Concurrent Pathology and Ankle Instability

Pereira, Hélder; D’Hooghe, Pieter; Hunt, Kenneth J.; Kynsburg, Ákos; Castro, A. Pereira de; Jones, Henrique

doi:10.1007/978-3-662-62763-1_38

Cited by 1 publication

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“…It has been associated with early developing osteoarthrosis. 12 Patients with chronic lateral ankle instability may develop rotatory ankle instability, secondary to a combination of lateral and medial lesions, usually after a long history of lateral ankle symptoms. [35][36][37] It is defined as an abnormal increase of talar rotation within the tibiofibular mortise due to ATFL deficiency, combined with CFL and deltoid ligament injuries.…”

Section: Lesions and Patterns Of Injuriesmentioning

confidence: 99%

mentioning

confidence: 99%

“…Complications of acute ankle sprains are chronic pain, instability, impingement syndromes, peroneal tendon injury, posterior tibialis injuries, osteochondral talus lesions, and ultimately early osteoarthritis (OA). [10][11][12] The initial imaging evaluation of ankle instability surgery is radiographs, anteroposterior (AP), mortise, and lateral views, but they have limitations regarding soft tissue evaluation. MRI allows depiction of the full spectrum of injuries.…”

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confidence: 99%

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Sprains are the most frequent injuries of the ankle, especially in sports. Up to 85% of cases affect the lateral ligament complex. Multi-ligament injuries with associated lesions of the external complex, deltoid, syndesmosis, and sinus tarsi ligaments are also common. Most ankle sprains respond to conservative treatment. However, up to 20 to 30% of patients can develop chronic ankle pain and instability.New concepts have been recently developed, based on arthroscopic advances, such as microinstability and rotatory ankle instability. These entities could be precursors of mechanical ankle instability and at the origin of frequently associated ankle injuries, such as peroneus tendon lesions, impingement syndromes, or osteochondral lesions.Imaging methods, especially magnetic resonance (MR) imaging and MR arthrography, are key in precisely diagnosing ligament lesions and associated injuries, facilitating an adequate therapeutic approach.

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