. The seriousness of the damage will manage the signs and side effects that are watched
  2. In gentle to direct sprains, torment happens amid detached dorsiflexion and eversion
  3. In extreme sprains, swelling might be available over the back to the sidelong malleolus, and profound to the average in the posteromedial part of the distal leg


Basics of Diagnosis

  • Initial step—reduction a break or syndesmotic lower leg sprain
  • Positive back cabinet test and average talar tilt test
  • Positive Kleiger’s test (outside revolution test)
  • Ultrasonography, radiography, or MRI might be used in select cases1
  • Radiographs used inside the imperatives of Ottawa Ankle Rules2


Deltoid ligament ankle complex tears are grouped in light of the anatomical level of harm or utilitarian dependability found on the clinical exam.


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