Current Concepts: Lateral Ankle Instability

DiGiovanni, Christopher W.; Brodsky, Adam

doi:10.1177/107110070602701019

Cited by 142 publications

(95 citation statements)

References 141 publications

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“…This tissue may ultimately compromise the stability of the ankle. The ATFL and CFL are primarily affected in patients with ankle instability [1]. The ATFL, which originates at the anterior border of the distal fibula and inserts into the lateral portion of the talar neck, anterior to the lateral malleolar surface, is a capsular thickening which functions to prevent both inversion and anterior displacement of the talus [18].…”

Section: Anatomymentioning

confidence: 99%

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Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

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Section: Anatomymentioning

confidence: 99%

“…In the USA, there are approximately 30,000 ankle sprains per day [1] and 2 million per year [2]. Furthermore, 20-40% of all sports-related injuries in the USA are ankle sprains [3].…”

Section: Introductionmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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show abstract

“…Mechanical instability is identifiable on physical examination and stress radiographs, whereas functional instability reflects subjective, patient-reported complaints of the ankle instability with or without clinical laxity [54,72,73] . Surgery is generally reserved for patients with chronic ankle stability that have failed to improve with a thorough course of conservative management and physical therapy.…”

Section: Chronic Ankle Instability Treatmentmentioning

confidence: 99%

Management and prevention of acute and chronic lateral ankle instability in athletic patient populations

McCriskin

Cameron

Orr

et al. 2015

WJO

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“…16 Others have promoted the use of graft materials to reinforce the repair, such as plantaris tendon, fascia lata, and toe extensors. 17 The disadvantages of using autograft tendon include morbidity associated with harvesting, muscle weakness in the area where the graft was obtained, and increased surgical time required to harvest and prepare the graft before implantation. 18 In contrast, allograft materials may help improve recovery time.…”

mentioning

confidence: 99%

“…18 Non-anatomic repairs utilize tenodesis procedures to restrict ankle motion without repair of the ligaments of the ankle. 17 While these procedures increase stability, they also have increased morbidity and reduce ankle and subtalar motion. 7 Our rationale for using the OrthADAPT™ implant to enhance the primary repair is to harness the benefits of an allograft augmentation, without the risks of disease transmission and increased inflammation.…”

mentioning

confidence: 99%