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Lateral ankle sprain

Bruno Tassignon, Jo Verschueren, Eamonn Delahunt, Michelle Smith, Bill Vicenzino, Evert Verhagen, Romain Meeusen
OBJECTIVE: The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. DESIGN: Systematic review and narrative synthesis. DATA SOURCES: The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point...
February 11, 2019: Sports Medicine
Kyeongtak Song, Erik A Wikstrom
Lateral ankle sprain (LAS) is the most common lower extremity musculoskeletal injury sustained during daily life and sport. The cascade of events that starts with ligamentous trauma leads to clinical manifestations such as recurrent sprains and giving way episodes, hallmark characteristics of chronic ankle instability (CAI). The sequelae of lateral ankle sprains and CAI appear to contribute to aberrant biomechanics. Combined, joint trauma and aberrant biomechanics appear to directly and/or indirectly play a role in talar cartilage degeneration...
February 11, 2019: Physician and Sportsmedicine
Gianluca Sperati, Lorenzo Ceri
BACKGROUND AND AIM OF THE WORK: in this study we report our 7-years experience (from January 2011 to December 2017) of 35 patients with chronic lateral ankle instability treated with the Hemi-Castaing reconstruction procedure, all performed in our clinic. METHODS: thirty-five patients (F12-M23; median age around 31 yrs, range 18-52 yrs). All patients used to practice amateur sports at competitive level. The procedures were performed in 19 cases on the right ankle whereas in 16 cases on the left ankle...
November 9, 2018: Acta Bio-medica: Atenei Parmensis
Hong Seop Lee, Young Koo Lee, Hak Soo Kim, Dhong Won Lee, Sung Hun Won, Ki Jin Jung, Chang Hyun Kim, Woo Jong Kim
RATIONALE: Stress fractures are most commonly sustained in the lower extremities owing to the repetitive weight-bearing forces. They are overuse injuries that are seen often in athletes, but rare in the general population, so early diagnosis and proper treatment are important to enable athletes to return to activity. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability. PATIENT CONCERNS: A 16-year-old athlete presented with acute-onset left ankle pain...
February 2019: Medicine (Baltimore)
Mark Porter, Bruce Shadbolt, Xuan Ye, Robert Stuart
BACKGROUND: "Ankle sprain" is a common injury, and >20% of patients may develop chronic instability for which surgery is indicated. The modified Broström-Gould (MBG) procedure remains the gold standard; however, there are a number of relative contraindications to this procedure, and the longer-term outcomes after the MBG have been questioned. An alternative procedure is augmentation of a primary repair with a ligament augmentation reconstruction system (LARS). PURPOSE: To conduct a randomized controlled trial testing the null-hypothesis that there is no difference in patient scored outcomes and activity levels, between patients undergoing a MBG procedure compared with those undergoing a primary repair with LARS augmentation, for lateral ligament instability of the ankle...
January 30, 2019: American Journal of Sports Medicine
Monna Arvinen-Barrow, Nathan Maresh, Jennifer Earl-Boehm
CONTEXT: The use of active video games (AVG) as a treatment modality in the rehabilitation context is increasing. Little is known about the functional outcomes and psychological benefits of such rehabilitation in collegiate athletes with lateral ankle sprains. OBJECTIVE: To examine functional outcomes and psychological benefits of AVG aided rehabilitation program for lateral ankle sprains. DESIGN: A mixed-methods single-subject case series design...
January 24, 2019: Journal of Sport Rehabilitation
Lauren E Schroeder, Joshua T Weinhandl
Lateral ankle sprains are common injuries in quick, dynamic movements and are caused by rapid ankle inversion. Ankle braces are used to reduce ankle inversion, while allowing normal plantar and dorsiflexion ranges of motion. Knee injuries, such as anterior cruciate ligament injuries, are also common in dynamic movements. It is important to understand how ankle braces affect injury risk at other proximal joints. There is limited and conflicting results on how ankle braces affect knee mechanics during these types of movements...
January 9, 2019: Journal of Biomechanics
Mohammed Attia, Mona F Taher, Aliaa Rehan Youssef
Lateral ankle sprain is one of the most common ankle injuries, especially in sports. When not treated properly, chronic ankle instability (CAI) may develop causing recurrent sprains and permanent damage to ankle ligaments. In this study, the design, implementation and validation of a smart wearable device connected to a smartphone application is described. This device can predict and prevent the occurrence of ankle sprain. Prediction of potentially harmful motion is achieved by continuous monitoring of ankle kinematics using inertial motion sensors...
January 16, 2019: Journal of Medical Engineering & Technology
Manuel J Pellegrini, Jesus Sevillano, Cristian Ortiz, Eric Giza, Giovanni Carcuro
Instability is a common sequela after repeated ankle sprains. When nonoperative treatment fails, open lateral ligament complex repair and reinforcement with the inferior extensor retinaculum has been the gold standard procedure. The recent advancements in arthroscopic techniques have created comparable biomechanical and functional results to open procedures. The authors' modification to the standard arthroscopic technique permits ligament approximation to the distal fibula over a larger surface area, using knotless anchors to avoid the need of an accessory portal and limit potential suture knot-related complications...
January 11, 2019: Foot & Ankle International
Cameron J Powden, Johanna M Hoch, Beth E Jamali, Matthew C Hoch
CONTEXT: Individuals with chronic ankle instability (CAI) experience disease- and patient-oriented impairments that contribute to both immediate and long-term health detriments. Investigators have demonstrated the ability of targeted interventions to improve these impairments. However, the combined effects of a multimodal intervention have not been evaluated for their effects on a multidimensional profile of health. OBJECTIVE: To examine the effects of a 4-week rehabilitation program on disease- and patient-oriented impairments associated with CAI...
December 27, 2018: Journal of Athletic Training
Jordi Vega, Matteo Guelfi, Francesc Malagelada, Fernando Peña, Miki Dalmau-Pastor
Background: Ankle instability is a common consequence of ankle sprains. Injury of the anterior talofibular ligament (ATFL) is the most common cause of ankle instability1 . Arthroscopic treatment of ankle instability is an emerging field attracting increased interest among surgeons2-10 . The arthroscopic all-inside ATFL repair allows the surgeon to explore the ankle joint, treat concomitant pathology when encountered, and reattach the injured ATFL to its fibular anatomical location. The aim of this article is to describe the arthroscopic all-inside ATFL repair through a 3-portal no-ankle-distraction technique...
September 28, 2018: JBJS Essential Surgical Techniques
Amy Y X Yu, Moira K Kapral, Jiming Fang, Donald A Redelmeier
Background and Purpose- We aimed to determine the long-term risks of a motor vehicle collision after a cerebrovascular event and whether the risks were similar after left- or right-hemispheric events. Methods- We used a population-based registry to identify patients diagnosed with a transient ischemic attack or stroke (hemorrhagic or ischemic) between 2003 and 2013 in Ontario, Canada. Hemispheric laterality was determined using radiological and clinical findings. We identified subsequent serious injuries involving the patient as a driver using linked administrative data...
December 2018: Stroke; a Journal of Cerebral Circulation
Kenneth J Hunt, Helder Pereira, Judas Kelley, Nicholas Anderson, Richard Fuld, Todd Baldini, Pam Kumparatana, Pieter D'Hooghe
BACKGROUND: Acute inversion ankle sprains are among the most common musculoskeletal injuries. Higher grade sprains, including anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) injury, can be particularly challenging. The precise effect of CFL injury on ankle instability is unclear. HYPOTHESIS: CFL injury will result in decreased stiffness, decreased peak torque, and increased talar and calcaneal motion and will alter ankle contact mechanics when compared with the uninjured ankle and the ATFL-only injured ankle in a cadaveric model...
December 20, 2018: American Journal of Sports Medicine
Özkan Köse, Adil Turan, Baver Acar, Melih Unal, Hasan May
Anterior talofibular ligament (ATFL) injuries can occur in three different distinct patterns; rupture of the ligament as a pure soft tissue injury, an avulsion fracture at the ATFL's attachment to the either fibula or talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to ED. Fixation of the fragment resulted with excellent functional outcome without a residual instability...
December 5, 2018: Foot
Uffe Laessoe, Anne Weinreich Svendsen, Mads Norre Christensen, Jacob Rosenkrans Rasmussen, Alexander Scharf Gaml
OBJECTIVES: Ankle sprains often lead to a history of recurrent injuries and functional joint instability. This study evaluated a new method for assessing functional impairment in patients with chronic ankle instability. DESIGN: Case-control study for construct validation purpose. SETTING: The participants were tested during one-leg standing for 20 s on an instrumented wobble board and on a balance platform. PARTICIPANTS: Twenty-five young people with previous ankle sprain and an instability score >11 in the "Identification of Functional Ankle Instability questionnaire" and an age-matched control group of 25 healthy individuals...
December 8, 2018: Physical Therapy in Sport
Jordan A Gruskay, Christopher M Brusalis, Madison R Heath, Peter D Fabricant
PURPOSE OF REVIEW: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and treatment for lateral ankle instability in pediatric patients. RECENT FINDINGS: Chronic ankle instability is a common sequela of lateral ankle sprain in young athletes. Incidence is increasing, possibly due in part to inadequate treatment of first-time ankle sprains, as well as increased youth participation in organized and competitive sports. The anterior talofibular ligament (ATFL) is injured in every case, whereas the calcaneofibular ligament (CFL) and syndesmosis may be involved in severe cases...
February 2019: Current Opinion in Pediatrics
Matt Hausmann, Jacob Ober, Adam S Lepley
CLINICAL SCENARIO: Ankle sprains are the most prevalent athletic related musculoskeletal injury treated by athletic trainers, often affecting activities of daily living and delaying return to play.1 Most of these cases present with pain and swelling in the ankle, resulting in decreased range of motion and strength deficits.1 Due to these impairments, proper treatment is necessary to avoid additional loss of play and prevent future injuries. Recently, there has been an increased use of deep oscillation therapy by clinicians to manage pain and swelling following a variety of injuries, including ankle sprains...
December 11, 2018: Journal of Sport Rehabilitation
Christopher J Burcal, Michelle A Sandrey, Tricia Hubbard-Turner, Patrick O McKeon, Erik A Wikstrom
OBJECTIVES: Balance training typically features as a central component of exercise-based rehabilitation programs for patients with lateral ankle sprain and chronic ankle instability (CAI). The purpose of this study was to conduct a responder/non-responder analysis using existing data to identify factors associated with improvements in dynamic balance performance in CAI patients. DESIGN: Secondary data analysis. METHODS: Data was used from 73 CAI patients who participated in 6 previous investigations that used the same balance training program...
November 15, 2018: Journal of Science and Medicine in Sport
Cody Mansfield, Lucas VanEtten, Richard Willy, Stephanie Di Stasi, Robert Magnussen, Matthew Briggs
STUDY DESIGN: Systematic review with meta-analysis. BACKGROUND: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear. OBJECTIVE: Evaluate the evidence regarding the comparative effects of needling on muscle force production. METHODS: An electronic search was performed using keywords related to needling. Methodological quality of articles was appraised and effect sizes calculated...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
Masafumi Terada, Nathan Johnson, Kyle Kosik, Phillip Gribble
PURPOSE: This study aimed to quantify differences in white matter microstructure and static postural control in individuals with and without a previous history of a lateral ankle sprain. METHODS: Ten participants with a history of a lateral ankle sprain and 10 controls performed 3, 20-second trials of single-leg static balance on a force platform under an eyes-open condition. Resultant sample entropy (SampEn) was used to assess static postural control performance...
November 21, 2018: Medicine and Science in Sports and Exercise
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