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InsightHorizon Digest

What ligaments are in the ankle

Author

Joseph Russell

Updated on March 25, 2026

The major ligaments of the ankle are: the anterior tibiofibular ligament (2), which connects the tibia to the fibula; the lateral collateral ligaments (3), which attach the fibula to the calcaneus and gives the ankle lateral stability; and, on the medial side of the ankle, the deltoid ligaments (4), which connect the …

What ligament is most commonly injured in the ankle?

The most common and significant ligament tears include tears in the Anterior TaloFibular Ligament (ATFL), CalcaneoFibular Ligament (CFL), and the large Deltoid ligament complex.

How many major ligaments are in the ankle?

The ligaments of the ankle are the primary stabilizers of the joint. Four major ligaments hold together the ankle. The medial part of the ankle is supported by the strong and thick deltoid ligament, and runs from the medial malleolus of the tibia to the talus, calcaneus and navicular bone of the foot and ankle complex.

What are the 6 main ligaments of the ankle joint?

  • Medial Ligament.
  • Lateral Ligament.
  • Plantarflexion.
  • Dorsiflexion.

What are the 3 main lateral ligaments of the ankle?

Ligaments of the ankle The lateral side of the ankle has three supporting ligaments: the anterior talofibular ligament (ATFL), the posterior talofibular ligament (PTFL) and the calcaneofibular ligament(CFL). The three ligaments are together called the Lateral Collateral Ligament Complex.

What does a torn ATFL feel like?

Complete tears of the main ligament (ATFL-anterior talofibular ligament) are usually accompanied by more pain, difficulty weightbearing, swelling and discoloration to the outside of the ankle.

How do you know if you have ankle ligament damage?

  1. Swelling around your ankle joint.
  2. A feeling of instability.
  3. Bruising – sometimes up your lower leg and into your foot.
  4. Tenderness to touch.
  5. Pain when putting weight on your ankle.
  6. Popping sound at the time of injury.

What does the Atfl ligament do?

It is one of the lateral ligaments of the ankle and prevents the foot from sliding forward in relation to the shin. It is the most commonly injured ligament in a sprained ankle—from an inversion injury—and will allow a positive anterior drawer test of the ankle if completely torn.

What is the weakest ankle ligament?

The ATFL is the weakest ligament of the lateral ligament complex, and approximately 70% of lateral ankle sprains involve only this ligament and a mechanicsm of plantar flexion and inversion.

What are the four 4 ligaments that make the deltoid ligament complex?

The deltoid ligament is composed of 4 fičera: 1. Anterior tibiotalar ligament 2. Tibiocalcaneal ligament 3. Posterior tibiotalar ligament 4.

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What is the MCL ligament?

The medial collateral ligament (MCL) is one of the ligaments in the knee joint. A ligament is a tough, flexible band of tissue that holds bones and cartilage together. The MCL is on the part of the knee closest to the other knee (the “medial” side).

How do you fix a torn ligament in your ankle?

In some cases, ligaments can be tightened and strengthened again by placing them back onto the bone in their anatomic position, possibly using a small anchor to attach the ligaments into the bone. When the ligaments are too weakened or destroyed to repair, your doctor may recommend ligament reconstruction.

What is a Grade 3 ankle sprain?

Grade 3: This is a full tear of the ankle ligament. You may have heard a popping sound when it happened. This level of sprain causes severe pain, swelling and bruising. Because the ligament is no longer able to do its job, your ankle will feel unstable and will be unable to support any of your weight.

When should I get an MRI on my ankle?

Your doctor may recommend an MRI scan to help pinpoint the cause of your symptoms, particularly if they don’t improve after four to six weeks. It may be ordered to detect stress fractures in the foot or a cartilage or tendon injury, which can cause symptoms similar to those of a sprain.

What is the squeeze test?

Squeeze test is another test to identify a tibiofibular syndesmosis. It is also a pain provocation test. The patient is in a supine position while the clinician grasps the leg of the patient, midway of the calf muscle on the affected limb, and perform compression with both hands.

What ligament is found on the medial side of the ankle?

The major ligaments of the ankle are: the anterior tibiofibular ligament (2), which connects the tibia to the fibula; the lateral collateral ligaments (3), which attach the fibula to the calcaneus and gives the ankle lateral stability; and, on the medial side of the ankle, the deltoid ligaments (4), which connect the …

What happens if a torn ligament in ankle goes untreated?

A sprained ankle can turn into a serious chronic instability if left untreated. When you leave torn ligaments to heal on their own, they can fuse together haphazardly and form weak, inflexible scar tissue. Your range of motion can suffer tremendously, resulting in difficulty walking for the long term.

Can you walk with a torn ligament?

In most cases, the injured person can still walk with the torn knee ligament. But the movement will be severely limited, not to mention painful. Surgery may be the best route to a pain-free life, with amazing success rates.

Do you need a cast for a torn ligament?

You may need a cast or crutches, and you may even need surgery to repair the torn ligament. After surgery or immobilization, you may require physical therapy and rehabilitation to get back to your pre-injury condition. While some ligament tears are relatively minor, you shouldn’t take them lightly.

What is an attenuated ligament?

If the ligament becomes attenuated or lengthened, it will no longer hold the tibia in correct relationship to the femur. There may be an associated injury to the meniscus or shock absorber of the knee (see page 9) or damage to the cartilage covering the bones.

Do you need surgery for a torn ligament in ankle?

Ankle sprains range from mild to severe and in most cases do not require surgery. Sprains of the midfoot — called a Lisfranc injury — can often be treated successfully with non-surgical techniques as well. But in more serious cases, ligament repair surgery may be recommended.

What is the deltoid ligament?

The deltoid ligament, also known as the medial collateral ligament complex, is a strong, broad ligament with multifascicular appearance that spans out from the medial malleolus toward the talus, calcaneus, and navicular bones.

What is talar tilt test?

Purpose: To test for injury to the lateral ligaments of the ankle. Test Position: Supine or sitting. Performing the Test: The examiner stabilizes the distal leg in a neutral position and inverts the ankle. The examiner then determines how much inversion is present.

What is CFL in ankle?

Isolated calcaneofibular ligament (CFL) injuries are rare. CFL injuries are often described in the lateral ankle compartment, specifically associated with the anterior talofibular ligaments (ATFL); however, the CFL injuries have unique characteristics which can impact long term function, such as mobility and strength.

What are the 3 bones that make up the ankle?

  • The shin bone (tibia)
  • The thinner bone running next to the shin bone (fibula)
  • A foot bone that sits above the heel bone (talus)

Can a torn Atfl heal itself?

Beware the fully torn ligament Complete tears rarely heal naturally. Since there’s a disconnect between the tissue and any chance of blood supply, surgery is needed. Surgery also helps the joint heal correctly and reduces the chances of re-injury. For instance, an ACL rupture will require reconstruction.

Can you tear your posterior talofibular ligament?

As the posterior talofibular ligament has no independent stabilizing function in the intact ankle joint, an isolated rupture of this ligament is unlikely.

When does Atfl tear require surgery?

You might need this surgery if one or more of the ligaments on the outside of your ankle has loosened or stretched. This leads to a condition called chronic ankle instability. It can cause chronic pain, repeated ankle sprains, and an ankle that often gives way when you walk or perform activities.

What is an eversion ankle sprain?

Eversion ankle sprains — occurs when the ankle rolls outward and tears the deltoid ligaments. Inversion ankle sprains — occurs when you twist your foot upward and the ankle rolls inward.

What is spring ligament?

The plantar calcaneonavicular ligament also referred to as spring ligament is a thick wide band of cartilaginous connective tissue that supports the medial longitudinal arch of the foot, failure in the spring ligament leads to flat foot deformity.

What ligaments make up deltoid ankle?

The Deltoid ligament is composed of the Anterior Tibiotalar Ligament, Tibiocalcaneal Ligament, Posterior Tibiotalar Ligament, and Tibionavicular Ligament. It consists of two sets of fibres, superficial and deep.