Abstract
Most ruptures of the ankle lateral ligament complex result from an inversion trauma, with a rotational component which might lead to combined or concomitant lesions on the medial aspect of the ankle in acute or chronic settings (e.g., injury of the deltoid ligament, mainly its anterior portion, osteochondral lesions, medial tibial and talar osteophytes).
In the case of combined lesions of both lateral and medial ankle ligament complexes, the setting of “rotational ankle instability” has been described. This situation is not always easy to identify and requires a dedicated approach.
This chapter intends to describe the principles of pathophysiology and treatment of this condition.
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References
van Dijk CN, Vuurberg G. There is no such thing as a simple ankle sprain: clinical commentary on the 2016 International Ankle Consortium position statement. Br J Sports Med. 2017;51(6):485–6. https://doi.org/10.1136/bjsports-2016-096733.
Pereira H, Vuurberg G, Spennacchio P, Batista J, D’Hooghe P, Hunt K, Van Dijk N. Surgical treatment paradigms of ankle lateral instability, osteochondral defects and impingement. Adv Exp Med Biol. 2018;1059:85–108. https://doi.org/10.1007/978-3-319-76735-2_4.
Alrashidi Y, Stelzenbach C, Herrera-Perez M, Wiewiorski M, Valderrabano V. Chronic rotational ankle instability—a case series study. Sports Orthop Traumatol. 2015;31:200–5.
Caputo AM, Lee JY, Spritzer CE, Easley ME, DeOrio JK, Nunley JA 2nd, DeFrate LE. In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am J Sports Med. 2009;37(11):2241–8. https://doi.org/10.1177/0363546509337578.
Buchhorn T, Sabeti-Aschraf M, Dlaska CE, Wenzel F, Graf A, Ziai P. Combined medial and lateral anatomic ligament reconstruction for chronic rotational instability of the ankle. Foot Ankle Int. 2011;32(12):1122–6. https://doi.org/10.3113/FAI.2011.1122.
Guelfi M, Zamperetti M, Pantalone A, Usuelli FG, Salini V, Oliva XM. Open and arthroscopic lateral ligament repair for treatment of chronic ankle instability: a systematic review. Foot Ankle Surg. 2018;24(1):11–8. https://doi.org/10.1016/j.fas.2016.05.315.
Vega J, Allmendinger J, Malagelada F, Guelfi M, Dalmau-Pastor M. Combined arthroscopic all-inside repair of lateral and medial ankle ligaments is an effective treatment for rotational ankle instability. Knee Surg Sports Traumatol Arthrosc. 2020;28(1):132–40. https://doi.org/10.1007/s00167-017-4736-y.
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Pereira, H., Pereira, B., Abdelatif, N., Batista, J. (2021). Combined Medial Pathology in Patients with Lateral Chronic Ankle Instability: Rotational Instability of the Ankle?. In: Pereira, H., et al. Lateral Ankle Instability. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62763-1_8
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DOI: https://doi.org/10.1007/978-3-662-62763-1_8
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