{"id":2729,"date":"2026-03-03T17:19:37","date_gmt":"2026-03-03T16:19:37","guid":{"rendered":"https:\/\/fraktur.at\/ankle-and-foot\/ankle-ligament-tear\/"},"modified":"2025-10-07T13:56:20","modified_gmt":"2025-10-07T11:56:20","slug":"ankle-ligament-tear","status":"publish","type":"page","link":"https:\/\/fraktur.at\/en\/ankle-and-foot\/ankle-ligament-tear\/","title":{"rendered":"Ankle Ligament Tear"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h1>Ankle Ligament Tear<\/h1>\n<p><strong>Ankle ligament tear &#8211; ACUTE INJURY<\/strong><\/p>\n<p>One of the most common injuries is <strong>ankle sprain<\/strong> and <strong>ankle ligament tear<\/strong>.<br \/>\n<strong>Twisting<\/strong> the foot and ankle inward can lead to either<\/p>\n<ul>\n<li>a <strong>sprain of the ligamentous structures (Distorsio articulatio talocruralis)<\/strong><\/li>\n<li>a <strong>ligament tear<\/strong><\/li>\n<li>to a <strong>total rupture of the ligamentous structures<\/strong> (Subluxatio tali suppinatorium)<\/li>\n<\/ul>\n<h2>Ligament Tear Diagnosis<\/h2>\n<p>A pure ankle sprain is diagnosed <strong>clinically<\/strong>. This manifests as painful swelling of the ankle with stable joint conditions. The ligamentous structures are overstretched, but their continuity is maintained.<br \/>\nAn X-ray is mandatory to rule out a bony injury.<\/p>\n<p>If there is a <strong>ligament rupture<\/strong>, it is also diagnosed clinically. In addition to the X-ray, magnetic resonance therapy should be performed for further clarification of the extent of the injury. Additional injuries, such as cartilage damage, can also be clarified.<\/p>\n<h2>Ankle Ligament Tear Treatment<\/h2>\n<p>An ankle sprain can be treated <strong>conservatively<\/strong>, with a <strong>splint being prescribed for 4-6 weeks<\/strong>. Accompanying this, <strong>physical therapy<\/strong> should be performed to strengthen the outer ligament-strengthening muscles and mobilize the joint.<\/p>\n<p>In the case of a ligament tear, depending on the clinically determined instability, a decision is made as to whether a <strong>conservative approach<\/strong> with 6 weeks of splint treatment or a <strong>surgical approach<\/strong> is indicated. In surgical therapy, the torn ligamentous structures are adapted with sutures in order to achieve stable ankle conditions after healing. Accompanying physical therapy is essential in both cases.<br \/>\n<strong><br \/>\nAnkle &#8211; Chronic instability<\/strong><\/p>\n<p>If there is chronic ligament instability of the ankle that does not improve with physical therapy stabilization, <strong>surgical stabilization<\/strong> should be performed in active patients.<\/p>\n<p>Prior to this, radiological clarification must be carried out using standard X-rays, held X-rays in lateral comparison, and magnetic resonance imaging. If there is already a bony defect, an additional computed tomography scan is useful.<\/p>\n<p>In surgical treatment, <strong>arthroscopy<\/strong> (joint endoscopy) is performed to identify and treat<a href=\"https:\/\/fraktur.at\/en\/cartilage-damage\/\"><strong> cartilage damage<\/strong><\/a>. Further stabilization depends on the severity of the instability. In some cases, mobilization and direct suture of the torn ligamentous structures in <strong>&#8220;mini-open&#8221; technique<\/strong> (Brostr\u00f6m operation) is sufficient.<\/p>\n<p>In severe cases of chronic instability, a <strong>ligament replacement<\/strong> must be performed. For this purpose, a tendon strip close to the ankle joint is removed and used as a new ligament for stabilization. Alternatively, a donor tendon can be selected.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-2369 size-full\" src=\"https:\/\/fraktur.at\/wp-content\/uploads\/2025\/01\/drschurz.jpg\" alt=\"\" width=\"200\" height=\"322\" srcset=\"https:\/\/fraktur.at\/wp-content\/uploads\/2025\/01\/drschurz.jpg 200w, https:\/\/fraktur.at\/wp-content\/uploads\/2025\/01\/drschurz-186x300.jpg 186w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><\/p>\n<p><a class=\"maxbutton-18 maxbutton maxbutton-contact\" href=\"https:\/\/fraktur.at\/en\/contact\/\"><span class='mb-text'>CONTACT<\/span><\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Ankle Ligament Tear Ankle ligament tear &#8211; ACUTE INJURY One of the most common injuries is ankle sprain and ankle ligament tear. Twisting the foot and ankle inward <a class=\"more-link\" href=\"https:\/\/fraktur.at\/en\/ankle-and-foot\/ankle-ligament-tear\/\">Weiterlesen &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":2730,"parent":2664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2729","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ankle Ligament Tear &#8212; Dr. Mark Schurz<\/title>\n<meta name=\"description\" content=\"Ankle ligament tear. 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