Medial Ankle Instability: The Deltoid Dilemma

Saud Alshalawi¹, Ahmed E Galhoum², Yousef Alrashidi³, Martin Wiewiorski⁴, Mario Herrera⁵, Alexej Barg⁶, Victor Valderrabano⁷

Affiliations

¹ Prince Sultan Military Medical City, PO Box 13225-6604, Riyadh 12233, Saudi Arabia.
² Department of Orthopedic, Nasser Institute for Research and Treatment, Nile Corniche Street, Cairo 1351, Egypt.
³ Orthopaedic Department, College of Medicine, Taibah University, PO Box 30001, Medina 42353, Saudi Arabia.
⁴ Head Foot and Ankle Unit, Orthopaedic and Trauma Department, Kantonsspital Winterthur, Winterthur 8401, Switzerland.
⁵ Head Foot and Ankle Unit, Orthopaedic Department, University of La Laguna, Tenerife 38200, Spain.
⁶ Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
⁷ Orthopaedic Department, Swiss Ortho Center, Swiss Medical Network, Schmerzklinik Basel, Hirschgässlein 15, Basel 4010, Switzerland. Electronic address: vvalderrabano@swissmedical.net.

PMID: 30414658
DOI: 10.1016/j.fcl.2018.07.008

Review

Medial Ankle Instability: The Deltoid Dilemma

Saud Alshalawi et al. Foot Ankle Clin. 2018 Dec.

. 2018 Dec;23(4):639-657.

doi: 10.1016/j.fcl.2018.07.008. Epub 2018 Sep 25.

Authors

Saud Alshalawi¹, Ahmed E Galhoum², Yousef Alrashidi³, Martin Wiewiorski⁴, Mario Herrera⁵, Alexej Barg⁶, Victor Valderrabano⁷

Affiliations

¹ Prince Sultan Military Medical City, PO Box 13225-6604, Riyadh 12233, Saudi Arabia.
² Department of Orthopedic, Nasser Institute for Research and Treatment, Nile Corniche Street, Cairo 1351, Egypt.
³ Orthopaedic Department, College of Medicine, Taibah University, PO Box 30001, Medina 42353, Saudi Arabia.
⁴ Head Foot and Ankle Unit, Orthopaedic and Trauma Department, Kantonsspital Winterthur, Winterthur 8401, Switzerland.
⁵ Head Foot and Ankle Unit, Orthopaedic Department, University of La Laguna, Tenerife 38200, Spain.
⁶ Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
⁷ Orthopaedic Department, Swiss Ortho Center, Swiss Medical Network, Schmerzklinik Basel, Hirschgässlein 15, Basel 4010, Switzerland. Electronic address: vvalderrabano@swissmedical.net.

PMID: 30414658
DOI: 10.1016/j.fcl.2018.07.008

Abstract

Diagnosis and treatment of medial ankle instability (MAI) are still controversial and poorly discussed in literature. The purpose of this review is to highlight different clinical presentations of MAI and develop a guide for its management. The deltoid ligament complex is injured more commonly than expected, because deltoid ligament injuries may either be isolated or occur in combination with other lesions, such as lateral ankle ligament injury, posterior tibial tendon insufficiency, osteochondral lesion, and others. The presence of a pes planovalgus deformity in a patient without posterior tibial tendon insufficiency may indicate MAI.

Keywords: Ankle instability; Ankle sprain; Deltoid ligament; Medial ankle instability; Spring ligament.

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Medial Ankle Instability: The Deltoid Dilemma

Affiliations

Medial Ankle Instability: The Deltoid Dilemma

Authors

Affiliations

Abstract

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical