What is ATFL sprain?
The anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) are sequentially the most commonly injured ligaments when a plantar-flexed foot is forcefully inverted. The posterior talofibular ligament (PTFL) is rarely injured, except in association with a complete dislocation of the talus.
What is a Grade 1 ATFL sprain?
Grade 1: partial microscopic tearing of the ligament, minimal to no loss of function, mild swelling and pain. Grade 2: partial macroscopic tearing of the ligament, with mild-moderate loss of function, moderate swelling/pain/tenderness.
What is a Grade 2 ATFL sprain?
Grade 2 is a partial tear. Grade 3 is a full tear. Often, the level of pain in a grade 3 full tear is less than a partial tear and results in the patient seeking less treatment. A more descriptive grading should include the level of instability and the potential number of ligaments torn.
How is ATFL sprain diagnosed?
The test is performed on both sides and the two sides are compared. Excessive anterior translation of the talus on the injured side in comparison to the uninjured side indicates a positive test. A translation of more than 4-5 mm on the injured would indicate a tear of ATFL.
What is ATFL ligament?
A ligament is a soft tissue that connects bone to bone. Anterior talofibular ligament (ATFL) which connects the small leg bone (fibula) to the wedge shaped bone on the front of the foot (talus)
What is sprained ligament?
A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints. The most common location for a sprain is in your ankle. Initial treatment includes rest, ice, compression and elevation. Mild sprains can be successfully treated at home.
Can walking on a sprained ankle make it worse?
Yes. That’s the very short answer. According to the National Association of Athletic Trainers, ankle injuries, including sprains, are very often undertreated. Ignoring treatment, including excessive movement of the ankle through unnecessary walking, leads to a greater risk of worsening the injury.
How do you treat an ATFL sprain?
Initial treatment of all grades of lateral ankle sprains consists of rest, ice, compression, and elevation (RICE), as well as nonsteroidal anti-inflammatory drugs (NSAIDs). Ice should be applied to the injured ankle for approximately 20 minutes, 3-4 times per day.
