Disorders of the ankle and foot: The Daily PANCE Blueprint

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Disorders of the ankle and foot: The Daily PANCE Blueprint

Which of the following is the most commonly involved ligament in low ankle sprains?

A. Deltoid ligament
B. Anterior tibiotalar ligament
C. Calcaneofibular ligament
D. Posterior talofibular ligament
E. Anterior talofibular ligament

Answer and topic summary

The answer is E. Anterior talofibular ligament

Ankle sprains are very common and typically happen due to inversion-like movement on a plantar-flexed foot. The most common ligament injured in ankle sprains is the anterior talofibular ligament (ATFL). On physical exam you should appreciate drawer laxity in plantar flexion. Symptoms include swelling, ecchymosis, pain with weight-bearing. Radiographs should be obtained per the Ottawa ankle rules. Treatment is typically non-operative (RICE followed by early mobilization and therapy).

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ Disorders of the Ankle and Foot (PEARLS) ⇒ Soft tissue injuries of the ankle and foot

Also covered as part of the Family Medicine EOR and Emergency Medicine EOR topic lists