Predictive factors for ankle syndesmosis injury in football players: A prospective study

Sman, Amy D.; Hiller, Claire E.; Rae, Katherine; Linklater, James; Morellato, John; Trist, Nathan D.; Nicholson, Leslie L.; Black, Deborah; Refshauge, Kathryn M.

doi:10.1016/j.jsams.2013.12.009

Cited by 25 publications

(27 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We compared the findings for the experimental study with a historical cohort recruited for a previous study 4. This cohort was obtained from injured Rugby Union players in the 2011–2013 seasons of the Sydney Rugby Union Premiership, who were recruited with the same criteria and treated by the same physician (DJS or KR).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a single platelet-rich plasma injection to promote recovery in rugby players with ankle syndesmosis injury

Samra

Sman

Rae

et al. 2015

BMJ Open Sport Exerc Med

Self Cite

View full text Add to dashboard Cite

AimsTo determine whether a single ultrasound-guided platelet-rich plasma (PRP) injection into the anterior inferior tibiofibular ligament (AITFL) reduces the time for rugby athletes to return to function and match play following MRI confirmed ankle syndesmosis injury.MethodsCohort controlled pilot study. 10 Rugby Union players were recruited during the 2014 season, and consented to receive a single autologous PRP injection into the AITFL within 14 days of MRI confirmed ankle syndesmosis injury. A historical control group included 11 comparable Rugby Union players between 2011 and 2013 who were treated conservatively with the same inclusion criteria and rehabilitation protocol as the intervention group. Participants followed a standardised rehabilitation protocol involving simple milestones for progression. Early functional tests were performed 2 weeks after the removal of the CAM (controlled ankle motion) boot. Time to return to play was recorded. Repeat functional testing occurred within 1 week of return to play.ResultsGroups were comparable in anthropometrics, playing position and MRI injury severity. Time to return to play was significantly less in the intervention group (p=0.048). Following return to play, athletes in the intervention group showed higher agility (p=0.002) and vertical jump (p=0.001). There was a lower level of fear avoidance associated with rugby in the intervention group (p=0.014).ConclusionsThis pilot study shows that, following ankle syndesmosis injury, a single autologous PRP injection may accelerate safe and successful return to Rugby Union, with improved functional capacity and reduced fear avoidance. It demonstrates the feasibility of a randomised controlled trial to further assess this therapy.Trial registration numberANZCTRN12614000055606.

show abstract

Section: Methodsmentioning

confidence: 99%

Effectiveness of a single platelet-rich plasma injection to promote recovery in rugby players with ankle syndesmosis injury

Samra

Sman

Rae

et al. 2015

BMJ Open Sport Exerc Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…9 Although ankle injury is more common in collision sports, ankle sprains are frequently reported as the most common injury regardless of the type of athletic exposure. [7][8][9][10][11][12] The incidence of ankle sprains also varies with demographics. Ankle sprains are more common in younger age groups, 15 to 19 years of age, and specifically males.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

“…However, vertical jump distance and balance may play a role. 12 Additionally, in football, player position has been shown to have different rates of ankle injury. 9 PATHOANATOMY Unlike other joints in the body the tibiotalar joint is inherently stable given the complementing structures of the medial malleolus of the tibia and the medial shoulder of the talus.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

“…24 Recurrent injury to the syndesmosis in professional athletes has been reported to result in tibiofibular synostosis and/or heterotopic ossification leading to pain with impact activities and restricted range of motion. 12,24 The surrounding ligamentous support of the ankle joint is also crucial to adding stability to the joint. The anterior talofibular ligament (ATFL) prevents anterior translation of the talus relative to the tibia and is often the first structure injured during an ankle sprain.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

See 1 more Smart Citation

Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction

Dworak

Anderson

2016

Clinics in Sports Medicine

View full text Add to dashboard Cite

“…The other common injury after lateral ankle ligament sprain in football players is high ankle sprain or syndesmotic sprain. Up to 25% of all ankle injuries in football involve the ankle syndesmosis (Sman et al 2014). The offensive linemen are at risk to get this type of sprains.…”

Section: Footballmentioning

confidence: 99%

Ankle Injuries in Sports: Anatomical Considerations and Clinical Implications

Sah¹,

Ramli²,

Dass³

et al. 2016

View full text Add to dashboard Cite

ABSTRAK ABSTRACTAnkle injuries are commonly seen in various sports. The main aim of the present review was to highlight the normal anatomy of the ankle, mechanism of injuries related to sports, congenital abnormalities or anatomical variations related to ankle injury and discuss its effective management. A review of literature was done to determine the ankle injuries which occur as a result of various sports related activities. We documented all sports which involved injury to the ankle joint. The anatomy of various structures in the sole of foot and their involvement in injuries were discussed at length. The anatomical knowledge of ankle injury may be beneficial for future diagnosis and treatment purpose.

show abstract

Predictive factors for ankle syndesmosis injury in football players: A prospective study

Cited by 25 publications

References 24 publications

Effectiveness of a single platelet-rich plasma injection to promote recovery in rugby players with ankle syndesmosis injury

Effectiveness of a single platelet-rich plasma injection to promote recovery in rugby players with ankle syndesmosis injury

Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction

Ankle Injuries in Sports: Anatomical Considerations and Clinical Implications

Contact Info

Product

Resources

About