Abstract
Ankle sprains are the most frequently encountered injuries in athletic activities. Early diagnosis, functional treatment, and rehabilitation are the key issues in preventing a potential evolution towards chronic ligament insufficiency. Ankle joint instability is defined as either mechanical instability or functional instability. Mechanical instability refers to an objective measurement, e.g., standardized stress radiographs, while functional instability is a description of the subjective symptoms of the patient, i.e., repeated giving way in some cases combined with pain. Functional instability is the most common residual disability after acute (lateral) ligament ruptures. This chapter will elaborate on the prevention, diagnosis, treatment, and rehabilitation of the athlete’s medial and lateral ankle ligament problems.
References
Balduini FC, Vegso JJ, Torg JS, Torg E (1987) Management and rehabilitation of ligamentous injuries to the ankle. Sports Med 4:364–380
Broström L (1966) Sprained ankles. A pathologic, arthrographic and clinical study. Dissertation, Karolinska Institute, Stockholm
Burks RT, Morgan J (1994) Anatomy of the lateral ankle ligaments. Am J Sports Med 22:72–77
Chrisman OD, Snook GA (1969) Reconstruction of lateral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure. J Bone Joint Surg Am 51:904–912
d’Hooghe P, Kerkhoffs G (2014) Ankle ligament lesions. Ankle Footb 1:82–96
Evans DL (1953) Recurrent instability of the ankle; a method of surgical treatment. Proc R Soc Med 46:343–344
Fong DT-P, Hong Y, Chan L-K, Yung PS-H, Chan K-M (2007) A systematic review on ankle injury and ankle sprain in sports. Sports Med 37:73–94
Freeman MA (1965) Treatment of ruptures of the lateral ligament of the ankle. J Bone Joint Surg Br 47:661–668
Freeman MA, Dean MR, Hanham IWF (1965) The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br 47:678–685
Gould N, Seligson D, Gassman J (1980) Early and late repair of lateral ligament of the ankle. Foot Ankle 1:84–89
Hintermann B (2003) Medial ankle instability. Foot Ankle Clin 8:723–738
Hintermann B, Regazzoni P, Lampert C et al (2000) Arthroscopic findings in acute fractures of the ankle. J Bone Joint Surg Br 82:345–351
Hintermann B, Boss A, Schafer D (2002) Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 30:402–409
Hintermann B, Valderrabano V, Boss A et al (2004) Medial ankle instability – an exploratory prospective study of 52 cases. Am J Sports Med 32:183–190
Jackson R, Wills R, Jackson R (1988) Rupture of deltoid ligament without involvement of the lateral ligament. Am J Sports Med 16:541–543
Kannus P, Renstrom P (1991) Treatment for acute tears of the lateral ligaments of the ankle. Operation, cast, or early controlled mobilization. J Bone Joint Surg 73:305–312
Karlsson J, Andreasson GO (1992) The effect of external ankle support in chronic lateral ankle joint instability. An electromyographic study. Am J Sports Med 20:257–261
Karlsson J, Lansinger O (1992) Lateral instability of the ankle joint. Clin Orthop Relat Res 276:253–261
Karlsson J, Bergsten T, Lansinger O, Peterson L (1988a) Lateral instability of the ankle treated by the Evans procedure. A long-term clinical and radiological follow-up. J Bone Joint Surg Br 70:476–480
Karlsson J, Bergsten T, Lansinger O, Peterson L (1988b) Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Br 70:581–588
Karlsson J, Bergsten T, Lansinger O, Peterson L (1989) Surgical treatment of chronic lateral instability of the ankle joint. A new procedure. Am J Sports Med 17:268–274
Karlsson J, Bergsten T, Peterson L, Zachrisson BE (1991a) Radiographic evaluation of ankle joint stability. Clin J Sports Med 1:166–175
Karlsson J, Lansinger O, Faxen E (1991b) Conservative treatment of chronic lateral instability of the ankle. Swed Med J 88:1404–1406
Karlsson J, Peterson L, Andreasson GO, Högfors C (1992) The unstable ankle: a combined EMG and biomechanical modeling study. Int J Sports Biomech 8:129–144
Konradsen L, Ravn JB (1990) Ankle instability caused by prolonged peroneal reaction time. Acta Orthop Scand 61:388–390
Konradsen L, Hølmer P, Søndergaard L (1991) Early mobilizing treatment for grade III ankle ligament injuries. Foot Ankle 12:69–73
McCollum GA, van den Bekerom MPJ, Kerkhoffs GMMJ, Calder JDF, van Dijk CN (2013) Syndesmosis and deltoid ligament injuries in the athlete. Knee Surg Sports Traumatol Arthrosc 21:1328–1337
Nelson D, Younger A (2003) Acute posttraumatic planovalgus foot deformity involving hindfoot ligamentous pathology. Foot Ankle Clin 8:521–537
Snook GA, Chrisman OD, Wilson TC (1985) Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle. J Bone Joint Surg Am 67:1–7
Stromsoe K, Hoqevold H, Skjeldal S et al (1995) The repair of a ruptured deltoid ligament is not necessary in ankle fractures. J Bone Joint Surg 77:920–921
Tornetta P III (2000) Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation. J Bone Joint Surg Am 82:843–848
Watson-Jones R (1952) Recurrent forward dislocation of the ankle joint. J Bone Joint Surg Br 34:519
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d’Hooghe, P., Karlsson, J. (2014). Chronic Ligament Injuries of the Ankle Joint. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_140-1
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DOI: https://doi.org/10.1007/978-3-642-36801-1_140-1
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