Abstract
The sprained ankle is the most common injury in sports that involve running and jumping. Eighty to ninety percent of these sprains involve the lateral ligament complex [7]. Treatment of these injuries in the past has been somewhat controversial [14]. There is common agreement regarding the initial treatment of the acute injury: “Rest, Ice, Compression and Elevation”, followed by a rehabilitation program that stresses fibular strengthening and proprioceptive exercises while the ankle is protected by taping, aircast or bracing [12]. Controversy begins when we consider the question of when does one recommend surgery, and if so, which operation? The purpose of this article is to discuss the rationale involved in the decision-making process, and to review the basic anatomy and concepts leading to these decisions.
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References
Boruta PM, Bishop JO, Braly WG, et al (1990) Acute lateral ligament injuries: a litterature review. Foot Ankle 11: 107–113
Brostrom L (1966) Sprained Ankles VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand 132: 551–565
Broden B (1949) Roentgen examination of the subtaloid joint in fractures of the calcaneus. Acta Radiol 31: 85–91
Clanton TO, Schon LC (1993) Athletic injuries to the foot and ankle. In: Mann RA, Coughlin MJ (eds) Surgery of the Foot and Ankle. Mosby, St Louis, pp 1095–1224
Cox J, Brand R (1977) Evaluation and treatment of lateral ankle sprains. Phys Sports Med 5: 51–55
Cox J (1985) How to prevent chronic ankle instability. J Musculoskel Med: 66–75
Garrick JG (1977) The frequency of injury, mechanism of injury and epidemiology and ankle sprains. Am J Sports Med 5: 241–242
Gould N, Seligson D, Glassman J (198o) Early and late repair of the lateral ligament of the ankle. Foot Ankle 1: 84–89
Hamilton WG (1982) Sprained ankles in ballet dancers. Foot Ankle 3: 99–102
Hamilton WG, Thompson FM, Snow SW (1993) The modified Brostrom procedure for chronic lateral ankle instability. Foot Ankle 14: 1–7
Inman V (1976) The joints of the ankle. Williams and Wilkins, Baltimore
O’Donoghue DH (1976) Treatment of injuries to athletes. WB Saunders, Philadelphia
Peters W, Trevino SG, Renstrom PA (1991) Chronic ankle instability. Foot Ankle 12: 182–191
St Pierre R, Allman F, Basset F (1982) A review of lateral ankle ligamentous reconstructions. Foot Ankle 3: 114–123
Smith RW, Reischel S (1988) The influence of dorsi-flexion in the treatment of severe ankle sprains. Foot Ankle 9: 28–33
Stormont DM, Morry BF, An K, et al (1991) Stability of the loaded ankle. Relation between articular restraint and primary static restraints. Am J Sports Med 19: 583–587
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© 1998 Springer-Verlag Berlin Heidelberg
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Hamilton, W.G. (1998). Current concepts in the treatment of acute and chronic lateral ankle instability. In: Bouysset, M. (eds) Bone and Joint Disorders of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06132-9_30
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DOI: https://doi.org/10.1007/978-3-662-06132-9_30
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-06134-3
Online ISBN: 978-3-662-06132-9
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