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Open Ligamentous Disruption of the Lateral Aspect of the Ankle without Associated Fracture or DislocationA Case Report
Craig T. Carter, MD1; Samuel R. Schroerlucke, MD2; William J. Rosenblum, MD1; John R. Martell, MD3
1 Department of Orthopaedic Surgery, Georgia Health Sciences University, 1120 Fifteenth Street, Augusta, GA 30912. E-mail address for W.J. Rosenblum: wrosenblum@georgiahealth.edu
2 Tabor Orthopaedics, 1244 Primacy Parkway, Memphis, TN 38119
3 Ralph H. Johnson VA Medical Center, 109 Bee Street, Charleston, SC 29401-5799
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Investigation performed at Department of Orthopaedic Surgery, Georgia Health Sciences University, Augusta, Georgia

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Feb 27;3(1):e19 1-3. doi: 10.2106/JBJS.CC.L.00113
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Musculoskeletal injuries resulting from participation in athletic activities are common. Some of the most frequent are ankle injuries, which can account for more than 40% of all athletic-related injuries1. The majority of these involve injuries to the lateral ligamentous complex2. Basketball is one activity that produces a large number of ankle injuries3-5. Most of these are closed injuries that are graded from grade I (stretching of the anterior talofibular ligament) to grade III (complete disruption of the anterior talofibular ligament with other possible lateral ligamentous disruption). We present a patient with a grade-III injury and an associated open wound over the lateral aspect of the ankle. To our knowledge, there are only two other cases in the English-language literature that document similar injuries6,7. The patient was informed that data concerning the case would be submitted for publication, and he provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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