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Instability of the Ankle

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European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 15))

Abstract

The aim of this paper is to suggest an in-depth approach for chronic ankle instability. The factors in stability and the joint kinematics of the ankle are reported. The pathomechanics of ligaments and associated lesions are developed. The working diagnosis is supported by clinical and imaging tools in order to locate precisely the numerous ligamentous injuries, to identify the predisposing factors such as the hindfoot morphology, and any lesions associated with chronicity: anterolateral impingement, fibular injury, osteochondral lesions of the talus dome and early osteoarthritis. The different therapeutic and medico-surgical options adapted to this diagnostic approach are identified, from conservative (reprogramming rehabilitation techniques) to surgical repair with augmentation of the torn ligaments, hindfoot malalignment correction, and any additional procedures focussed on associated lesions. The goal of this diagnostic and therapeutic approach is to stop the progression of instability and to prevent the occurrence of osteoarthritis.

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Authors and Affiliations

  1. Bone and Joint Center of Cèdres Clinic, 101 Boulevard des tropiques, 38130, Echirolles, France

    Yves Tourné

  2. Department of Orthopaedic and Trauma, CHU Dupuytren, 2, av. Martin Luther King, 87042, Limoges, France

    Christian Mabit

  3. Laboratoire d’anatomie, Faculté de Médecine, 34000, Montpellier, France

    François Bonnel

  4. CHU Lyon-Sud, Pierre-Bénite, France

    Jean Luc Besse

  5. Polyclinique du Tondu, 33000, Bordeaux, France

    Eric Toullec

Authors
  1. Yves Tourné
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  2. Christian Mabit
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  3. François Bonnel
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  4. Jean Luc Besse
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  5. Eric Toullec
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Correspondence to Yves Tourné .

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Editors and Affiliations

  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, United Kingdom

    George Bentley

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Tourné, Y., Mabit, C., Bonnel, F., Besse, J.L., Toullec, E. (2015). Instability of the Ankle. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46287-4_16

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