Abstract
Ankle supination trauma result in injury to the lateral ligament complex in up to 90 % of cases, with up to 30 % of these injuries resulting in chronic lateral ankle instability.
Surgical reconstruction is indicated if the sporting and daily life activities are still limited due to recurrent supination trauma despite functional rehabilitation with muscle-strengthening, and proprioceptive physiotherapy.
Augmentation and/or reconstruction of one or more lateral ligament complex (anterior talofibular ligament, calcaneofibular ligament, posterior talofibular ligament) to restore the ankle joint stability. Surgical reconstruction can be either anatomical or non-anatomical. With anatomical reconstruction techniques, the torn ligament is anatomically augmented or replaced. Examples are the Broström-Gould technique using local structures (extensor retinaculum) or by using tendon grafts (free or local) take place
-
Symptom specific history: History of trauma, history of conducted treatment, exercise capacity, walking distance, symptomatology (instability, Pain), Footwear.
-
Symptom specific Examination: anterior drawer test, talar tilt test.
-
X-ray of the ankle AP and lateral views (standing)
-
MRI of the ankle joint.
Specific operative risks: impaired wound healing, infection, nerve injury, thrombosis, recurrent instability (supination trauma).
-
Lateral decubitus position.
-
A tourniquet is applied to the thigh
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
References to Chapter 23.1
Acevedo JI, Myerson MS (2000) Modification of the Chrisman–Snook technique. Foot Ankle Int 21:154–155
Brostrom L (1966) Sprained ankles . VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand 132:551–565
Hamilton WG, Thompson FM, Snow SW (1993) The modified Brostrom procedure for lateral ankle instability. Foot Ankle 14:1–7
Hennrikus WL, Mapes RC, Lyons PM, Lapoint JM (1996) Outcomes of the Chrisman–Snook and modified‐ Brostrom procedures for chronic lateral ankle instability. A prospective, randomized comparison. Am J Sports Med 24:400–404
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
References to Chapter 23.2
Cottom JM, Hyer CF, Philbin TM, Berlet GC (2008) Treatment of syndesmotic disruptions with the Arthrex Tightrope : a report of 25 cases. Foot Ankle Int 29:773–780
Naqvi GA, Shafqat A, Awan N (2012) Tightrope fixation of ankle syndesmosis injuries: Clinical outcome , complications and technique modification. Injury 43:838–842
Willmott HJ, Singh B, David LA (2009) Outcome and complications of treatment of ankle diastasis with tightrope fixation. Injury 40:1204–1206
References to Chapter 23.3
Eckert WR, Davis EA (1976) Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am 58:670–672
Philbin TM, Landis GS, Smith GS (2009) Peroneal Tendon Injuries. J Am Acad Orthop Surg 17:306–317
Porter D, McCarroll J, Knapp E, Torma J (2005) Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int 26:436–441
Rosenfeld P (2007) Acute and chronic peroneal tendon dislocations. Foot Ankle Clin 12:643–665
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Trnka, HJ., Feucht, M.J., Hofstätter, S., Schuh, R. (2015). Instability. In: Imhoff, A., Feucht, M. (eds) Surgical Atlas of Sports Orthopaedics and Sports Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43776-6_23
Download citation
DOI: https://doi.org/10.1007/978-3-662-43776-6_23
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-43775-9
Online ISBN: 978-3-662-43776-6
eBook Packages: MedicineMedicine (R0)