Stemcelldoc's Weblog

April 24, 2012

Deltoid Ligament: Medial Ankle Pain

At the Centeno-Schultz Clinic stability is a central theme as outlined in Ortho 2.0.

The lateral ankle ligaments have been discussed in prior blog. Treatment of ankle sprains at the Centeno-Schultz Clinic includes a diagnostic MSK ultrasound where the ligaments visualized and their integrity assessed.  Treatment options for loose, partially torn or degenerative ligaments include prolotherapy, PRP and autolgous bone marrow derived stem cells.

A video discusses the use of stem cells as an alternative to ankle surgery.

15-20 % of all athletic injuries involve the ankle.  20-40% of ankle injuries will lead to chronic instability.

The deltoid ligament supports the medial side of the ankle joint and is composed of 3 principle ligaments.  They all attach at the medial malleolus.

Tibionavicular Ligament is the most anterior and inserts upon the navicular bone.

Tibiocalcaneal ligament is the middle ligament and inserts upon the sustentaculum tali of the calcaneus.

Posterior Tibiotalus are posterior fibers that connect to the talus.

An eversion sprain is a tear in the deltoid ligaments.  It occurs with excessive inward rotation and is often accompanied by a fracture of the fibula.

An ultrasound image of the tibiotalar  ligament is displayed below.

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