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Chronic Ankle Instability

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Foot and Ankle Sports Orthopaedics

Abstract

Acute ankle instability is a frequent injury in young and active folks and can unfortunately quite often (in 20–40 %) proceed to chronic ankle instability. Fifty-five percent of the injuries leading to ankle instability are due to sporting accidents. Symptomatic chronic ankle instability is considered as a pre-osteoarthritic condition and long-term results without adequate therapy are poor. There are different types of chronic ankle instability and consequently functional ankle instabilities are mainly treated conservatively while mechanical ankle instabilities often need a surgical treatment after failed conservative treatment. Ankle arthroscopy seems to be are valuable tool for ankle instability diagnostics and can be used for direct treatment of adjunctant injuries as well. Anatomical ligament reconstruction has been proven to be superior to non-anatomical surgical techniques in clinical investigations. Relevant concomitant injuries (hindfoot malalignment, tendon problems, osteochondral lesions, etc.) should be treated simultaneously to ligament surgery.

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Author information

Authors and Affiliations

  1. RENNBAHNKLINIK, Kriegackerstrasse 100, Muttenz, Basel, CH-4132, Switzerland

    Jochen Paul MD

  2. Orthopaedic Department, University Hospital, University of Basel, Basel, Switzerland

    Christian Stelzenbach

  3. Orthopaedic Department, SWISS ORTHO CENTER, Schmerzklinik Basel, Swiss Medical Network, Basel, Switzerland

    Victor Valderrabano

Authors
  1. Jochen Paul MD
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  2. Christian Stelzenbach
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  3. Victor Valderrabano
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Correspondence to Jochen Paul MD .

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Editors and Affiliations

  1. Swiss Medical Network Basel, Orthopaedic Department SWISS ORTHO CENTER Schmerzklinik Basel, Basel Stadt, Switzerland

    Victor Valderrabano

  2. Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Mark Easley

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© 2016 Springer International Publishing Switzerland

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Paul, J., Stelzenbach, C., Valderrabano, V. (2016). Chronic Ankle Instability. In: Valderrabano, V., Easley, M. (eds) Foot and Ankle Sports Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-15735-1_28

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  • DOI: https://doi.org/10.1007/978-3-319-15735-1_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15734-4

  • Online ISBN: 978-3-319-15735-1

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