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Complete Rupture of the Deltoid Ligament of the Ankle

The medial collateral, or deltoid ligament of the ankle is a strong, complex, fan-shaped structure that yields itself grudgingly, only after significant force application. Rupture in almost all cases occurs in association with fracture of the fibula or distal tibiofibular syndesmosis disruption. Partial rupture in isolation has been reported, but complete rupture in isolation has not. We report deltoid ligament rupture with radiographic and magnetic resonance imaging confirmation.