Current concepts in the treatment of acute and chronic lateral ankle instability
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 . Treatment of these injuries in the past has been somewhat controversial . 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 . 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.
KeywordsAnkle Sprain Ankle Instability Lateral Ankle Ballet Dancer Chronic Ankle Instability
Unable to display preview. Download preview PDF.
- 4.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 1095–1224Google Scholar
- 5.Cox J, Brand R (1977) Evaluation and treatment of lateral ankle sprains. Phys Sports Med 5: 51–55Google Scholar
- 6.Cox J (1985) How to prevent chronic ankle instability. J Musculoskel Med: 66–75Google Scholar
- 8.Gould N, Seligson D, Glassman J (198o) Early and late repair of the lateral ligament of the ankle. Foot Ankle 1: 84–89Google Scholar
- 11.Inman V (1976) The joints of the ankle. Williams and Wilkins, BaltimoreGoogle Scholar
- 12.O’Donoghue DH (1976) Treatment of injuries to athletes. WB Saunders, PhiladelphiaGoogle Scholar
- 16.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: 583–587Google Scholar