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Injury of Ankle Ligaments

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Injuries and Health Problems in Football

Abstract

Injury of the ankle ligaments is very common during sports participation. These injuries may result in mechanical and/or functional ankle instability, which if not treated properly might develop into chronic instability. Diagnosis is made through comprehensive medical history taking and manual testing, which may be complemented with imaging studies. Both conservative and surgical treatments have shown good results; however, when considering elite athletes, the surgical management is preferred. Several preventive strategies have emerged providing a cost-effective approach to reduce the risk of ankle ligament injury. Tibiofibular syndesmotic injuries should be treated conservatively when stable and surgically when unstable. Similarly, isolated superficial deltoid ligament injuries may be treated through a conservative approached, and, in case of insufficiency, the approach should be surgical. A rapid return to sports participation should be expected with a reasonable return to the pre-injury levels.

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References

  1. Fong DT-P, Hong Y, Chan L-K, Yung PS-H, Chan K-M. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37:73–94.

    Article  PubMed  Google Scholar 

  2. Kerkhoffs GM, Kennedy JG, Calder JD, Karlsson J. There is no simple lateral ankle sprain. Knee Surg Sports Traumatol Arthrosc. 2016;24:941–3.

    Article  CAS  PubMed  Google Scholar 

  3. Kemler E, Port I, Valkenberg H, Hoes A, Backx F. Ankle injuries in the Netherlands: trends over 10–25 years. Scand J Med Sci Sports. 2015;25:331–7.

    Article  CAS  PubMed  Google Scholar 

  4. Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010;92:2279–84.

    Article  PubMed  Google Scholar 

  5. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42:311.

    PubMed  PubMed Central  Google Scholar 

  6. Yeung M, Chan K-M, So C, Yuan W. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28:112–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Hawkins RD, Fuller CW. A prospective epidemiological study of injuries in four English professional football clubs. Br J Sports Med. 1999;33:196–203.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hägglund M, Waldén M, Ekstrand J. Injuries among male and female elite football players. Scand J Med Sci Sports. 2009;19:819–27.

    Article  PubMed  Google Scholar 

  9. Waldén M, Hägglund M, Ekstrand J. Time-trends and circumstances surrounding ankle injuries in men’s professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med. 2013;47:748–53.

    Article  PubMed  Google Scholar 

  10. Tanen L, Docherty CL, Van Der Pol B, Simon J, Schrader J. Prevalence of chronic ankle instability in high school and division I athletes. Foot Ankle Spec. 2014;7:37–44.

    Article  PubMed  Google Scholar 

  11. Jain N, Murray D, Kemp S, Calder J. Frequency and trends in foot and ankle injuries within an English Premier League Football Club using a new impact factor of injury to identify a focus for injury prevention. Foot Ankle Surg. 2014;20:237–40.

    Article  PubMed  Google Scholar 

  12. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT-P, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;bjsports-2016-096189.

    Google Scholar 

  13. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. Br J Sports Med. 2013;bjsports-2013-093175.

    Google Scholar 

  14. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37:364.

    PubMed  PubMed Central  Google Scholar 

  15. Andersen TE, Floerenes TW, Arnason A, Bahr R. Video analysis of the mechanisms for ankle injuries in football. Am J Sports Med. 2004;32:69S–79S.

    Article  PubMed  Google Scholar 

  16. Bonnel F, Toullec E, Mabit C, Tourné Y. Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthop Traumatol Surg Res. 2010;96:424–32.

    Article  CAS  PubMed  Google Scholar 

  17. Choi WJ, Lee JW, Han SH, Kim BS, Lee SK. Chronic lateral ankle instability the effect of intra-articular lesions on clinical outcome. Am J Sports Med. 2008;36:2167–72.

    Article  PubMed  Google Scholar 

  18. Ferkel RD, Chams RN. Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int. 2007;28:24–31.

    Article  PubMed  Google Scholar 

  19. van den Bekerom MP, Kerkhoffs GM, McCollum GA, Calder JD, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21:1390–5.

    Article  PubMed  Google Scholar 

  20. Hertel J, Denegar CR, Monroe MM, Stokes WL. Talocrural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exerc. 1999;31:1501–8.

    Article  CAS  PubMed  Google Scholar 

  21. Beynnon BD, Webb G, Huber BM, Pappas CN, Renström P, Haugh L. Radiographic measurement of anterior talar translation in the ankle: determination of the most reliable method. Clin Biomech (Bristol, Avon). 2005;20:301–6.

    Google Scholar 

  22. Fong DT, Chan Y-Y, Mok K-M, Yung PS, Chan K-M. Understanding acute ankle ligamentous sprain injury in sports. BMC Sports Sci Med Rehabil. 2009;1:1.

    Article  Google Scholar 

  23. Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scand J Med Sci Sports. 2002;12:129–35.

    Article  CAS  PubMed  Google Scholar 

  24. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005;39:e14–e.

    Google Scholar 

  25. Linde F, Hvass I, Jürgensen U, Madsen F. Early mobilizing treatment in lateral ankle sprains. Course and risk factors for chronic painful or function-limiting ankle. Scand J Rehabil Med. 1985;18:17–21.

    Google Scholar 

  26. Broström L. Sprained ankles. I. Anatomic lesions in recent sprains. Acta Chir Scand. 1964;128:483–95.

    Google Scholar 

  27. Broström L. Sprained ankles: a pathologic, arthrographic and clinical investigation. PhD thesis. 1966.

    Google Scholar 

  28. Prins JG. Diagnosis and treatment of injury to the lateral ligament of the ankle. A comparative clinical study. Acta Chir Scand Suppl. 1978;486:3.

    CAS  PubMed  Google Scholar 

  29. Meyer J-M, Garcia J, Hoffmeyer P, Fritschy D. The subtalar sprain: a roentgenographic study. Clin Orthop Relat Res. 1988;226:169–73.

    Google Scholar 

  30. Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. Am J Sports Med. 2004;32:5S–16S.

    Article  PubMed  Google Scholar 

  31. Md N, Franca L, Haupenthal A, Nunes G. Intrinsic predictive factors for ankle sprain in active university students: a prospective study. Scand J Med Sci Sports. 2013;23:541–7.

    Google Scholar 

  32. Emery C, Meeuwisse W. The effectiveness of a neuromuscular prevention strategy to reduce injuries in youth soccer: a cluster-randomised controlled trial. Br J Sports Med. 2010;44:555–62.

    Article  CAS  PubMed  Google Scholar 

  33. Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Intrinsic risk factors for acute ankle injuries among male soccer players: a prospective cohort study. Scand J Med Sci Sports. 2010;20:403–10.

    Article  CAS  PubMed  Google Scholar 

  34. Kofotolis ND, Kellis E, Vlachopoulos SP. Ankle sprain injuries and risk factors in amateur soccer players during a 2-year period. Am J Sports Med. 2007;35:458–66.

    Article  PubMed  Google Scholar 

  35. Steffen K, Myklebust G, Andersen TE, Holme I, Bahr R. Self-reported injury history and lower limb function as risk factors for injuries in female youth soccer. Am J Sports Med. 2008;36:700–8.

    Article  PubMed  Google Scholar 

  36. Tyler TF, McHugh MP, Mirabella MR, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school football players the role of previous ankle sprains and body mass index. Am J Sports Med. 2006;34:471–5.

    Article  PubMed  Google Scholar 

  37. McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing? J Athl Train. 2008;43:293–304.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Munn J, Sullivan SJ, Schneiders AG. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. J Sci Med Sport. 2010;13:2–12.

    Article  PubMed  Google Scholar 

  39. McHugh MP, Tyler TF, Tetro DT, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school athletes the role of hip strength and balance ability. Am J Sports Med. 2006;34:464–70.

    Article  PubMed  Google Scholar 

  40. Trojian TH, McKeag DB. Single leg balance test to identify risk of ankle sprains. Br J Sports Med. 2006;40:610–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? Br J Sports Med. 2006;40:824–8.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Pope R, Herbert R, Kirwan J. Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in army recruits. Aust J Physiother. 1998;44:165–72.

    Article  PubMed  Google Scholar 

  43. Waterman BR, Belmont PJ, Cameron KL, DeBerardino TM, Owens BD. Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med. 2010;38:797–803.

    Article  PubMed  Google Scholar 

  44. Milgrom C, Shlamkovitch N, Finestone A, Eldad A, Laor A, Danon YL, et al. Risk factors for lateral ankle sprain: a prospective study among military recruits. Foot Ankle Int. 1991;12:26–30.

    Article  CAS  Google Scholar 

  45. Beynnon BD, Renström PA, Alosa DM, Baumhauer JF, Vacek PM. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res. 2001;19:213–20.

    Article  CAS  PubMed  Google Scholar 

  46. Baumhauer JF, Alosa DM, Renström PA, Trevino S, Beynnon B. A prospective study of ankle injury risk factors. Am J Sports Med. 1995;23:564–70.

    Article  CAS  PubMed  Google Scholar 

  47. McGuine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes. Am J Sports Med. 2006;34:1103–11.

    Article  PubMed  Google Scholar 

  48. Pefanis N, Papaharalampous X, Tsiganos G, Papadakou E, Baltopoulos P. The effect of Q angle on ankle sprain occurrence. Foot Ankle Spec. 2009;2:22–6.

    Article  PubMed  Google Scholar 

  49. Pefanis N, Karagounis P, Tsiganos G, Armenis E, Baltopoulos P. Tibiofemoral angle and its relation to ankle sprain occurrence. Foot Ankle Spec. 2009.

    Google Scholar 

  50. McGuine TA, Brooks A, Hetzel S. The effect of lace-up ankle braces on injury rates in high school basketball players. Am J Sports Med. 2011;39:1840–8.

    Article  PubMed  PubMed Central  Google Scholar 

  51. McGuine TA, Hetzel S, Wilson J, Brooks A. The effect of lace-up ankle braces on injury rates in high school football players. Am J Sports Med. 2012;40:49–57.

    Article  PubMed  Google Scholar 

  52. Williams S, Hume PA, Kara S. A review of football injuries on third and fourth generation artificial turfs compared with natural turf. Sports Med. 2011;41:903–23.

    Article  PubMed  Google Scholar 

  53. Ekstrand J, Timpka T, Hägglund M. Risk of injury in elite football played on artificial turf versus natural grass: a prospective two-cohort study. Br J Sports Med. 2006;40:975–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. LaBella CR, Huxford MR, Grissom J, Kim K-Y, Peng J, Christoffel KK. Effect of neuromuscular warm-up on injuries in female soccer and basketball athletes in urban public high schools: cluster randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165:1033–40.

    Article  PubMed  Google Scholar 

  55. Anderson KM. Movement control and cortical activation in functional ankle instability. ProQuest; 2008.

    Google Scholar 

  56. Surve I, Schwellnus MP, Noakes T, Lombard C. A fivefold reduction in the incidence of recurrent ankle sprains in soccer players using the Sport-Stirrup orthosis. Am J Sports Med. 1994;22:601–6.

    Article  CAS  PubMed  Google Scholar 

  57. van Dijk CN. Ankle arthroscopy: techniques developed by the Amsterdam Foot and Ankle School. Heidelberg: Springer Science & Business; 2014.

    Book  Google Scholar 

  58. McGovern RP, Martin RL. Managing ankle ligament sprains and tears: current opinion. Open Access J Sports Med. 2016;7:33.

    PubMed  PubMed Central  Google Scholar 

  59. Konradsen L, Hølmer P, Søndergaard L. Early mobilizing treatment for grade III ankle ligament injuries. Foot Ankle Int. 1991;12:69–73.

    Article  CAS  Google Scholar 

  60. Malliaropoulos N, Papacostas E, Papalada A, Maffulli N. Acute lateral ankle sprains in track and field athletes: an expanded classification. Foot Ankle Clin. 2006;11:497–507.

    Article  PubMed  Google Scholar 

  61. Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000;29:361–71.

    Article  CAS  PubMed  Google Scholar 

  62. Davis RB, DeLuca PA. Gait characterization via dynamic joint stiffness. Gait Posture. 1996;4:224–31.

    Article  Google Scholar 

  63. Butler RJ, Crowell HP, Davis IM. Lower extremity stiffness: implications for performance and injury. Clin Biomech (Bristol, Avon). 2003;18:511–7.

    Google Scholar 

  64. Farley CT, Morgenroth DC. Leg stiffness primarily depends on ankle stiffness during human hopping. J Biomech. 1999;32:267–73.

    Article  CAS  PubMed  Google Scholar 

  65. Gabriel RC, Abrantes J, Granata K, Bulas-Cruz J, Melo-Pinto P, Filipe V. Dynamic joint stiffness of the ankle during walking: gender-related differences. Phys Ther Sport. 2008;9:16–24.

    Article  PubMed  Google Scholar 

  66. Jalaleddini S, Sobhani TE, Kearney R. A subspace approach to the structural decomposition and identification of ankle joint dynamic stiffness. IEEE Trans Biomed Eng. 2016; doi:10.1109/TBME.2016.2604293.

    PubMed  Google Scholar 

  67. Martin RL, Davenport TE, Paulseth S, Wukich DK, Godges JJ, Altman RD, et al. Ankle stability and movement coordination impairments: ankle ligament sprains. J Orthop Sports Phys Ther. 2013;43:A1–A40.

    Article  PubMed  Google Scholar 

  68. Van Dijk C, Lim L, Bossuyt P, Marti R. Physical examination is sufficient for the diagnosis of sprained ankles. Bone Joint J. 1996;78:958–62.

    Article  CAS  Google Scholar 

  69. Kerkhoffs GM, van den Bekerom M, Elders LA, van Beek PA, Hullegie WA, Bloemers GM, et al. Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med. 2012;46:854–60.

    Article  PubMed  Google Scholar 

  70. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87:1235–41.

    Article  PubMed  Google Scholar 

  71. Eechaute C, Vaes P, Duquet W. The chronic ankle instability scale: clinimetric properties of a multidimensional, patient-assessed instrument. Phys Ther Sport. 2008;9:57–66.

    Article  PubMed  Google Scholar 

  72. Martin RL, Irrgang JJ. A survey of self-reported outcome instruments for the foot and ankle. J Orthop Sports Phys Ther. 2007;37:72–84.

    Article  PubMed  Google Scholar 

  73. Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005;26:968–83.

    Article  PubMed  Google Scholar 

  74. Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int. 2001;22:788–94.

    Article  CAS  PubMed  Google Scholar 

  75. Williams GN, Molloy JM, DeBerardino TM, Arciero RA, Taylor DC. Evaluation of the sports ankle rating system in young, athletic individuals with acute lateral ankle sprains. Foot Ankle Int. 2003;24:274–82.

    Article  PubMed  Google Scholar 

  76. van Dijk CN. On diagnostic strategies in patients with severe ankle sprain. PhD thesis. Rodopi; 1994.

    Google Scholar 

  77. De Vries J, Kerkhoffs G, Blankevoort L, Van Dijk C. Clinical evaluation of a dynamic test for lateral ankle ligament laxity. Knee Surg Sports Traumatol Arthrosc. 2010;18:628–33.

    Article  CAS  PubMed  Google Scholar 

  78. Hubbard TJ, Kaminski TW, Griend R, Kovaleski JE. Quantitative assessment of mechanical laxity in the functionally unstable ankle. Med Sci Sports Exerc. 2004;36:760–6.

    Article  PubMed  Google Scholar 

  79. Hubbard TJ. Ligament laxity following inversion injury with and without chronic ankle instability. Foot Ankle Int. 2008;29:305–11.

    Article  PubMed  Google Scholar 

  80. Kerkhoffs G, Blankevoort L, Schreurs A, Jaspers J, Van Dijk C. An instrumented, dynamic test for anterior laxity of the ankle joint complex. J Biomech. 2002;35:1665–70.

    Article  CAS  PubMed  Google Scholar 

  81. Kerkhoffs G, Blankevoort L, Van Dijk C. A measurement device for anterior laxity of the ankle joint complex. Clin Biomech (Bristol, Avon). 2005;20:218–22.

    Google Scholar 

  82. Kovaleski JE, Heitman RJ, Gurchiek LR, Hollis JM, Liu W, Pearsall IV AW. Joint stability characteristics of the ankle complex after lateral ligamentous injury, part I: a laboratory comparison using arthrometric measurement. J Athl Train. 2014;49:192–7.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Kovaleski JE, Heitman RJ, Gurchiek LR, Hollis J, Liu W, Pearsall IV AW. Joint stability characteristics of the ankle complex in female athletes with histories of lateral ankle sprain, part II: clinical experience using arthrometric measurement. J Athl Train. 2014;49:198.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: evolution of the model. J Athl Train. 2011;46:133–41.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Beceren GN, Yolcu S, Tomruk O, Atay T, Baykal YB. Ottawa versus Bernese: which is better? Eur J Trauma Emerg Surg. 2013;39:147–50.

    Article  CAS  PubMed  Google Scholar 

  86. Derksen RJ, Knijnenberg LM, Fransen G, Breederveld RS, Heymans MW, Schipper IB. Diagnostic performance of the Bernese versus Ottawa ankle rules: results of a randomised controlled trial. Injury. 2015;46:1645–9.

    Article  PubMed  Google Scholar 

  87. van Dijk CN, Vuurberg G. Ankle ligament lesions. In: Volpi, editor. Football traumatology: new trends. 2nd ed. Cham: Springer; 2015. p. 333–42.

    Chapter  Google Scholar 

  88. Leardini A, O’Connor JJ, Catani F, Giannini S. The role of the passive structures in the mobility and stability of the human ankle joint: a literature review. Foot Ankle Int. 2000;21:602–15.

    Article  CAS  PubMed  Google Scholar 

  89. Bahr R, Pena F, Shine J, Lew WD, Lindquist C, Tyrdal S, et al. Mechanics of the anterior drawer and talar tilt tests: a cadaveric study of lateral ligament injuries of the ankle. Acta Orthop Scand. 1997;68:435–41.

    Article  CAS  PubMed  Google Scholar 

  90. Breitenseher MJ, Trattnig S, Kukla C, Gaebler C, Kaider A, Baldt MM, et al. MRI versus lateral stress radiography in acute lateral ankle ligament injuries. J Comput Tomogr. 1997;21:280–5.

    Article  CAS  Google Scholar 

  91. Campbell SE, Warner M. MR imaging of ankle inversion injuries. Magn Reson Imaging Clin N Am. 2008;16:1–18.

    Article  PubMed  Google Scholar 

  92. van Dijk CN, Mol BWJ, Lim LS, Marti RK, Bossuyt PM. Diagnosis of ligament rupture of the ankle joint: physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma. Acta Orthop Scand. 1996;67:566–70.

    Article  PubMed  Google Scholar 

  93. Sconfienza LM, Orlandi D, Lacelli F, Serafini G, Silvestri E. Dynamic high-resolution US of ankle and midfoot ligaments: normal anatomic structure and imaging technique. Radiographics. 2015;35:164–78.

    Article  PubMed  Google Scholar 

  94. Lee KT, Park YU, Jegal H, Park JW, Choi JP, Kim JS. New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound. Knee Surg Sports Traumatol Arthrosc. 2014;22:1701–7.

    Article  PubMed  Google Scholar 

  95. Croy T, Saliba S, Saliba E, Anderson MW, Hertel J. Talofibular interval changes after acute ankle sprain: a stress ultrasonography study of ankle laxity. J Sport Rehabil. 2013;22:257–63.

    Article  PubMed  Google Scholar 

  96. Kerkhoffs GM, Handoll HH, de Bie R, Rowe BH, Struijs PA. Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults. Cochrane Database Syst Rev. 2007;2:CD000380.

    Google Scholar 

  97. Pihlajamäki H, Hietaniemi K, Paavola M, Visuri T, Mattila VM. Surgical versus functional treatment for acute ruptures of the lateral ligament complex of the ankle in young men. J Bone Joint Surg Am. 2010;92:2367–74.

    Article  PubMed  Google Scholar 

  98. Takao M, Miyamoto W, Matsui K, Sasahara J, Matsushita T. Functional treatment after surgical repair for acute lateral ligament disruption of the ankle in athletes. Am J Sports Med. 2012;40:447–51.

    Article  PubMed  Google Scholar 

  99. Kerkhoffs GM, Tol JL. A twist on the athlete’s ankle twist: some ankles are more equal than others. Br J Sports Med. 2012;46:835–6.

    Article  PubMed  Google Scholar 

  100. Chaudhry H, Simunovic N, Petrisor B. Cochrane in CORR®: surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults (review). Clin Orthop Relat Res. 2015;473:17–22.

    Article  PubMed  Google Scholar 

  101. van Dijk C, editor. The athletes’ ankle: lateral ligament injury. Consensus Meeting ESSKA-AFAS. Warsaw; 2011.

    Google Scholar 

  102. White WJ, McCollum GA, Calder JD. Return to sport following acute lateral ligament repair of the ankle in professional athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24:1124–9.

    Article  PubMed  Google Scholar 

  103. Nilsonne H. Making a new ligament in ankle sprain. J Bone Joint Surg Am. 1932;14:380–1.

    Google Scholar 

  104. Di Matteo B, Tarabella V, Filardo G, Tomba P, Viganò A, Marcacci M, et al. A historical perspective on ankle ligaments reconstructive surgery. Knee Surg Sports Traumatol Arthrosc. 2016;24:971–7.

    Article  PubMed  Google Scholar 

  105. Baumhauer JF, O’brien T. Surgical considerations in the treatment of ankle instability. J Athl Train. 2002;37:458.

    PubMed  PubMed Central  Google Scholar 

  106. Becker HP, Ebner S, Ebner D, Benesch S, Frössler H, Hayes A, et al. 12-year outcome after modified Watson-Jones tenodesis for ankle instability. Clin Orthop Relat Res. 1999;358:194–204.

    Article  Google Scholar 

  107. Caprio A, Oliva F, Treia F, Maffulli N. Reconstruction of the lateral ankle ligaments with allograft in patients with chronic ankle instability. Foot Ankle Clin. 2006;11:597–605.

    Article  PubMed  Google Scholar 

  108. Maffulli N, Ferran NA. Management of acute and chronic ankle instability. J Am Acad Orthop Surg. 2008;16:608–15.

    Article  PubMed  Google Scholar 

  109. Krips R, Brandsson S, Swensson C, Van Dijk C, Karlsson J. Anatomical reconstruction and Evans tenodesis of the lateral ligaments of the ankle. Bone Joint J. 2002;84:232–6.

    Article  CAS  Google Scholar 

  110. Krips R, van Dijk CN, Halasi T, Lehtonen H, Corradini C, Moyen B, et al. Long-term outcome of anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a multicenter study. Foot Ankle Int. 2001;22:415–21.

    Article  CAS  PubMed  Google Scholar 

  111. Lassus J, Tulikoura I, Konttinen Y, Santavirta S. Anatomical reconstruction of ruptured lateral ligaments of upper ankle joint. Ann Chir Gynaecol. 2000;90:213–7.

    Google Scholar 

  112. Bell SJ, Mologne TS, Sitler DF, Cox JS. Twenty-six-year results after Broström procedure for chronic lateral ankle instability. Am J Sports Med. 2006;34:975–8.

    Article  PubMed  Google Scholar 

  113. Karlsson J, Eriksson BI, Bergsten T, Rudholm O, Swärd L. Comparison of two anatomic reconstructions for chronic lateral instability of the ankle joint. Am J Sports Med. 1997;25:48–53.

    Article  CAS  PubMed  Google Scholar 

  114. Maffulli N, Del Buono A, Maffulli GD, Oliva F, Testa V, Capasso G, et al. Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability 9-year follow-up. Am J Sports Med. 2013;41:858–64.

    Article  PubMed  Google Scholar 

  115. de Vries JS, Krips R, Sierevelt IN, Blankevoort L, van Dijk C. Interventions for treating chronic ankle instability. Cochrane Database Syst Rev. 2011;8:CD004124.

    Google Scholar 

  116. Coughlin MJ, Matt V, Schenck RC. Augmented lateral ankle reconstruction using a free gracilis graft. Orthopedics. 2002;25:31–5.

    PubMed  Google Scholar 

  117. Coughlin MJ, Schenck RC, Grebing BR, Treme G. Comprehensive reconstruction of the lateral ankle for chronic instability using a free gracilis graft. Foot Ankle Int. 2004;25:231–41.

    Article  PubMed  Google Scholar 

  118. Dierckman BD, Ferkel RD. Anatomic reconstruction with a semitendinosus allograft for chronic lateral ankle instability. Am J Sports Med. 2015;43:1941–50.

    Article  PubMed  Google Scholar 

  119. Giza E, Whitlow SR, Williams BT, Acevedo JI, Mangone PG, Haytmanek CT, et al. Biomechanical analysis of an arthroscopic Brostrom ankle ligament repair and a Suture anchor-augmented repair. Foot Ankle Int. 2015;36:836–41.

    Article  PubMed  Google Scholar 

  120. Clanton TO, Viens NA, Campbell KJ, LaPrade RF, Wijdicks CA. Anterior talofibular ligament ruptures, part 2 biomechanical comparison of anterior talofibular ligament reconstruction using semitendinosus allografts with the intact ligament. Am J Sports Med. 2013:0363546513509963.

    Google Scholar 

  121. Viens NA, Wijdicks CA, Campbell KJ, LaPrade RF, Clanton TO. Anterior talofibular ligament ruptures, part 1 biomechanical comparison of augmented Broström repair techniques with the intact anterior talofibular ligament. Am J Sports Med. 2013:0363546513510141.

    Google Scholar 

  122. Cho BK, Park KJ, Kim SW, Lee HJ, Choi SM. Minimal invasive suture-tape augmentation for chronic ankle instability. Foot Ankle Int. 2015;36:1330–8.

    Article  PubMed  Google Scholar 

  123. Cho BK, Kim YM, Shon HC, Park KJ, Cha JK, Ha YW. A ligament reattachment technique for high-demand athletes with chronic ankle instability. J Foot Ankle Surg. 2015;54:7–12.

    Article  PubMed  Google Scholar 

  124. Kennedy JG, Smyth NA, Fansa AM, Murawski CD. Anatomic lateral ligament reconstruction in the ankle a hybrid technique in the athletic population. Am J Sports Med. 2012;40:2309–17.

    Article  PubMed  Google Scholar 

  125. Pereira H, Vuurberg G, Gomes N, Oliveira JM, Ripoll PL, Reis RL, et al. Arthroscopic repair of ankle instability with all-soft knotless anchors. Arthroscopy Tech. 2016;5:e99–107.

    Article  Google Scholar 

  126. Thès A, Klouche S, Ferrand M, Hardy P, Bauer T. Assessment of the feasibility of arthroscopic visualization of the lateral ligament of the ankle: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2016;24:985–90.

    Article  PubMed  Google Scholar 

  127. Corte-Real N, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30:213–7.

    Article  PubMed  Google Scholar 

  128. Vega J, Golanó P, Pellegrino A, Rabat E, Peña F. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int. 2013;34:1701–9.

    Article  PubMed  Google Scholar 

  129. Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc. 2016;24:1003–6.

    Article  PubMed  Google Scholar 

  130. Guillo S, Cordier G, Sonnery-Cottet B, Bauer T. Anatomical reconstruction of the anterior talofibular and calcaneofibular ligaments with an all-arthroscopic surgical technique. Orthop Traumatol Surg Res. 2014;100:S413–S7.

    Article  CAS  PubMed  Google Scholar 

  131. Lui TH. Modified arthroscopic Brostrom procedure. Foot Ankle Surg. 2015;21:216–9.

    Article  PubMed  Google Scholar 

  132. Guillo S, Archbold P, Perera A, Bauer T, Sonnery-Cottet B. Arthroscopic anatomic reconstruction of the lateral ligaments of the ankle with gracilis autograft. Arthroscopy tech. 2014;3:e593–e8.

    Article  Google Scholar 

  133. Matsui K, Takao M, Miyamoto W, Innami K, Matsushita T. Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle. Arch Orthop Trauma Surg. 2014;134:1461–7.

    Article  PubMed  Google Scholar 

  134. Cottom JM, Rigby RB. The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg. 2013;52:568–74.

    Article  PubMed  Google Scholar 

  135. Acevedo JI, Mangone PG. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle surg. 2011;10:111–6.

    Article  Google Scholar 

  136. Kim ES, Lee KT, Park JS, Lee YK. Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics. 2011;34:273.

    Article  Google Scholar 

  137. Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N. Arthroscopic-assisted Broström-Gould for chronic ankle instability a long-term follow-up. Am J Sports Med. 2011;39:2381–8.

    Article  PubMed  Google Scholar 

  138. Labib SA, Slone HS. Ankle arthroscopy for lateral ankle instability. Tech Foot Ankle Surg. 2015;14:25–7.

    Article  Google Scholar 

  139. Matsui K, Takao M, Miyamoto W, Matsushita T. Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle. Arch Orthop Trauma Surg. 2016;136:93–100.

    Article  PubMed  Google Scholar 

  140. Prissel MA, Roukis TS. All-inside, anatomical lateral ankle stabilization for revision and complex primary lateral ankle stabilization a technique guide. Foot Ankle Spec. 2014:1938640014548418.

    Google Scholar 

  141. Matsui K, Burgesson B, Takao M, Stone J, Guillo S, Glazebrook M. Minimally invasive surgical treatment for chronic ankle instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016;24:1040–8.

    Article  PubMed  Google Scholar 

  142. Drakos MC, Behrens SB, Paller D, Murphy C, DiGiovanni CW. Biomechanical comparison of an open vs arthroscopic approach for lateral ankle instability. Foot Ankle Int. 2014;35:809–15.

    Article  PubMed  Google Scholar 

  143. Giza E, Shin EC, Wong SE, Acevedo JI, Mangone PG, Olson K, et al. Arthroscopic suture anchor repair of the lateral ligament ankle complex a cadaveric study. Am J Sports Med. 2013;41:2567–72.

    Article  PubMed  Google Scholar 

  144. Guillo S, Takao M, Calder J, Karlson J, Michels F, Bauer T. Arthroscopic anatomical reconstruction of the lateral ankle ligaments. Knee Surg Sports Traumatol Arthrosc. 2016;24:998–1002.

    Article  CAS  PubMed  Google Scholar 

  145. Kerkhoffs GM, Van Dijk CN. Acute lateral ankle ligament ruptures in the athlete: the role of surgery. Foot Ankle Clin. 2013;18:215–8.

    Article  PubMed  Google Scholar 

  146. Pearce CJ, Tourné Y, Zellers J, Terrier R, Toschi P, Silbernagel KG. Rehabilitation after anatomical ankle ligament repair or reconstruction. Knee Surg Sports Traumatol Arthrosc. 2016;24:1130–9.

    Article  PubMed  Google Scholar 

  147. Hopkins JT, Brown TN, Christensen L, Palmieri-Smith RM. Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability. J Orthop Res. 2009;27:1541.

    Article  PubMed  Google Scholar 

  148. Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train. 2002;37:487.

    PubMed  PubMed Central  Google Scholar 

  149. DiGiovanni CW, Brodsky A. Current concepts: lateral ankle instability. Foot Ankle Int. 2006;27:854–66.

    Article  PubMed  Google Scholar 

  150. Inklaar H, Van Beek P. Guideline for diagnosis and treatment of acute inversion trauma of the ankle in athletes. Ned Tijdschr Geneeskd. 2010;155:A3324-A.

    Google Scholar 

  151. Karlsson J, Rudholm O, Bergsten T, Faxen E, Styf J. Early range of motion training after ligament reconstruction of the ankle joint. Knee Surg Sports Traumatol Arthrosc. 1995;3:173–7.

    Article  CAS  PubMed  Google Scholar 

  152. Bleakley CM, McDonough SM, MacAuley DC. Cryotherapy for acute ankle sprains: a randomised controlled study of two different icing protocols. Br J Sports Med. 2006;40:700–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  153. Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury a systematic review of randomized controlled trials. Am J Sports Med. 2004;32:251–61.

    Article  PubMed  Google Scholar 

  154. Kerkhoffs GM, Rowe BH, Assendelft WJ, Kelly KD, Struijs PA, van Dijk CN. Immobilisation for acute ankle sprain. Arch Orthop Trauma Surg. 2001;121:462–71.

    Article  CAS  PubMed  Google Scholar 

  155. Cooke MW, Marsh JL, Clark M, Nakash R, Jarvis RM. Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. Health Technol Assess. 2009;13:144.

    Article  Google Scholar 

  156. Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med. 2011;41:185–97.

    Article  PubMed  Google Scholar 

  157. Lamb SE, Marsh J, Hutton J, Nakash R, Cooke M, Trial CAS. Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet. 2009;373:575–81.

    Article  CAS  PubMed  Google Scholar 

  158. Kerkhoffs GM, Rowe BH, Assendelft WJ, Kelly KD, Struijs PA, Van Dijk C. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev. 2002;3:CD003762.

    Google Scholar 

  159. Jones MH, Amendola AS. Acute treatment of inversion ankle sprains: immobilization versus functional treatment. Clin Orthop Relat Res. 2007;455:169–72.

    Article  PubMed  Google Scholar 

  160. Petersen W, Rembitzki IV, Koppenburg AG, Ellermann A, Liebau C, Brüggemann GP, et al. Treatment of acute ankle ligament injuries: a systematic review. Arch Orthop Trauma Surg. 2013;133:1129–41.

    Article  PubMed  PubMed Central  Google Scholar 

  161. Kerkhoffs GM, Struijs PA, Marti RK, Assendelft WJ, Blankevoort L, Van Dijk C. Different functional treatment strategies for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev. 2002;3:CD002938.

    Google Scholar 

  162. Bleakley CM, McDonough SM, MacAuley DC. Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review. Aust J Physiother. 2008;54:7–20.

    Article  PubMed  Google Scholar 

  163. van der Wees PJ, Lenssen AF, Hendriks EJ, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in acute ankle sprain and functional instability: a systematic review. Aust J Physiother. 2006;52:27–37.

    Article  PubMed  Google Scholar 

  164. van Os AG, Bierma-Zeinstra SM, Verhagen AP, de Bie RA, Luijsterburg PA, Koes BW. Comparison of conventional treatment and supervised rehabilitation for treatment of acute lateral ankle sprains: a systematic review of the literature. J Orthop Sports Phys Ther. 2005;35:95–105.

    Article  PubMed  Google Scholar 

  165. Bleakley CM, O’Connor SR, Tully MA, Rocke LG, MacAuley DC, Bradbury I, et al. Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ. 2010;340:c1964.

    Article  PubMed  Google Scholar 

  166. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2007;37:303–11.

    Article  PubMed  Google Scholar 

  167. van Rijn RM, van Heest JA, van der Wees P, Koes BW, Bierma-Zeinstra SM. Some benefit from physiotherapy intervention in the subgroup of patients with severe ankle sprain as determined by the ankle function score: a randomised trial. Aust J Physiother. 2009;55:107–13.

    Article  PubMed  Google Scholar 

  168. Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015;50:36–44.

    Article  PubMed  PubMed Central  Google Scholar 

  169. Eisenhart AW, Gaeta TJ, Yens DP. Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J Am Osteopath Assoc. 2003;103:417–21.

    PubMed  Google Scholar 

  170. Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan’s mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther. 2004;9:77–82.

    Article  PubMed  Google Scholar 

  171. Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W. Manipulative therapy for lower extremity conditions: expansion of literature review. J Manipulative Physiol Ther. 2009;32:53–71.

    Article  PubMed  Google Scholar 

  172. Lin C-F, Chen C-Y, Lin C-W. Dynamic ankle control in athletes with ankle instability during sports maneuvers. Am J Sports Med. 2011;39:2007–15.

    Article  PubMed  Google Scholar 

  173. Mendel FC, Dolan MG, Fish DR, Marzo J, Wilding GE. Effect of high-voltage pulsed current on recovery after grades I and II lateral ankle sprains. J Sport Rehabil. 2010;19:399.

    Article  PubMed  Google Scholar 

  174. Wilson D. Treatment of soft-tissue injuries by pulsed electrical energy. Brit Med J. 1972;2:269–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  175. Man IO, Morrissey MC, Cywinski JK. Effect of neuromuscular electrical stimulation on ankle swelling in the early period after ankle sprain. Phys Ther. 2007;87:53–65.

    Article  PubMed  Google Scholar 

  176. Stergioulas A. Low-level laser treatment can reduce edema in second degree ankle sprains. J Clin Laser Med Surg. 2004;22:125–8.

    Article  PubMed  Google Scholar 

  177. de Bie RA, de Vet HC, Lenssen TF, van den Wildenberg FA, Kootstra G, Knipschild PG. Low-level laser therapy in ankle sprains: a randomized clinical trial. Arch Phys Med Rehabil. 1998;79:1415–20.

    Article  PubMed  Google Scholar 

  178. van den Bekerom MP, van der Windt DA, ter Riet G, van der Heijden GJ, Bouter LM. Therapeutic ultrasound for acute ankle sprains. Cochrane Database Syst Rev. 2011;6:CD001250.

    Google Scholar 

  179. PasHa M, Visuri T, Sundholm A. Pulsating shortwave diathermy: value in treatment of recent ankle and foot sprains. Arch Phys Med Rehabil. 1978;59

    Google Scholar 

  180. Verhagen EA, van Mechelen W, de Vente W. The effect of preventive measures on the incidence of ankle sprains. Clin J Sport Med. 2000;10:291–6.

    Article  CAS  PubMed  Google Scholar 

  181. Handoll HH, Rowe BH, Quinn KM, de Bie R. Interventions for preventing ankle ligament injuries. Cochrane Database Syst Rev. 2011;5:CD000018.

    Google Scholar 

  182. Hupperets MD, Verhagen EA, Van Mechelen W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: randomised controlled trial. Brit Med J. 2009;339:b2684.

    Article  PubMed  PubMed Central  Google Scholar 

  183. Hupperets MD, Verhagen EA, Heymans MW, Bosmans JE, van Tulder MW, Van Mechelen W. Potential savings of a program to prevent ankle sprain recurrence economic evaluation of a randomized controlled trial. Am J Sports Med. 2010;38:2194–200.

    Article  PubMed  Google Scholar 

  184. Cumps E, Verhagen E, Meeusen R. Efficacy of a sports specific balance training programme on the incidence of ankle sprains in basketball. J Sports Sci Med. 2007;6:212–9.

    PubMed  PubMed Central  Google Scholar 

  185. McGuine TA, Greene JJ, Best T, Leverson G. Balance as a predictor of ankle injuries in high school basketball players. Clin J Sport Med. 2000;10:239–44.

    Article  CAS  PubMed  Google Scholar 

  186. Emery CA, Cassidy JD, Klassen TP, Rosychuk RJ, Rowe BH. Effectiveness of a home-based balance-training program in reducing sports-related injuries among healthy adolescents: a cluster randomized controlled trial. Can Med Assoc J. 2005;172:749–54.

    Article  Google Scholar 

  187. Verhagen E, Van der Beek A, Twisk J, Bouter L, Bahr R, Van Mechelen W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains a prospective controlled trial. Am J Sports Med. 2004;32:1385–93.

    Article  PubMed  Google Scholar 

  188. Mulligan EP. Evaluation and management of ankle syndesmosis injuries. Phys Ther Sport. 2011;12:57–69.

    Article  PubMed  Google Scholar 

  189. Dubin JC, Comeau D, McClelland RI, Dubin RA, Ferrel E. Lateral and syndesmotic ankle sprain injuries: a narrative literature review. J Chiropr Med. 2011;10:204–19.

    Article  PubMed  PubMed Central  Google Scholar 

  190. Williams GN, Allen EJ. Rehabilitation of syndesmotic (high) ankle sprains. Sport Health. 2010;2:460–70.

    Article  Google Scholar 

  191. van Dijk CN, Longo UG, Loppini M, Florio P, Maltese L, Ciuffreda M, et al. Classification and diagnosis of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc. 2016;24:1200–16.

    Article  PubMed  Google Scholar 

  192. van Dijk C, Vuurberg G, Amendola A, Lee J. Anterior ankle arthroscopy: state of the art. J ISAKOS. 2016;1:105–15.

    Article  Google Scholar 

  193. Howard DR, Rubin DA, Hillen TJ, Nissman DB, Lomax J, Williams T, et al. Magnetic resonance imaging as a predictor of return to play following syndesmosis (high) ankle sprains in professional football players. Sport Health. 2012;4:535–43.

    Article  Google Scholar 

  194. Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H. MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol. 2004;182:131–6.

    Article  PubMed  Google Scholar 

  195. Mei-Dan O, Kots E, Barchilon V, Massarwe S, Nyska M, Mann G. A dynamic ultrasound examination for the diagnosis of ankle syndesmotic injury in professional athletes a preliminary study. Am J Sports Med. 2009;37:1009–16.

    Article  PubMed  Google Scholar 

  196. van Dijk CN, Longo UG, Loppini M, Florio P, Maltese L, Ciuffreda M, et al. Conservative and surgical management of acute isolated syndesmotic injuries: ESSKA-AFAS consensus and guidelines. Knee Surg Sports Traumatol Arthrosc. 2016;24:1217–27.

    Article  PubMed  Google Scholar 

  197. Jones CB, Gilde A, Sietsema DL. Treatment of syndesmotic injuries of the ankle. JBJS Rev. 2015;3:e1.

    Article  Google Scholar 

  198. McCollum GA, van den Bekerom MP, Kerkhoffs GM, Calder JD, van Dijk CN. Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21:1328–37.

    Article  PubMed  Google Scholar 

  199. O’Loughlin PF, Murawski CD, Egan C, Kennedy JG. Ankle instability in sports. Phys Sportsmed. 2009;37:93–103.

    Article  PubMed  Google Scholar 

  200. Hintermann B. Medial ankle instability. Foot Ankle Clin. 2003;8:723–38.

    Article  PubMed  Google Scholar 

  201. Henari S, Banks LN, Radiovanovic I, Queally J, Morris S. Ultrasonography as a diagnostic tool in assessing deltoid ligament injury in supination external rotation fractures of the ankle. Orthopedics. 2011;34:e639–e43.

    Article  PubMed  Google Scholar 

  202. Koval KJ, Egol KA, Cheung Y, Goodwin DW, Spratt KF. Does a positive ankle stress test indicate the need for operative treatment after lateral malleolus fracture? A preliminary report. J Orthop Trauma. 2007;21:449–55.

    Article  PubMed  Google Scholar 

  203. Savage-Elliott I, Murawski CD, Smyth NA, Golanó P, Kennedy JG. The deltoid ligament: an in-depth review of anatomy, function, and treatment strategies. Knee Surg Sports Traumatol Arthrosc. 2013;21:1316–27.

    Article  PubMed  Google Scholar 

  204. Van Rijn RM, Van Os AG, Bernsen RM, Luijsterburg PA, Koes BW, Bierma-Zeinstra SM. What is the clinical course of acute ankle sprains? A systematic literature review. Am J Sports Med. 2008;121:324–31.

    Google Scholar 

  205. Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008;27:353–70.

    Article  PubMed  Google Scholar 

  206. Wikstrom EA, Naik S, Lodha N, Cauraugh JH. Bilateral balance impairments after lateral ankle trauma: a systematic review and meta-analysis. Gait Posture. 2010;31:407–14.

    Article  PubMed  Google Scholar 

  207. Holme E, Magnusson S, Becher K, Bieler T, Aagaard P, Kjaer M. The effect of supervised rehabilitation on strength, postural sway, position sense and re-injury risk after acute ankle ligament sprain. Scand J Med Sci Sports. 1999;9:104–9.

    Article  CAS  PubMed  Google Scholar 

  208. Perron M, Moffet H, Nadeau S, Hebert LJ, Belzile S. Persistence of long term isokinetic strength deficits in subjects with lateral ankle sprain as measured with a protocol including maximal preloading. Clin Biomech (Bristol, Avon). 2014;29:1151–7.

    Google Scholar 

  209. Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. 1998;19:653–60.

    Article  CAS  PubMed  Google Scholar 

  210. McKeon JMM, Bush HM, Reed A, Whittington A, Uhl TL, McKeon PO. Return-to-play probabilities following new versus recurrent ankle sprains in high school athletes. J Sci Med Sport. 2014;17:23–8.

    Article  PubMed  Google Scholar 

  211. Miyamoto W, Takao M, Yamada K, Matsushita T. Accelerated versus traditional rehabilitation after anterior talofibular ligament reconstruction for chronic lateral instability of the ankle in athletes. Am J Sports Med. 2014;42:1441–7.

    Article  PubMed  Google Scholar 

  212. Verhagen E, Van Tulder M, van der Beek AJ, Bouter L, Van Mechelen W. An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. Br J Sports Med. 2005;39:111–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  213. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: a literature review. J Athl Train. 2002;37:376.

    PubMed  PubMed Central  Google Scholar 

  214. Steib S, Hentschke C. Fatigue-induced alterations of static and dynamic postural control in athletes with a history of ankle sprain. J Athl Train. 2013;48:203.

    Article  PubMed  PubMed Central  Google Scholar 

  215. Petrera M, Dwyer T, Theodoropoulos JS, Ogilvie-Harris DJ. Short-to medium-term outcomes after a modified Broström repair for lateral ankle instability with immediate postoperative weightbearing. Am J Sports Med. 2014:0363546514530668.

    Google Scholar 

  216. Calder JD, Bamford R, Petrie A, McCollum GA. Stable versus unstable grade II high ankle sprains: a prospective study predicting the need for surgical stabilization and time to return to sports. Arthroscopy. 2016;32:634–42.

    Article  PubMed  Google Scholar 

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Andrade, R., Pereira, H., Vilas-Boas, J.P., Espregueira-Mendes, J., van Dijk, C.N. (2017). Injury of Ankle Ligaments. In: van Dijk, C., Neyret, P., Cohen, M., Della Villa, S., Pereira, H., Oliveira, J. (eds) Injuries and Health Problems in Football . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53924-8_10

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