Sprains in the lateral ligaments of the ankle produce the most common ligamentous @entity130 of the @entity1 body. The mechanism of injury is complex, while supination represents the main component of foot movement. Classifying lateral ankle ligament @entity130 , many authors use a system of three degrees, which includes mild, moderate and severe @entity6475 . Despite this scientific categories, in our opinion is the differentiation between elongation and complete ruptures of practical relevance. Under a biomechanical point of view, ligamentous @entity130 of the lateral ligaments lead to acute antero-lateral rotational instability (ALRI). Following the retrospective clinical study of Zwipp with 1235 @entity1 , in 70 % of complete disruptions, the anterior talo-naviculare and fibulo-calcanear ligaments are involved together. @entity3681 have been reported at a rate up to 10 % of @entity3681 with deltoid ligaments at 2,5 %. Rarely, the classic @entity3681 leads to @entity130 which affect the foot on a so called "supination @entity174 line". A rate of 7,4 % is reported for these accompanying @entity130 . Therefore, clinical examination of @entity3681 should not only address on the distal tip of the fibula. Critical bony and ligamentous structures like the fifth metatarsal base, the calcaneo-cuboideal ligament, the ligaments of the anterior calcaneal process, the talus and syndesmotic ligaments have to be screened for @entity158 and @entity4 . In our opinion, careful clinical examination and plain radiographs in two plains are sufficient for diagnosing @entity3681 and functional therapy.

Supination XXXX . A classic case.

@entity1 :: ('9606', 'Species') :: ['human', 'patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity3681 :: ('MESH:D016512', 'Disease') :: ['Syndesmotic injuries', 'ankle sprain', 'ankle sprains'] @entity4 :: ('MESH:D004487', 'Disease') :: ['swelling'] @entity6475 :: ('MESH:D013180', 'Disease') :: ['sprains'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injuries', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
