Malalignment and Lateral Ankle Instability

Krause, Fabian; Seidel, Angela

doi:10.1016/j.fcl.2018.07.005

Cited by 15 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Varus deformity may be noted for patients with chronic lateral ankle instability. 6,7 Pain and swelling are the most common presenting symptoms with a lateral ankle sprain. The entire length of the leg should be palpated to detect any fracture or an associated syndesmotic injury.…”

Section: Clinical Examinationmentioning

confidence: 99%

Treatment of lateral ankle instability patient-specific remnant approach

Borbon

2023

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Lateral ankle instability is one of the most common problems seen in the orthopaedic setting. Proper diagnosis is essential in order to provide the ideal treatment for these patients. All patients are subjected to nonoperative management in the form of functional rehabilitation. For those, however, who did not respond well to therapy, surgical treatment is then recommended. There are several surgical techniques available which have been meticulously studied and discussed in previous articles. The focus of this paper is on the author’s perspective on choosing the surgical technique based on the quality of the anterior talofibular ligament and calcaneofibular ligament remnants. All patients are subjected to a diagnostic arthroscopy, where the remnant is assessed. The procedure then of doing an all-arthroscopic, open Modified Brostrom or anatomic reconstruction is then chosen based on this initial assessment

show abstract

Section: Clinical Examinationmentioning

confidence: 99%

Treatment of lateral ankle instability patient-specific remnant approach

Borbon

2023

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…In patients with cavovarus alignment, asymmetric loading of the hindfoot is observed, particularly anteromedially, which may predispose to chronic ankle instability and lateral ligamentous injury. 41 Recognizing cavovarus deformity in patients undergoing surgical correction for ankle instability is important because malalignment may contribute to treatment failure if not addressed. 41 Evaluation of Meary line should be performed in addition to a careful examination including Coleman block test to evaluate for forefoot-driven varus, in which case a calcaneal osteotomy or first metatarsal dorsiflexion osteotomy may be considered, particularly in revision or refractory cases.…”

Section: Varus Alignmentmentioning

confidence: 99%

Understanding Radiographic Measurements Used in Foot and Ankle Surgery

Lau

Allahabadi

Palanca

et al. 2021

J Am Acad Orthop Surg

View full text Add to dashboard Cite

Given the high volume of patient visits for foot and ankle complaints, developing a systematic approach to evaluation of foot and ankle pathology is important for orthopaedic providers. A thorough evaluation of weight-bearing radiographs is essential to differentiate acute and chronic injury from normal findings to dictate treatment. Radiographic changes and varying degrees of deformity can influence surgical considerations. The purpose of this article was to review and define radiographic measurements relevant to surgical decision making for common foot and ankle pathologies and treatment. Standard Radiographs and AnatomyAfter a thorough history and physical examination of a patient with a foot or ankle report, if imaging is indicated, obtaining weight-bearing radiographs is recommended. Weight-bearing radiographs represent a stress view reflective of day-to-day use of the foot and ankle. As such, they better reflect structure and function and are more likely to highlight deformity or pathologies related

show abstract

“…Procedures for cavovarus foot are personalized and may include a lateral displacement calcaneal osteotomy [11,41], plantar fascia release [42,43], dorsiflexion osteotomy of the first metatarsal [44], peroneal longus to brevis tendon transfer [11,41], peroneal tendon surgery ( Figure 10), Achilles tendon lengthening and arthrodesis, if it is severe [3,6,9,11]. In a high-level athlete that needs to return to play, or in refractory cases, surgery is indicated and often involves a first ray osteotomy [12], which has a very high success rate [5,45].…”

Section: Surgical Managementmentioning

confidence: 99%

Untitled

2020

Int J Foot Ankle

View full text Add to dashboard Cite

This literature review investigated the subtle cavovarus foot with a search in Pubmed and Google Scholar using the following keywords: Subtle cavovarus foot, cavovarus foot or cavus foot and one or more of the following: Associations, injuries, ankle sprains, ankle instability, sports, plantar pressure, dynamic pedobarography, Tekscan and footprint, from January 1980 to February 2019. Subtle cavovarus foot can alter foot and ankle biomechanics but reference values are lacking for dynamic pedobarography assessment. Subtle cavovarus foot is associated with peroneal tendinopathy, metatarsal stress fractures, and recurrent lateral ankle sprains, potentially leading to chronic ankle instability due to altered walking central control patterns. Treatment includes flexible/semi-rigid orthotics to laterally offload the foot, or surgery in rigid cases. Subtle cavovarus foot is associated with chronic foot and ankle pathologies. Unfortunately, diagnosis is often difficult or delayed. Early conservative management, with appropriate foot orthotics, favors a safer return to sports.

show abstract

Malalignment and Lateral Ankle Instability

Cited by 15 publications

References 23 publications

Treatment of lateral ankle instability patient-specific remnant approach

Treatment of lateral ankle instability patient-specific remnant approach

Understanding Radiographic Measurements Used in Foot and Ankle Surgery

Untitled

Contact Info

Product

Resources

About