Deltoid Ligament Injuries

 What is a deltoid ligament injury?

The deltoid ligament is a strong group of ligaments on the inside of the ankle. It helps prevent excessive outward movement of the ankle.

Deltoid ligament injuries commonly occur as part of a more significant ankle injury and may be associated with fractures or syndesmotic injuries.

What symptoms and signs might I experience?

• Pain on the inside of the ankle.
• Swelling.
• Bruising.
• Tenderness over the ligament.
• Difficulty walking.
• A feeling of instability.
• Pain when the ankle is stressed.

How is it diagnosed?

Examination and X-rays are commonly used.

In more significant injuries, weight-bearing or stress X-rays may be required to assess ankle stability. MRI or other imaging may be used when necessary.

How is it treated without surgery?

Depending on the severity:

• An ankle brace or boot.
• Temporary reduction in weight-bearing.
• Progressive weight-bearing.
• Physiotherapy.
• Restoration of movement.
• Progressive strengthening.
• Balance exercises.
• Gradual return to activity.

When might surgery be considered?

Isolated deltoid injuries often heal without surgery.

Surgery may be required if the injury is associated with an unstable ankle fracture, syndesmotic instability or significant persistent instability.

What might surgery involve?

Treatment may include repair or reconstruction of the deltoid ligament together with treatment of any associated fracture or syndesmotic injury.

What is recovery like?

Recovery depends on the severity and whether other structures have been injured.

Rehabilitation focuses on restoring movement, strength, balance and confidence in the ankle. Difficulty with landing dynamics and stiffness often persist, it is always recommended to see a physiotherapist with a specialist interest in foot and ankle rehabilitation.