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Anatomy · Lower limb: lateral ankle ligaments
Sample itemA 22-year-old basketball player inverts his plantar-flexed foot on landing. There is swelling and tenderness just anterior and inferior to the lateral malleolus, and the anterior drawer test of the ankle is positive. Which ligament is most likely torn?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Anterior talofibular ligament
The anterior talofibular ligament is the weakest of the lateral ligaments and is the one most often injured in inversion sprains, particularly with the foot plantar-flexed, when it is under greatest tension. The calcaneofibular ligament is torn with more severe injuries and the posterior talofibular ligament rarely.
Option by option
A. Calcaneofibular ligament
The calcaneofibular ligament is injured next and usually only with more severe inversion, when the ankle is dorsiflexed.
B. Anterior talofibular ligament (correct)
The anterior talofibular ligament is the ligament most commonly torn in inversion injuries of the ankle.
C. Deltoid ligament
The deltoid ligament lies medially and is injured by eversion, not inversion.
D. Posterior talofibular ligament
The posterior talofibular ligament is the strongest and is torn only in gross dislocation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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