whAT IS AN ANKLE SPRAIN?

An ankle sprain is an injury to the ligaments of the ankle joint. It occurs when these ligaments are stretched beyond their normal range of motion—often due to a twist, misstep, or sudden impact.

Involved Anatomy

Lateral Ligaments:

  • Anterior talofibular ligament (ATFL)
  • Calcaneofibular ligament (CFL)
  • Posterior talofibular ligament (PTFL)

Medial Ligament:

  • Deltoid ligament

Syndesmotic ligaments (high ankle sprain):

  • Ligaments connecting the tibia and fibula

 Common Causes

  • Missteps on uneven surfaces
  • Sudden change in direction during sports
  • Poor footwear
  • History of previous ankle sprains (increases risk

    Sprain vs. Strain vs. Fracture

Injury Type

Description

Sprain

Ligament injury

Strain

Muscle or tendon injury

Fracture

Broken bone

Types & Grades of Ankle Sprains

Inversion Sprain

Foot twists inward, affecting lateral ligaments.

Eversion Sprain

Foot twists outward, affecting the medial (deltoid) ligament.

High Ankle Sprain

Injury to the ligaments between the tibia and fibula


GradeDetails
I
Mild stretching
Slight swelling, minimal pain
1–2 weeks
II
Partial tear
Moderate pain, slight instability
3–6 weeks
III
Complete rupture
Significant swelling, bruising, major instability
8–12 weeks or more

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