There is usually a predictable kinematic pattern of injury involving the anterior talofibular ligament followed by the calcaneofibular ligament; don’t forget that finding a complete rupture of the calcaneofibular ligament means that also the anterior talofibular ligament must be injured.
Coronal (left) and Axial (right) T2 weighted Mri scans (0.3 Tesla) demonstrate a complete rupture of the calcaneofibular ligament.
The ultrasound imaging needs an accurate dynamic evaluation to demonstrate the injured ligament.
In this young professional football player both the anterior talofibular and calcaneofibular ligaments are completely torn.
Coronal (left) and Axial (right) T2 weighted Mri scans of the same patient: a complete rupture of the ATFL is evident.
The ultrasound dynamic investigation well defines the high degree injury of the ligament.
