Acute Lateral Ankle Ligament Injuries: A Literature Review

Boruta, P; Bishop, John O.; Braly, W. Grant; Tullós, Hugh S.

doi:10.1177/107110079001100210

Cited by 141 publications

(54 citation statements)

References 58 publications

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“…An undisplaced Salter-Harris I physeal injury is likely since tears or ruptures of major ligaments are uncommon in childhood, and type-I injuries result from shearing and avulsion forces (Dias and Tachdjian 1978;Boruta et al 1990).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Assessment and Conservative Management of Inversion Injuries of the Ankle in Children

Gleeson¹,

Stuart²,

Wilson³

et al. 1996

The Journal of Bone and Joint Surgery. British volume

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We studied 45 children who presented with an inversion injury of the ankle. The clinical signs suggested injury to the distal growth plate of the fibula, but the plain radiographs appeared normal. Ultrasound examination of the joint in 40 patients showed a subperiosteal haematoma consistent with a growth-plate injury in 23 (57.5%). Children who had been treated with a tubular bandage and crutches by random selection had a mean time to return of normal activity of 14.22 days compared with 21.60 days for those treated with a plaster-of-Paris cast (t = 3.60, p = 0.0032; d = 7.38, 95% CI 3.0 to 11.8).We conclude that children with inversion ankle injuries who have clinical signs of injury to the distal fibular growth plate but a normal radiological appearance, should be treated with a tubular bandage and crutches.

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Section: Discussionmentioning

confidence: 99%

Ultrasound Assessment and Conservative Management of Inversion Injuries of the Ankle in Children

Gleeson¹,

Stuart²,

Wilson³

et al. 1996

The Journal of Bone and Joint Surgery. British volume

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“…This consisted of a direct capsular reefing or repair of the anterior talofibular (ATF) ligament and the calcaneofibular (CF) ligaments, followed by mobilization and reattachment of the lateral portion of the extensor retinaculum to the tip of the fibula. This last step was Gould's modification, and was added: (1) to reinforce the ligament repair; (2) to limit inversion-the position of danger for reinjury; (3) and to help correct the subtalar component of the instability.…”

Section: Introductionmentioning

confidence: 99%

The Modified Brostrom Procedure for Lateral Ankle Instability

1993

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Twenty-eight ankles in twenty-seven patients (average age 28) underwent the Gould modification of the Brostrom repair for symptomatic lateral ankle instability. Fifty-four percent were high level professional ballet dancers, 35% were recreational athletes, and 11% were nonathletes. Follow-up averaged 64.3 months (range 30-132 months). Of the 28 operations performed, there were 26 excellent results, one good result, and one fair result. All the professional dancers obtained excellent results. There were no failures, stretch-outs, re-dos, or complications. This operation is believed to be an excellent choice for the dancer, athlete, or nonathlete who needs a stable ankle with a full range of plantarflexion and dorsiflexion and normal peroneal function.

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“…1 In soccer and basketball, the risk of ankle sprain is even higher, being 45% and 31% respectively. 2 Half of the general population has at least one ankle sprain during life.…”

mentioning

confidence: 99%

Dynamic force distribution during level walking under the feet of patients with chronic ankle instability

Nyska

2003

Br J Sports Med

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Objectives: To examine changes in the pattern of force transfer between the foot and the floor associated with chronically sprained ankles by measuring the peak forces and their timing under several regions of the feet during level walking. Methods: Twelve young male subjects (mean (SD) age 21 (2) years) with recurrent ankle sprains were studied. Seven of them had unilateral and bilateral chronic instability and laxity, and five had bilateral instability. Twelve healthy men (without orthopaedic or medical disease) served as a control group. Subjects walked at their own pace along a 7 m walkway, which included a Mini-EMED pressure distribution measuring system. The variables measured were relative peak force (fraction of body weight) and relative timing (fraction of stance time). These variables were measured under six regions of interest in each foot print: heel, midfoot, medial, central, and lateral forefoot, and toes. Results: (a) A significant delay to the time of peak force under the central and lateral forefoot and toes in subjects with chronic ankle instability. (b) A significant decrease in the relative forces under the heel and toes and an increase in the relative forces under the midfoot and lateral forefoot in subjects with chronic ankle instability. (c) In the patients with unilateral instability, there were no significant differences in any of the variables between the injured and non-injured foot. Conclusions: In patients with chronic ankle instability, there is a slowing down of weight transfer from heel strike to toe off, a reduced impact at the beginning and end of the stance phase, and a lateral shift of body weight.A nkle sprain is the most common injury in athletes and people participating in sport, representing 15-20% of all sport injuries.1 In soccer and basketball, the risk of ankle sprain is even higher, being 45% and 31% respectively.

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Acute Lateral Ankle Ligament Injuries: A Literature Review

Cited by 141 publications

References 58 publications

Ultrasound Assessment and Conservative Management of Inversion Injuries of the Ankle in Children

Ultrasound Assessment and Conservative Management of Inversion Injuries of the Ankle in Children

The Modified Brostrom Procedure for Lateral Ankle Instability

Dynamic force distribution during level walking under the feet of patients with chronic ankle instability

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