Deltoid ligament injury is thought to be rare. Signs of complete ruptu
re of the deltoid ligament may be subtle or interpreted as another inj
ury condition and thus are often missed acutely. No standardized metho
d has been created to evaluate medial ligament insufficiency in acute
or chronic laxity. To establish a diagnostic test for suspected isolat
ed ruptures of the deltoid ligament, 32 subjects with no previous ankl
e injury underwent valgus stress radiography and nonstressed radiograp
hy of both ankles. Stress radiography in this study showed that there
is a measurable but minimal range of talar tilt on valgus stress in pr
eviously uninjured ankles. This study provides the basis for diagnosis
of the rare isolated rupture of the deltoid ligament of the ankle.