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valgus sprain in the ankle
 Mostly we see a varus sprain (see ankle sprain).
Sometimes we are confronted with a valgus sprain : in that case we may rather expect a fracture instead of a lesion of the deltoid ligament ; perhaps there could be a lesion of the tibialis posterior too. In the latter case, it reacts well on friction massage.
(See Part I, p156-158 ; Part II, p37-39)
Valgus sprain in the ankle (2)
An ankle sprain in this unusual direction suggests an alteration of the patient's foot posture e.g. a valgus deformity of the heel with abduction of the forefoot.
A medial support is advisable. Furthermore, the deltoid ligament can be treated with an infiltration of triamcinolone (DF, mobilization and manipulation seem to be ineffective) ; a possible (combined) tibialis posterior tendinitis responds well to DF.
An avulsion fracture is more likely to occur than a deltoid ligament lesion in a valgus sprain.
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