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Lateral ankle sprains

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https://www.readbyqxmd.com/read/27904801/midfoot-and-forefoot-involvement-in-lateral-ankle-sprains-and-chronic-ankle-instability-part-1-anatomy-and-biomechanics
#1
John J Fraser, Mark A Feger, Jay Hertel
: The modern human foot is the culmination of more than five million years of evolution. The ankle-foot complex absorbs forces during loading, accommodates uneven surfaces, and acts as a lever for efficient propulsion. The ankle-foot complex has six independent functional segments that should be understood for proper assessment and treatment of foot and ankle injuries: the shank, rearfoot, midfoot, lateral forefoot, and the medial forefoot. The compliance of the individual segments of the foot is dependent on velocity, task, and active and passive coupling mechanisms within each of the foot segments...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27903468/pseudoaneurysms-after-ankle-sprain-report-of-three-cases-successfully-cured-by-non-surgical-treatment
#2
J Malghem, M Abdalkader, F Lecouvet, P Goffette, F Hammer, B Vande Berg
Pseudoaneurysm is a rare complication of ankle sprain, with 18 case reports published in the current literature. In the vast majority of the cases, they were treated surgically. We present three cases of pseudoaneurysm following ankle sprain, treated by non-surgical methods in two cases, and spontaneously healed in another. The diagnosis was made between two and four weeks after the traumatism, by ultrasonography and arteriography in two cases, and only by ultrasonography in a third case. The pseudoaneurysms originated respectively from the perforating fibular artery, the dorsal pedis artery, and a lateral malleolar artery...
November 26, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27900312/posterior-tibial-tendon-displacement-behind-the-tibia-and-its-interposition-in-an-irreducible-isolated-ankle-dislocation-a-case-report-and-literature-review
#3
Alessandro Ortolani, Roberto Bevoni, Alessandro Russo, Maurilio Marcacci, Mauro Girolami
Isolated posteromedial ankle dislocation is a rare condition thanks to the highly congruent anatomical configuration of the ankle mortise, in which the medial and lateral malleoli greatly reduce the rotational movement of the talus, and the strength of the ligaments higher than the malleoli affords protection against fractures. However, other factors, like medial malleolus hypoplasia, laxity of the ligaments, peroneal muscle weakness and previous ankle sprains, could predispose to pure dislocation. In the absence of such factors, only a complex high-energy trauma, with a rotational component, can lead to this event...
July 2016: Joints
https://www.readbyqxmd.com/read/27852594/hip-strength-as-an-intrinsic-risk-factor-for-lateral-ankle-sprains-in-youth-soccer-players-a-3-season-prospective-study
#4
Roel De Ridder, Erik Witvrouw, Mieke Dolphens, Philip Roosen, Ans Van Ginckel
BACKGROUND: Numerous epidemiological studies have emphasized the burden of lateral ankle sprains in youth soccer players. However, no prospective study has identified intrinsic physical and modifiable risk factors for these injuries in this particular population. Although injury prevention programs in soccer incorporate proximal hip and core stability exercises, it is striking that the relationship between impaired proximal hip function and ankle sprains has not yet been prospectively investigated in youth soccer players...
November 16, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27834613/patient-outcomes-utilizing-the-mulligan-concept-of-mwm-to-treat-intercollegiate-patients-diagnosed-with-lateral-ankle-sprain-an-a-priori-case-series
#5
James M May, Alan Nasypany, Julie Paolino, Russell Baker, Jeffrey Seegmiller
CONTEXT: While the incidence and re-injury rates of lateral ankle sprain (LAS) continue to persist at high rates across many sporting activities, further exploration of assessment and treatment beyond the traditional ligamentous and strength/proprioceptive model is warranted. Further, assessing and treating both arthrokinematic and osteokinematic changes associated with LAS can provide insight into a more diverse approach to treating ankle pathology. OBJECTIVE: To examine the clinical use of the Mulligan Concept MWM while treating patients diagnosed with an acute grade I or II LAS through authentic patient care...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27831747/neuromuscular-alterations-after-ankle-sprains-an-animal-model-to-establish-causal-links-after-injury
#6
Lindsey K Lepley, Patrick O McKeon, Shane G Fitzpatrick, Catherine L Beckemeyer, Timothy L Uhl, Timothy A Butterfield
CONTEXT:  The mechanisms that contribute to the development of chronic ankle instability are not understood. Investigators have developed a hypothetical model in which neuromuscular alterations that stem from damaged ankle ligaments are thought to affect periarticular and proximal muscle activity. However, the retrospective nature of these studies does not allow a causal link to be established. OBJECTIVE:  To assess temporal alterations in the activity of 2 periarticular muscles of the rat ankle and 2 proximal muscles of the rat hind limb after an ankle sprain...
November 10, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27826402/the-prevalence-of-selected-intrinsic-risk-factors-for-ankle-sprain-among-elite-football-and-basketball-players
#7
Farzin Halabchi, Hooman Angoorani, Maryam Mirshahi, Mohammad Hosein Pourgharib Shahi, Mohammad Ali Mansournia
BACKGROUND: Lateral ankle sprains (LAS) are among the most common sports- related injuries and the reinjury rate is very high. OBJECTIVES: This study aimed to evaluate the prevalence of some intrinsic risk factors among professional football and basketball players with or without history of acute or recurrent ankle sprain. PATIENTS AND METHODS: One hundred and six professional football and basketball players who were referred for pre-participation examinations were recruited in this study...
September 2016: Asian Journal of Sports Medicine
https://www.readbyqxmd.com/read/27814874/long-term-impact-of-ankle-sprains-on-postural-control-and-fascial-densification
#8
Leonid Kalichman, Hila Lachman, Naama Freilich
OBJECTIVE: To evaluate the effect of a past ankle sprain (AS) on postural control and fascial changes in the adjacent body segment. METHODS: 20 young, healthy subjects with a history (≥6 months) of significant (Grades 2, 3) lateral ASs and 20 controls with no history of AS were recruited to cross-sectional case-control study. All subjects performed the Star Excursion Balance Test (SEBT). The Stecco method was used to evaluate fascial densification in the calf and upper foot areas...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27814667/assessment-of-relationships-between-joint-motion-quality-and-postural-control-in-patients-with-chronic-ankle-joint-instability
#9
Dawid Bączkowicz, Krzysztof Falkowski, Edyta Majorczyk
Study Design Controlled laboratory study, cross sectional. Background Lateral ankle sprains are among the most common injuries encountered during athletic participation. Following the initial injury there is an alarmingly high risk of re-injury and development of chronic ankle instability (CAI), which is dependent on a combination of factors, including sensorimotor deficits and changes in the biomechanical environment of the ankle joint. Objective To evaluate CAI-related disturbances in arthrokinematic motion quality and postural control and the relationships between them...
November 4, 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27793349/ultrasonography-comparison-of-peroneus-muscle-cross-sectional-area-in-subjects-with-or-without-lateral-ankle-sprains
#10
César Calvo Lobo, Carlos Romero Morales, David Rodríguez Sanz, Irene Sanz Corbalán, Alejandro Garrido Marín, Daniel López López
OBJECTIVE: The purpose of this study was to quantify the cross-sectional area (CSA) of the peroneus brevis, the peroneus longus, and connective tissue; to compare these measures in participants with and without lateral ankle sprains (LAS); and to determine the intraexaminer reliability of the protocol used to acquire these measures. METHODS: A cross-sectional case-control study was undertaken. B-mode ultrasound imaging was performed to measure the resting CSA and circular perimeter of the muscles and connective tissue and the total area and ratio between the CSA of the peroneus longus and the peroneus brevis...
October 25, 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27738709/-lateral-instability-of-the-upper-ankle-joint
#11
N Harrasser, K Eichelberg, F Pohlig, H Waizy, A Toepfer, R von Eisenhart-Rothe
Because of their frequency, ankle sprains are of major clinical and economic importance. The simple sprain with uneventful healing has to be distinguished from the potentially complicated sprain which is at risk of transition to chronic ankle instability. Conservative treatment is indicated for the acute, simple ankle sprain without accompanying injuries and also in cases of chronic instability. If conservative treatment fails, good results can be achieved by anatomic ligament reconstruction of the lateral ankle ligaments...
October 13, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27706549/a-multivariate-assessment-of-clinical-contributions-to-the-severity-of-perceived-dysfunction-measured-by-the-cumberland-ankle-instability-tool
#12
A Rosen, J Ko, C Brown
Chronic ankle instability is a common pathological consequence of ankle sprains. However, screening tools which assess self-reported dysfunction offer little insight into clinical factors which may be useful to improve deficits. The purpose of this study was to identify factors that contribute most to self-reported dysfunction. 93 individuals completed the Cumberland Ankle Instability Tool (CAIT), active range of motion, dynamic postural stability assessments, and an arthrometer inversion stress test to assess lateral ankle laxity and stiffness...
October 5, 2016: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/27659849/factors-associated-with-pain-intensity-and-physical-limitations-after-lateral-ankle-sprains
#13
Jan Paul Briet, Roderick M Houwert, Michiel G J S Hageman, Falco Hietbrink, David C Ring, Egbert Jan J M Verleisdonk
BACKGROUND: Swelling, tenderness, and ecchymosis don't correlate with time to functional recovery in patients with a lateral ankle sprain. It is established that psychosocial factors such as symptoms of depression and low pain self-efficacy correlate with pain intensity and magnitude of limitations in patients with musculoskeletal disorders. OBJECTIVE: We studied the correlation between pain self-efficacy or symptoms of depression and (1) ankle specific limitations and (2) pain intensity in patients with a lateral ankle sprain...
September 9, 2016: Injury
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#14
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
September 21, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27630412/the-influence-of-a-medio-lateral-unstable-sole-on-invertor-and-evertor-activation-while-descending-stairs
#15
Ki-Sik Yang, Kyungyeon Park, Bo-Ram Choi
[Purpose] This study examined the effects of a medio-lateral unstable sole on invertor and evertor activation while descending stairs. [Subjects and Methods] The subjects were 30 university students with no history of ankle sprain. They descended stairs while wearing the medio-lateral unstable sole or with bare feet. Electromyography was used to record the activity of the tibialis anterior and peroneus longus and brevis muscles and paired t-tests were used to assess statistical significance. [Results] The medio-lateral unstable sole group showed increased tibialis anterior and peroneus longus and brevis muscle activation compared to the barefoot group...
August 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27623865/modification-of-distal-tibiofibular-relationship-after-a-mild-syndesmotic-injury
#16
Marie-Lyne Nault, Laurence Gascon, Jonah Hébert-Davies, Stéphane Leduc, G Yves Laflamme, Dennis Kramer
BACKGROUND: The hypothesis of this study is that a sprain or tear of 1 or more of the 3 syndesmotic ligaments will result in a significant change in the osseous anatomy relationship when comparing injured to uninjured syndesmosis. Our secondary objective was to determine whether injuries to the syndesmosis as diagnosed on magnetic resonance imaging (MRI) could be found using static imaging. METHODS: This is a descriptive radiological study of ankle MRI reports over a 12-year period, from 2 different institutions, and divided in two groups: normal and injured syndesmotic ligaments...
September 13, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27583114/misdiagnosis-of-talar-body-or-neck-fractures-as-ankle-sprains-in-low-energy-traumas
#17
Ki-Won Young, Young-Uk Park, Jin-Su Kim, Hun-Ki Cho, Ho-Sik Choo, Jang-Ho Park
BACKGROUND: The talus has a very complex anatomical morphology and is mainly fractured by a major force caused by a fall or a traffic accident. Therefore, a talus fracture is not common. However, many recent reports have shown that minor injuries, such as sprains and slips during sports activities, can induce a talar fracture especially in the lateral or posterior process. Still, fractures to the main parts of the talus (neck and body) after ankle sprains have not been reported as occult fractures...
September 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27573356/the-epidemiology-of-lateral-ligament-complex-ankle-sprains-in-national-collegiate-athletic-association-sports
#18
Karen G Roos, Zachary Y Kerr, Timothy C Mauntel, Aristarque Djoko, Thomas P Dompier, Erik A Wickstrom
BACKGROUND: Ankle sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle. PURPOSE: To describe the epidemiology, including the estimated yearly national incidence, of LLC sprains among National Collegiate Athletic Association (NCAA) athletes. STUDY DESIGN: Descriptive epidemiology study. METHODS: Injury surveillance data for 25 sports from the NCAA Injury Surveillance Program (NCAA-ISP) for the academic years 2009-2010 to 2014-2015 were used for analysis...
August 29, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27543408/return-to-play-following-ankle-sprain-and-lateral-ligament-reconstruction
#19
REVIEW
Scott B Shawen, Theodora Dworak, Robert B Anderson
Ankle sprains are the most common musculoskeletal injury occurring during athletics. Proper initial treatment with supportive pain control, limited immobilization, early return to weight bearing and range of motion, and directed physical therapy are essential for preventing recurrent injury. Reconstruction of the lateral ligaments is indicated for patients with continued instability and dysfunction despite physical therapy. Return to athletic activity should be reserved for athletes who have regained strength, proprioception, and range of motion of the injured ankle...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27541922/traumatic-avulsion-of-the-superior-extensor-retinaculum-of-the-ankle-as-a-cause-of-subperiosteal-haematoma-of-the-distal-fibula-in-children-a-retrospective-study-of-7-cases
#20
Juliette Ding, Antoine Moraux, Éric Nectoux, Xavier Demondion, Élisa Amzallag-Bellenger, Nathalie Boutry
OBJECTIVE: To describe a new sonographic feature for a traumatic lesion of the ankle in children. MATERIALS AND METHODS: We present a retrospective review of superior extensor retinaculum (SER) avulsions diagnosed by ultrasound (US) as a cause of subperiosteal haematoma (SPH) and periosteal apposition of the distal fibula in seven children (3 girls and 4 boys, mean age 13.4 years; age range 10-15 years) after an inversion trauma of the ankle. Two children were subsequently examined with magnetic resonance imaging (MRI)...
November 2016: Skeletal Radiology
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