Skip to main content

Arthroscopic Repair of Chronic Ankle Instability

  • Chapter
  • First Online:
Book cover Minimally Invasive Surgery in Orthopedics

Abstract

Lateral ankle ligament sprains are some of the most common injuries encountered in the orthopedic office, occurring in an estimated 1/10,000 persons per day.1 These injuries can be seen in as many as 40% of all sports injuries.2 While the majority of acute ankle sprains heal reliably with activity modification and physical therapy/ankle rehabilitation, approximately 29–42% of patients experience chronic functional ankle instability.3 Functional lateral instability, as introduced by Freeman et al., describes a subjective complaint of giving way in the ankle joint.4 Tropp’s work further described this condition as motion beyond voluntary control, but not exceeding the physiologic range of motion.5 Mechanical instability is motion beyond the normal physiologic limits of the ankle joint. This is manifested as excessive anterolateral ankle laxity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Trevino SG, Davis P, Hecht PJ. Management of acute and chronic lateral ligament of the ankle. Orthop Clin North Am 1994;25:1–16

    CAS  PubMed  Google Scholar 

  2. Holmer P, Sondergaard L, Konradsen L, Nielsen PT, Jorgensen LN. Epidemiology of sprains in the lateral ankle and foot. Foot Ankle Int 1994;15:72–74

    CAS  PubMed  Google Scholar 

  3. Berlet GC, Anderson RB Davis WH. Chronic lateral ankle instability. Foot Ankle Clin 1999;4:(4): 713–728

    Google Scholar 

  4. Freeman MAR. Instability of the foot after injuries to the lateral ligament of the ankle. J Bone Joint Surg 1965;47B:669–676

    Google Scholar 

  5. Tropp H, Ekstrand J, Gillquist J. Stabilometry in functional instability of the ankle and its value in predicting injury. Med Sci Sports Exerc. 1984;16:64–66

    CAS  PubMed  Google Scholar 

  6. Colville MR, Marder RA, Boyle JJ, Zaring B. Strain measurement in lateral ankle ligaments. Am J Sports Med 1990;18:196–200

    Article  CAS  PubMed  Google Scholar 

  7. Johnson EE, Markolf KL. The contribution of the anterior talofibular ligament to ankle laxity. J Bone Joint Surg 1983;65:81–88

    CAS  PubMed  Google Scholar 

  8. Taga I, Shino K, Inoue M, Nakata K, Maeda A. Articular cartilage lesions in ankles with lateral ligament injury. An arthroscopic study. Am J Sports Med 1993;21(1):120–126

    Article  CAS  PubMed  Google Scholar 

  9. Hintermann B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002;30(3):402–409

    PubMed  Google Scholar 

  10. Komenda GA, Ferkel RD. Arthroscopic findings associated with the unstable ankle. Foot Ankle Int 1999;20(11):708–713

    CAS  PubMed  Google Scholar 

  11. Takao M, Uchio Y, Naito K, Fukazawa I, Ochi M. Arthroscopic assessment for intra-articular disorders in residual ankle disability after sprain. Am J Sports Med 2005;33(5):686–692 (Epub 2005 Feb 16)

    Article  PubMed  Google Scholar 

  12. Ryan AH, Lee TH, Berlet GC. Arthroscopic thermal assisted capsular shrinkage in anterolateral ankle instability: a retrospective review of 13 patients. AOFAS Annual Summer Meeting, Vail, CO, July 2000

    Google Scholar 

  13. Myers JB, Lephart SM, Bradley JP, et al. Proprioception following thermal capsulorrhaphy. AAOS Annual Meeting, San Francisco, CA, 2001

    Google Scholar 

  14. Arnoczky SP, Aksan A. Thermal modification of connective tissues: basic science considerations and clinical implications. J Am Acad Orthop Surg 2000;8:305–13

    CAS  PubMed  Google Scholar 

  15. Leyes M, Hersch J, Sferra J. Arthroscopic identification of the anterior talofibular ligament. AOSSM, Orlando, FL, July 2002

    Google Scholar 

  16. Berlet GC, Saar WE, Ryan A, et al. Thermal-assisted capsular modification for functional ankle instability. Foot Ankle Clin 2002;7:567–76

    Article  CAS  PubMed  Google Scholar 

  17. Orecchio A. “Running Start,” Study reports heat shrinkage technique for ankle instability. Biomechanics April 2000, 14–15

    Google Scholar 

  18. Berlet GC, Raissi A, Lee TH. Thermal capsular modification for chronic lateral ankle instability, AOFAS Annual Summer Meeting, Traverse City, MI, July 2002

    Google Scholar 

  19. Fanton GS. Thermal ankle stabilization – clinical Update 2002. AOSSM Annual Meeting, Orlando, FL, July 2002

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gregory C. Berlet .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Maurus, P.B., Berlet, G.C. (2010). Arthroscopic Repair of Chronic Ankle Instability. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_43

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-76608-9_43

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76607-2

  • Online ISBN: 978-0-387-76608-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics