Anatomical risk factors of lateral ankle sprain in adolescent athletes: A prospective cohort study

Saki, Forough; Yalfani, Ali; Fousekis, Konstantinos; Sodejani, Sajad Heydari; Ramezani, Farzaneh

doi:10.1016/j.ptsp.2020.12.009

Cited by 16 publications

(13 citation statements)

References 70 publications

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“…Therefore 16 articles were ultimately able to satisfy the inclusion criteria of the meta-analysis (Fig. 1 ) [ 16 – 21 , 39 – 48 ]. These included studies were published between 2001 and 2021.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies reported any ankle sprain [ 18 , 20 , 32 , 39 , 40 , 45 ], six studies reported lateral ankle sprains only [ 21 , 41 , 44 , 46 – 48 ], three studies reported non-contact ankle sprains only [ 17 , 19 , 43 ], and one study investigated non-contact lateral ankle sprains only [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…In general, a low risk of bias was detected for studies included in this review. Specifically, low risk of bias was found in 11 studies (68.75%) [ 18 – 21 , 40 – 46 ] and high risk of bias in 5 studies (31.25%) [ 16 , 17 , 39 , 47 , 48 ]. The authors were able to reach complete consensus in the assessment of risk of bias.…”

Section: Resultsmentioning

confidence: 99%

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Intrinsic Risk Factors for Ankle Sprain Differ Between Male and Female Athletes: A Systematic Review and Meta-Analysis

et al. 2022

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Background Ankle sprains remain prevalent across most team sports. However, despite divergent ankle sprain injury rates in male and female athletes, little is known about potential sex-specific risk factors for ankle sprain. Objective To systematically investigate the sex-specific risk factors for ankle sprain. Methods Combinations of the key terms were entered into PubMed, Web of Science, Embase and Cochrane Library databases, and prospective studies reporting ankle sprain risk factors in males or females were included for meta-analysis. Results Sixteen studies were eligible for inclusion, for a total of 3636 athletes (735 female) and 576 ankle sprains (117 female). Out of 21 prognostic factors, previous ankle sprain injury (odds ratio = 2.74, P < .001), higher body mass index (SMD = 0.50, P < 0.001), higher weight (SMD = 0.24, P = 0.02), lower isometric hip abduction strength (SMD = − 0.52, P < 0.0001) and lower dynamic balance performance (SMD = − 0.48 to − 0.22, P < 0.001–0.04) were identified as risk factors in male athletes. In female athletes, out of 18 factors eligible for meta-analysis, only lower concentric dorsiflexion strength was identified as a risk factor (SMD = − 0.48, P = 0.005). Conclusion This meta-analysis provides novel evidence for different risk factor profiles for ankle sprain injuries between female and male athletes. Further studies, particularly in female athletes, are needed to strengthen the evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Intrinsic Risk Factors for Ankle Sprain Differ Between Male and Female Athletes: A Systematic Review and Meta-Analysis

et al. 2022

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“…The navicular bone is the most important part of the arch of the foot, forming part of the midfoot—specifically by forming the talonavicular joint [ 12 ]. Navicular height is used as a risk factor in multiple pathologies, such as medial tibial stress [ 13 ], patellofemoral pain [ 14 ], posterior tibial dysfunction [ 15 ], plantar fasciitis [ 16 ], and ankle sprain [ 17 ]. Additional considered factors in lateral sprains include an oversupinated foot and a calcaneus varus position [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in the Kinematics of Midfoot and Rearfoot Joints with the Use of Lateral Wedge Insoles

Gómez-Carrión

Arratibe

Lozano

et al. 2022

JCM

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The lateral wedge insole (LWI) is a typical orthopedic treatment for medial knee osteoarthritis pain, chronic ankle instability, and peroneal tendon disorders. It is still unknown what the effects are in the most important joints of the foot when using LWIs as a treatment for knee and ankle pathologies. Objectives: The aim of this study was to determine the influence of LWIs on the position of the midfoot and rearfoot joints by measuring the changes using a tracking device. Methods: The study was carried out with a total of 69 subjects. Movement measurements for the midfoot were made on the navicular bone, and for the rearfoot on the calcaneus bone. The Polhemus system was used, with two motion sensors fixed to each bone. Subjects were compared by having them use LWIs versus being barefoot. Results: There were statistically significant differences in the varus movement when wearing a 4 mm LWI (1.23 ± 2.08°, p < 0.001) versus the barefoot condition (0.35 ± 0.95°), and in the plantarflexion movement when wearing a 4 mm LWI (3.02 ± 4.58°, p < 0.001) versus the barefoot condition (0.68 ± 1.34°), in the midfoot. There were also statistically significant differences in the valgus movement when wearing a 7 mm LWI (1.74 ± 2.61°, p < 0.001) versus the barefoot condition (0.40 ± 0.90°), and in the plantar flexion movement when wearing a 4 mm LWI (2.88 ± 4.31°, p < 0.001) versus the barefoot condition (0.35 ± 0.90°), in the rearfoot. Conclusions: In the navicular bone, a varus, an abduction, and plantar flexion movements were generated. In the calcaneus, a valgus, an adduction, and plantar flexion movements were generated with the use of LWIs.

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“…Rearfoot varus has been reported as a risk factor for CAI [ 8 ], and is considered to contribute to biomechanical changes such as increased ankle inversion and lateral deviation of COP during dynamic tasks [ 9 , 10 ]. In addition, increased navicular drop [ 11 ] and posterior deviation of the fibula [ 12 ] have been reported as potential risk factors for ankle sprain, although the results have been inconsistent among individuals with CAI [ 13 – 16 ]. Furthermore, the anterior talofibular ligament injury contributes to changes in cartilage loading in the ankle joint by altering talar alignment [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review

Kobayashi

Koshino

Miki³

2021

BMC Musculoskelet Disord

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Background To prevent recurrent ankle sprain, it is important to clarify the pathology of chronic ankle instability (CAI). An association has been reported between CAI and abnormalities of foot posture and ankle alignment. There is no consensus on the types of these abnormalities that occur in individuals with CAI. The objective of this systematic review is to clarify the relevance of abnormality of foot posture and ankle alignment for CAI. Methods A systematic computerized literature search was performed of the PubMed, CINAHL, SPORTDiscus, Web of Science, and the Cochrane Register of Clinical Trials databases. The selected studies either compared CAI patients with a control group or CAI ankles with contralateral healthy ankles and specifically reported foot posture and alignment of the ankle in the outcomes. They were written in English and published prior to June 2021. The methodological quality of the included studies was evaluated using a 16-question index. Data were extracted independently by two reviewers, and the certainty of evidence was assessed using GRADE approach. Results Sixteen studies including 872 patients of high to low methodological quality were included. These showed there was significant anterior displacement and internal rotation of the talus in CAI ankles (low evidence), but there was no consensus on fibular alignment or foot posture. Conclusions This review showed there was significant anterior displacement and internal rotation of the talus in CAI ankles but found no consensus on the characteristics of fibular and foot alignment. Further investigations are required to clarify the characteristic foot and ankle malalignment in CAI to facilitate the development of efficient interventions.

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Anatomical risk factors of lateral ankle sprain in adolescent athletes: A prospective cohort study

Cited by 16 publications

References 70 publications

Intrinsic Risk Factors for Ankle Sprain Differ Between Male and Female Athletes: A Systematic Review and Meta-Analysis

Intrinsic Risk Factors for Ankle Sprain Differ Between Male and Female Athletes: A Systematic Review and Meta-Analysis

Changes in the Kinematics of Midfoot and Rearfoot Joints with the Use of Lateral Wedge Insoles

Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review

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