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Management of Chronic Ankle Instability in the Handball Player

  • Pietro Spennacchio
  • Mike Carmont
  • Pieter D’Hooghe
  • Jon Karlsson
  • Manuel J. Pellegrini
  • Hélder Pereira
Chapter

Abstract

Handball is a fast contact sport, resulting in high loading forces to both the upper and the lower limbs, leading to both acute and chronic injuries. Surveys from international and national multisport events have shown handball to be among those with the highest injury rate [1–3].

References

  1. 1.
    Aman M, Forssblad M, Henriksson-Larsen K. Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scand J Med Sci Sports. 2016;26(4):451–62.CrossRefGoogle Scholar
  2. 2.
    Nielsen AB, Yde J. An epidemiologic and traumatologic study of injuries in handball. Int J Sports Med. 1988;9(5):341–4.CrossRefGoogle Scholar
  3. 3.
    Seil R, Rupp S, Tempelhof S, Kohn D. Sports injuries in team handball. A one-year prospective study of sixteen men’s senior teams of a superior nonprofessional level. Am J Sports Med. 1998;26(5):681–7.CrossRefGoogle Scholar
  4. 4.
    Kristianslund E, Krosshaug T. Comparison of drop jumps and sport-specific sidestep cutting: implications for anterior cruciate ligament injury risk screening. Am J Sports Med. 2013;41(3):684–8.CrossRefGoogle Scholar
  5. 5.
    Lindner M, Kotschwar A, Zsoldos RR, Groesel M, Peham C. The jump shot—a biomechanical analysis focused on lateral ankle ligaments. J Biomech. 2012;45(1):202–6.CrossRefGoogle Scholar
  6. 6.
    D’Hooge P, Giza E, Longo G. Torn ankle ligaments in elite handball: Does a player require surgery?. http://www.aspetar.com/journal/viewarticle.aspx?id=144#.WaRxQMa8rcs.
  7. 7.
    Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94.CrossRefGoogle Scholar
  8. 8.
    Langevoort G, Myklebust G, Dvorak J, Junge A. Handball injuries during major international tournaments. Scand J Med Sci Sports. 2007;17(4):400–7.Google Scholar
  9. 9.
    Bere T, Alonso JM, Wangensteen A, Bakken A, Eirale C, Dijkstra HP, et al. Injury and illness surveillance during the 24th men’s Handball World Championship 2015 in Qatar. Br J Sports Med. 2015;49(17):1151–6.CrossRefGoogle Scholar
  10. 10.
    Fong DT, Ha SC, Mok KM, Chan CW, Chan KM. Kinematics analysis of ankle inversion ligamentous sprain injuries in sports: five cases from televised tennis competitions. Am J Sports Med. 2012;40(11):2627–32.CrossRefGoogle Scholar
  11. 11.
    Kristianslund E, Bahr R, Krosshaug T. Kinematics and kinetics of an accidental lateral ankle sprain. J Biomech. 2011;44(14):2576–8.CrossRefGoogle Scholar
  12. 12.
    Brostroem L. Sprained ankles. I. Anatomic lesions in recent sprains. Acta Chir Scand. 1964;128:483–95.PubMedGoogle Scholar
  13. 13.
    Baumhauer JF, O’Brien T. Surgical considerations in the treatment of ankle instability. J Athl Train. 2002;37(4):458–62.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Lynch SA. Assessment of the injured ankle in the athlete. J Athl Train. 2002;37(4):406–12.PubMedPubMedCentralGoogle Scholar
  15. 15.
    Brostroem L. Sprained ankles V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand. 1966;132(5):537–50.Google Scholar
  16. 16.
    Michels F, Pereira H, Calder J, Matricali G, Glazebrook M, Guillo S, et al. Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert. Knee Surg Sports Traumatol Arthrosc. 2017.  https://doi.org/10.1007/s00167-017-4556-0.
  17. 17.
    Kerkhoffs GM, van den Bekerom M, Elders LA, van Beek PA, Hullegie WA, Bloemers GM, et al. Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med. 2012;46(12):854–60.CrossRefGoogle Scholar
  18. 18.
    White WJ, McCollum GA, Calder JD. Return to sport following acute lateral ligament repair of the ankle in professional athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1124–9.CrossRefGoogle Scholar
  19. 19.
    Hunt KJ, Fuld RS, Sutphin BS, Pereira H, D’Hooghe P. Return to sport following lateral ankle ligament repair is under-reported: a systematic review. J ISAKOS. 2017.  https://doi.org/10.1136/jisakos-2016-000064.
  20. 20.
    de Vries JS, Krips R, Sierevelt IN, Blankevoort L. Interventions for treating chronic ankle instability. Cochrane Database Syst Rev. 2011;(8):CD004124. Doi: 10.1002/14651858.CD004124.pub3.Google Scholar
  21. 21.
    Doherty C, Bleakley C, Delahunt E, Holden S. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. Br J Sports Med. 2017;51(2):113–25.CrossRefGoogle Scholar
  22. 22.
    Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364–75.PubMedPubMedCentralGoogle Scholar
  23. 23.
    McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35(2):103–8.CrossRefGoogle Scholar
  24. 24.
    de Vries JS, Krips R, Sierevelt IN, Blankevoort L, van Dijk CN. Interventions for treating chronic ankle instability. Cochrane Database Syst Rev. 2011;CD004124. Doi: 10.1002/14651858.CD004124.pub38.Google Scholar
  25. 25.
    Karlsson J, Bergsten T, Lansinger O, Peterson L. Surgical treatment of chronic lateral instability of the ankle joint. A new procedure. Am J Sports Med. 1989;17(2):268–73; discussion 273-264.CrossRefGoogle Scholar
  26. 26.
    Vuurberg G, Veen OC, Pereira H, Blankevoort L, van Dijk CN. Tenodesis reconstruction in patients with chronic lateral ankle instability is associated with a high risk of complications compared with anatomic repair and reconstruction: a systematic review and meta-analysis. J ISAKOS. 2017.  https://doi.org/10.1136/jisakos-2016-000121.
  27. 27.
    Pereira H, Vuurberg G, Gomes N, Oliveira JM, Ripoll PL, Reis RL, et al. Arthroscopic repair of ankle instability with all-soft knotless anchors. Arthrosc Tech. 2016;5(1):e99–e107.CrossRefGoogle Scholar
  28. 28.
    Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1003–6.CrossRefGoogle Scholar
  29. 29.
    Vega J, Golano P, Pellegrino A, Rabat E, Pena F. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int. 2013;34(12):1701–9.CrossRefGoogle Scholar
  30. 30.
    Gould N, Seligson D, Gassman J. Early and late repair of lateral ligament of the ankle. Foot Ankle. 1980;1(2):84–9.CrossRefGoogle Scholar
  31. 31.
    Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am. 1988;70(4):581–8.CrossRefGoogle Scholar
  32. 32.
    Pearce CJ, Tourne Y, Zellers J, Terrier R, Toschi P, Silbernagel KG, et al. Rehabilitation after anatomical ankle ligament repair or reconstruction. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1130–9.CrossRefGoogle Scholar
  33. 33.
    Coughlin MJ, Schenck RC Jr, Grebing BR, Treme G. Comprehensive reconstruction of the lateral ankle for chronic instability using a free gracilis graft. Foot Ankle Int. 2004;25(4):231–41.CrossRefGoogle Scholar
  34. 34.
    Takao M, Oae K, Uchio Y, Ochi M, Yamamoto H. Anatomical reconstruction of the lateral ligaments of the ankle with a gracilis autograft: a new technique using an interference fit anchoring system. Am J Sports Med. 2005;33(6):814–23.CrossRefGoogle Scholar
  35. 35.
    Okuda R, Kinoshita M, Morikawa J, Jotoku T, Abe M. Reconstruction for chronic lateral ankle instability using the palmaris longus tendon: is reconstruction of the calcaneofibular ligament necessary? Foot Ankle Int. 1999;20(11):714–20.CrossRefGoogle Scholar
  36. 36.
    Song B, Li C, Chen N, Chen Z, Zhang Y, Zhou Y, et al. All-arthroscopic anatomical reconstruction of anterior talofibular ligament using semitendinosus autografts. Int Orthop. 2017;41(5):975–82.CrossRefGoogle Scholar
  37. 37.
    Guillo S, Takao M, Calder J, Karlson J, Michels F, Bauer T, et al. Arthroscopic anatomical reconstruction of the lateral ankle ligaments. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):998–1002.CrossRefGoogle Scholar
  38. 38.
    Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30(3):213–7.CrossRefGoogle Scholar
  39. 39.
    Matsui K, Burgesson B, Takao M, Stone J, Guillo S, Glazebrook M, et al. Minimally invasive surgical treatment for chronic ankle instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1040–8.CrossRefGoogle Scholar
  40. 40.
    Matsui K, Takao M, Miyamoto W, Matsushita T. Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle. Arch Orthop Trauma Surg. 2016;136(1):93–100.CrossRefGoogle Scholar
  41. 41.
    Yeo ED, Lee KT, Sung IH, Lee SG, Lee YK. Comparison of all-inside arthroscopic and open techniques for the modified Brostrom procedure for ankle instability. Foot Ankle Int. 2016;37(10):1037–45.CrossRefGoogle Scholar
  42. 42.
    Ferkel RD, Chams RN. Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int. 2007;28(1):24–31.CrossRefGoogle Scholar
  43. 43.
    Hintermann B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30(3):402–9.CrossRefGoogle Scholar
  44. 44.
    Acevedo JI, Mangone P. Arthroscopic brostrom technique. Foot Ankle Int. 2015;36(4):465–73.CrossRefGoogle Scholar
  45. 45.
    Lui TH. Modified arthroscopic Brostrom procedure with bone tunnels. Arthrosc Tech. 2016;5(4):e775–80.CrossRefGoogle Scholar
  46. 46.
    Prissel MA, Roukis TS. All-inside, anatomical lateral ankle stabilization for revision and complex primary lateral ankle stabilization: a technique guide. Foot Ankle Spec. 2014;7(6):484–91.CrossRefGoogle Scholar
  47. 47.
    Drakos MC, Behrens SB, Paller D, Murphy C, DiGiovanni CW. Biomechanical comparison of an open vs arthroscopic approach for lateral ankle instability. Foot Ankle Int. 2014;35(8):809–15.CrossRefGoogle Scholar
  48. 48.
    Golano P, Vega J, de Leeuw PA, Malagelada F, Manzanares MC, Gotzens V, et al. Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):944–56.CrossRefGoogle Scholar
  49. 49.
    Michels F, Cordier G, Burssens A, Vereecke E, Guillo S. Endoscopic reconstruction of CFL and the ATFL with a gracilis graft: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1007–14.CrossRefGoogle Scholar
  50. 50.
    Grossterlinden LG, Hartel M, Yamamura J, Schoennagel B, Burger N, Krause M, et al. Isolated syndesmotic injuries in acute ankle sprains: diagnostic significance of clinical examination and MRI. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1180–6.CrossRefGoogle Scholar
  51. 51.
    McCollum GA, van den Bekerom MP, Kerkhoffs GM, Calder JD, van Dijk CN. Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1328–37.CrossRefGoogle Scholar
  52. 52.
    van Dijk CN, Longo UG, Loppini M, Florio P, Maltese L, Ciuffreda M, et al. Classification and diagnosis of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1200–16.CrossRefGoogle Scholar
  53. 53.
    Amendola A, Williams G, Foster D. Evidence-based approach to treatment of acute traumatic syndesmosis (high ankle) sprains. Sports Med Arthrosc. 2006;14(4):232–6.CrossRefGoogle Scholar
  54. 54.
    Wright RW, Barile RJ, Surprenant DA, Matava MJ. Ankle syndesmosis sprains in national hockey league players. Am J Sports Med. 2004;32(8):1941–5.CrossRefGoogle Scholar
  55. 55.
    Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. 1998;19(10):653–60.CrossRefGoogle Scholar
  56. 56.
    Calder JD, Bamford R, Petrie A, McCollum GA. Stable versus unstable grade II high ankle sprains: a prospective study predicting the need for surgical stabilization and time to return to sports. Arthroscopy. 2016;32(4):634–42.CrossRefGoogle Scholar
  57. 57.
    Parlamas G, Hannon CP, Murawski CD, Smyth NA, Ma Y, Kerkhoffs GM, et al. Treatment of chronic syndesmotic injury: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(8):1931–9.CrossRefGoogle Scholar
  58. 58.
    Grass R, Rammelt S, Biewener A, Zwipp H. Peroneus longus ligamentoplasty for chronic instability of the distal tibiofibular syndesmosis. Foot Ankle Int. 2003;24(5):392–7.CrossRefGoogle Scholar
  59. 59.
    van den Bekerom MP, de Leeuw PA, van Dijk CN. Delayed operative treatment of syndesmotic instability. Current concepts review. Injury. 2009;40(11):1137–42.CrossRefGoogle Scholar
  60. 60.
    van Dijk CN. Syndesmotic injuries. Tech Foot Ankle Surg. 2006;5(1):34–7.CrossRefGoogle Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  • Pietro Spennacchio
    • 1
  • Mike Carmont
    • 2
  • Pieter D’Hooghe
    • 3
  • Jon Karlsson
    • 4
  • Manuel J. Pellegrini
    • 5
  • Hélder Pereira
    • 6
    • 7
    • 8
  1. 1.Clinique du Sport, Centre Hospitalier LuxembourgLuxembourgLuxembourg
  2. 2.Department of Trauma and Orthopaedic SurgeryPrincess Royal Hospital, Shrewsbury and Telford Hospital NHS TrustShropshireUK
  3. 3.Department of Orthopaedic SurgeryAspetar - Orthopaedic and Sports Medicine Hospital, Aspire ZoneDohaQatar
  4. 4.Department of OrthopaedicsSahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg UniversityGothenburgSweden
  5. 5.Department of Orthopaedic Surgery, Faculty of MedicineUniversidad de ChileSantiagoChile
  6. 6.Ripoll y De Prado Sports Clinic, Murcia-Madrid FIFA Medical Centre of ExcellenceMurciaSpain
  7. 7.Orthopedic Department of Póvoa de Varzim—Vila do CondePóvoa de VarzimPortugal
  8. 8.ICVS/3 Bs—Associate LaboratoryMinho UniversityBragaPortugal

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