• Özkan Köse, Adil Turan, Baver Acar, Melih Unal, and Hasan May.
• Antalya Education and Research Hospital, Department of Orthopaedics and Traumatology, Antalya, Turkey. Electronic address: ozkankose@hotmail.com.
• Foot (Edinb). 2019 Mar 1; 38: 24-29.

AbstractAnterior talofibular ligament (ATFL) injuries can occur in three different distinct patterns; rupture of the ligament as a pure soft tissue injury, an avulsion fracture at the ATFL's attachment to either the fibula or the talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in the current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to the emergency department. Fixation of the fragment resulted with excellent functional outcome without a residual instability. Besides more common injury patterns such as mid-substance ATFL rupture and ATFL fibular avulsion fracture, talar avulsion fracture pattern should also be kept in mind in a patient presented with lateral ankle sprain. When a fragment is seen on the ankle radiographs at the tip of fibula, previously described special oblique views should be performed to reveal the correct origin of the fragment.Copyright © 2018 Elsevier Ltd. All rights reserved.

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