Chronic Lateral Ankle Instability in Highly Active Patients: A Treatment Algorithm Based on the Arthroscopic Assessment of the Calcaneofibular Ligament

Triantafyllopoulos, Ioannis Κ.; Economopoulos, Dimitrios; Panagopoulos, Andreas; Niekerk, L. van

doi:10.7759/cureus.14310

Cited by 5 publications

(6 citation statements)

References 27 publications

(13 reference statements)

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“…29 Moreover, as the peroneal muscle acts to protect the ligament and joint upon ankle inversion, the strength and function recovery leads to an improved control during ankle eversion and inversion. 27,28,29 Based on this, the 30 o /sec inversion and eversion improvements in the isokinetic muscular strength in this study were thought to be the result of the early ARE program. Our results also concurred with previous studies.…”

Section: Discussionmentioning

confidence: 79%

“…26,27 While the agonist muscles for the ankle inversion and eversion are categorized into the peroneal muscle and tibialis posterior muscle, the former is characteristically weaker than the latter structurally. 28 The most important function of the peroneal muscle is its role in ankle eversion, but it also has a regulatory function to prevent hyperinversion upon ankle inversion. 29 Moreover, as the peroneal muscle acts to protect the ligament and joint upon ankle inversion, the strength and function recovery leads to an improved control during ankle eversion and inversion.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Accelerated Rehabilitation Exercise After Mbo on Ankle Function and Strength in Ankle Instability

Rhyu

Hong

Rhi

2023

Rev Bras Med Esporte

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Background: Taekwondo athletes with lateral chronic ankle instability (LCAI) may experience difficulties with proprioception and ankle muscle strength. After surgery, a conventional rehabilitation exercise program can be ineffective, as it may not restore proprioception or muscle strength and, thus, result in minimal improvement. Objective: This study aimed to assess the effects of an ARE program following MBO on the proprioception, isokinetic strength, and endurance of ankle. Methods: Thirty athletes diagnosed with LCAI underwent MBO. They were divided into the ARE group (n=15) and the control group (CON, n=15). The ARE group performed early ARE exercises six times per week for 4 weeks. The parameters applied to test ankle muscle strength were angular speed of 30°/sec and 180°/sec (inversion: Inv. and eversion: Eve., respectively). Proprioception was measured as being able to sense a joint position of 15° of Inv. and 5° of Eve. Results: Significant differences were observed between the ARE and CON groups in ankle strength 30°/sec (Inv.: p<0.001, Eve.: p<0.001), 180°/sec (Inv.: p<0.001, Eve.: p<0.001), and proprioception at 15° (Inv.: p<0.001) and 5° (Eve.: p<0.001). Conclusions: We recorded significant short-term effects from early ARE in Taekwondo athletes with LCAI after MBO. The results provide reference data for the sports rehabilitator or ATC in evaluating the rehabilitation phase and informing patients about expectations after MBO in terms of performance status and the timing of return to sports. Level of evidence III; Therapeutic studies–Investigation of treatment outcomes - Case-control Study.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Effects of Accelerated Rehabilitation Exercise After Mbo on Ankle Function and Strength in Ankle Instability

Rhyu

Hong

Rhi

2023

Rev Bras Med Esporte

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“…Os músculos agonistas da inversão e eversão do tornozelo, fibular e tibial posterior, diferem quanto à força, sendo o primeiro estruturalmente mais fraco. 28 A função mais importante do músculo fibular é seu papel na eversão do tornozelo, mas também tem função reguladora para prevenir a hiperinversão do tornozelo. 29 Além disso, como o músculo fibular protege o ligamento e a articulação na inversão do tornozelo, a recuperação da força e da função leva ao melhor controle durante a eversão e inversão do tornozelo.…”

Section: Discussionunclassified

“…29 Além disso, como o músculo fibular protege o ligamento e a articulação na inversão do tornozelo, a recuperação da força e da função leva ao melhor controle durante a eversão e inversão do tornozelo. 27,28,29 Com base nisso, a melhora na força muscular isocinética de inversão e eversão de 30 o /s foram consideradas o resultado do programa ERA precoce. Nossos resultados estão de acordo com os de estudos anteriores.…”

Section: Discussionunclassified

Efeitos Do Exercício De Reabilitação Acelerada Depois De TBM Sobre a Função E a Força Na Instabilidade Do Tornozelo

Rhyu

Hong

Rhi

2023

Rev Bras Med Esporte

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RESUMO Introdução: Os atletas de taekwondo com instabilidade lateral crônica do tornozelo (ILCT) podem apresentar dificuldades com propriocepção e força muscular do tornozelo. Depois da cirurgia, um programa de exercícios de reabilitação convencional pode ser ineficaz, porque a propriocepção ou a força muscular podem não se restaurar e, portanto, resultar em melhora mínima. Objetivos: Este estudo teve como objetivo avaliar os efeitos de um programa de ERA depois de TBM sobre a propriocepção, força isocinética e resistência do tornozelo. Métodos: Trinta atletas com diagnóstico de ILCT foram submetidos à TBM. Eles foram divididos em grupo ERA (n=15) e grupo controle CON (n = 15). O grupo ERA realizou exercícios ERA precoces seis vezes por semana durante 4 semanas. Os parâmetros aplicados para testar a força muscular do tornozelo foram velocidade angular de 30°/s e 180°/s (inversão: Inv e eversão: Eve, respectivamente). A propriocepção foi medida pela capacidade de sentir a posição articular de 15° de Inv e 5° de Eve Resultados: Foram observadas diferenças significativas entre os grupos ERA e CON na força do tornozelo 30°/s (Inv: p < 0,001, Eve: p < 0,001), 180°/s (Inv: p < 0,001, Eve: p < 0,001), e propriocepção a 15° (Inv: p < 0,001) e 5° (Eve: p < 0,001). Conclusões: Registramos efeitos de curto prazo significativos com ERA precoce em atletas de taekwondo com ILCT depois da TBM. Os resultados fornecem dados de referência para o reabilitador esportivo ou ATC (Certified athletic trainer) na avaliação da fase de reabilitação e informar os pacientes sobre as expectativas depois da TBM em termos de condições de desempenho e momento de retorno ao esporte. Nível de evidência III; Estudos terapêuticos – Investigação dos resultados do tratamento - Estudo de caso-controle.

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“…Because the fibula extends farther to the lateral ankle than to the medial ankle, the range of varus is larger than that of valgus. Therefore, varus sprain is more common[ 8 ], accounting for 73% of lateral ligament injuries to the entire ankle joint[ 2 ] and 85% of total ankle sprains[ 16 ]. When an acute injury to the ATFL occurs in varus, the ankle joint is in a state of excessive metatarsal flexion or back extension.…”

Section: Pathogenesismentioning

confidence: 99%

Progress in diagnosis and treatment of acute injury to the anterior talofibular ligament

Chen¹,

Wang²,

Li³

et al. 2023

World J Clin Cases

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Injury to the anterior talofibular ligament (ATFL) is a common acute injury of the lateral foot ligament. Untimely and improper treatment significantly affects the quality of life and rehabilitation progress of patients. The purpose of this paper is to review the anatomy and the current methods of diagnosis and treatment of acute injury to the ATFL. The clinical manifestations of acute injury to the ATFL include pain, swelling, and dysfunction. At present, non-surgical treatment is the first choice for acute injury of the ATFL. The standard treatment strategy involves the “peace and love” principle. After initial treatment in the acute phase, personalized rehabilitation training programs can be followed. These may involve proprioception training, muscle training, and functional exercise to restore limb coordination and muscle strength. Static stretching and other techniques to loosen joints, acupuncture, moxibustion massage, and other traditional medical treatments can relieve pain, restore range of motion, and prevent joint stiffness. If the non-surgical treatment is not ideal or fails, surgical treatment is feasible. Currently, arthroscopic anatomical repair or anatomical reconstruction surgery is commonly used in clinical practice. Although open Broström surgery provides good results, the modified arthroscopic Broström surgery has many advantages, such as less trauma, rapid pain relief, rapid postoperative recovery, and fewer complications, and is more popular with patients. In general, when treating acute injury to the ATFL, treatment management and methods should be timely and reasonably arranged according to the specific injury scenario and attention should be paid to the timely combination of multiple therapies to achieve the best treatment results.

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Chronic Lateral Ankle Instability in Highly Active Patients: A Treatment Algorithm Based on the Arthroscopic Assessment of the Calcaneofibular Ligament

Cited by 5 publications

References 27 publications

Effects of Accelerated Rehabilitation Exercise After Mbo on Ankle Function and Strength in Ankle Instability

Effects of Accelerated Rehabilitation Exercise After Mbo on Ankle Function and Strength in Ankle Instability

Efeitos Do Exercício De Reabilitação Acelerada Depois De TBM Sobre a Função E a Força Na Instabilidade Do Tornozelo

Progress in diagnosis and treatment of acute injury to the anterior talofibular ligament

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