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Sports Injuries of the Foot and Ankle pp 3–12Cite as

Acute Ankle Ligament Injuries

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Abstract

Acute sprains of the lateral ligament complex of the ankle are among the most common injuries in athletes. While most do not require surgical intervention, an understanding of ankle biomechanics, injury mechanisms, and risk factors is critical to properly managing these injuries and optimizing outcomes. The following is an overview of lateral ligament injuries, including epidemiology, injury pathomechanics, and an overview of treatment strategies. The physician’s ability to properly manage these patients and identify patients at risk for recurrent injury will mitigate the patient’s risk of recurrent and associated injury, and to ultimately improve their outcome, performance, and quality of life.

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References

  1. van den Bekerom MP, et al. Management of acute lateral ankle ligament injury in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1390–5.

    Article  Google Scholar 

  2. Struijs PA, Kerkhoffs GM. Ankle sprain. BMJ Clin Evid. 2010;2010:1115.

    PubMed  PubMed Central  Google Scholar 

  3. Doherty C, et al. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014;44(1):123–40.

    Article  Google Scholar 

  4. Waterman BR, et al. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010;92(13):2279–84.

    Article  Google Scholar 

  5. Shah S, et al. Incidence and cost of ankle sprains in United States emergency departments. Sports Health. 2016;8(6):547–52.

    Article  Google Scholar 

  6. Beynnon BD, et al. First-time inversion ankle ligament trauma: the effects of sex, level of competition, and sport on the incidence of injury. Am J Sports Med. 2005;33(10):1485–91.

    Article  Google Scholar 

  7. Roos KG, et al. The epidemiology of lateral ligament complex ankle sprains in national collegiate athletic association sports. Am J Sports Med. 2017;45(1):201–9.

    Article  Google Scholar 

  8. Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthop Traumatol. 2016;30(3):232–8.

    Google Scholar 

  9. Mengiardi B, et al. Medial collateral ligament complex of the ankle: MR appearance in asymptomatic subjects. Radiology. 2007;242(3):817–24.

    Article  Google Scholar 

  10. Watanabe K, et al. The role of ankle ligaments and articular geometry in stabilizing the ankle. Clin Biomech (Bristol, Avon). 2012;27(2):189–95.

    Article  Google Scholar 

  11. Bonnel F, et al. Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthop Traumatol Surg Res. 2010;96(4):424–32.

    Article  CAS  Google Scholar 

  12. Nigg BM, Fisher V, Ronsky JL. Gait characteristics as a function of age and gender. Gait Posture. 1994;2(4):213–20.

    Article  Google Scholar 

  13. Nilsson J, Thorstensson A. Ground reaction forces at different speeds of human walking and running. Acta Physiol Scand. 1989;136(2):217–27.

    Article  CAS  Google Scholar 

  14. Calhoun JH, et al. A comprehensive study of pressure distribution in the ankle joint with inversion and eversion. Foot Ankle Int. 1994;15:125–33.

    Article  CAS  Google Scholar 

  15. Michael JM, et al. Biomechanics of the ankle joint and clinical outcomes of total ankle replacement. J Mech Behav Biomed Mater. 2008;1(4):276–94.

    Article  Google Scholar 

  16. Lynch SA, Renstrom PA. Treatment of acute lateral ankle ligament rupture in the athlete. Conservative versus surgical treatment. Sports Med. 1999;27(1):61–71.

    Article  CAS  Google Scholar 

  17. Kobayashi T, Gamada K. Lateral ankle sprain and chronic ankle instability: a critical review. Foot Ankle Spec. 2014;7(4):298–326.

    Article  Google Scholar 

  18. White W, McCollum G, Calder J. Return to sport following acute lateral ligament repair of the ankle in professional athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1124–9.

    Article  Google Scholar 

  19. De Ridder R, et al. Multi-segment foot landing kinematics in subjects with chronic ankle instability. Clin Biomech (Bristol, Avon). 2015;30(6):585–92.

    Article  Google Scholar 

  20. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364–75.

    PubMed  PubMed Central  Google Scholar 

  21. Hass CJ, et al. Chronic ankle instability alters central organization of movement. Am J Sports Med. 2010;38(4):829–34.

    Article  Google Scholar 

  22. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: a literature review. J Athl Train. 2002;37(4):376–80.

    PubMed  PubMed Central  Google Scholar 

  23. Kobayashi T, Tanaka M, Shida M. Intrinsic risk factors of lateral ankle sprain: a systematic review and meta-analysis. Sports Health. 2016;8(2):190–3.

    Article  Google Scholar 

  24. Park KH, et al. Generalized ligamentous laxity is an independent predictor of poor outcomes after the modified brostrom procedure for chronic lateral ankle instability. Am J Sports Med. 2016;44(11):2975–83.

    Article  Google Scholar 

  25. Struijs PA, Kerkhoffs GM. Ankle sprain: the effects of non-steroidal anti-inflammatory drugs. BMJ Clin Evid. 2015;2015:1115.

    PubMed  PubMed Central  Google Scholar 

  26. Petersen W, et al. Treatment of acute ankle ligament injuries: a systematic review. Arch Orthop Trauma Surg. 2013;133(8):1129–41.

    Article  Google Scholar 

  27. Cao Y, et al. Surgical management of chronic lateral ankle instability: a meta-analysis. J Orthop Surg Res. 2018;13(1):159.

    Article  Google Scholar 

  28. Thompson JY, et al. Prognostic factors for recovery following acute lateral ankle ligament sprain: a systematic review. BMC Musculoskelet Disord. 2017;18(1):421.

    Article  Google Scholar 

  29. Brodsky JW, et al. Changes in gait following the Scandinavian total ankle replacement. J Bone Joint Surg Am. 2011;93(20):1890–6.

    Article  Google Scholar 

  30. Rouhani H, et al. Multi-segment foot kinematics after total ankle replacement and ankle arthrodesis during relatively long-distance gait. Gait Posture. 2012;36(3):561–6.

    Article  CAS  Google Scholar 

  31. Chopra S, et al. Outcome of unilateral ankle arthrodesis and total ankle replacement in terms of bilateral gait mechanics. J Orthop Res. 2014;32(3):377–84.

    Article  Google Scholar 

  32. Cenni F, et al. Functional performance of a total ankle replacement: thorough assessment by combining gait and fluoroscopic analyses. Clin Biomech. 2013;28(1):79–87.

    Article  CAS  Google Scholar 

  33. Bachmann LM, et al. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326(7386):417.

    Article  Google Scholar 

  34. Janssen KW, et al. The cost-effectiveness of measures to prevent recurrent ankle sprains: results of a 3-Arm randomized controlled trial. Am J Sports Med. 2014;42(7):1534–41.

    Article  Google Scholar 

  35. Verhagen EA, et al. An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. Br J Sports Med. 2005;39(2):111–5.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Kenneth J. Hunt & Peter Lawson

Authors
  1. Kenneth J. Hunt
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  2. Peter Lawson
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Correspondence to Kenneth J. Hunt .

Editor information

Editors and Affiliations

  1. Centre of Sports Traumatology Koelliker Hospital, Torino, Italy

    Gian Luigi Canata

  2. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

  3. Department of Orthopedics, University of Colorado Hospital, Aurora, CO, USA

    Kenneth J. Hunt

  4. Department of Orthopedic Surgery, University of Amsterdam Academic Medical Center, Amsterdam Zuidoost, Noord-Holland, The Netherlands

    Gino M.M.J. Kerkhoffs

  5. Orthopaedics and Traumatology Unit, University Campus Bio medico, Rome, Italy

    Umile Giuseppe Longo

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Hunt, K.J., Lawson, P. (2019). Acute Ankle Ligament Injuries. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_1

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  • DOI: https://doi.org/10.1007/978-3-662-58704-1_1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58703-4

  • Online ISBN: 978-3-662-58704-1

  • eBook Packages: MedicineMedicine (R0)

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