Indications

  • All isolated lateral infrasyndesmotic rupture and avulsion injuries

Contraindications

  • Severe soft-tissue injury or swelling
  • Excessive pain and discomfort

Advantages

  • Full weight bearing
  • Good stability 

Disadvantages

  • Risks of cast complications (eg, pressure ulcer, nerve compression) 
  • Risks of immobilization (eg, muscle wasting, joint stiffness)
  • Longer rehabilitation period than functional treatment