Ruptures of the Lateral Ligaments of the Ankle:<i>Clinical Diagnosis</i>

Funder,; Jp, Jørgensen; Andersen, Asger; Sb, Andersen; Lindholmer, E; Niedermann, Bent; Vuust, Morten

doi:10.3109/17453678208992860

Cited by 43 publications

(37 citation statements)

References 4 publications

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“…The talar tilt test also helps determine CFL competence. The sensitivity of these tests is variable and ranges from 74 to 96% [33][34][35][36][37]. Regardless, performing a manual physical exam is an important part of assessing a patient presenting with ankle instability.…”

Section: History and Physical Examinationmentioning

confidence: 99%

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: History and Physical Examinationmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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“…The reliability and validity of manual ligamentous testing of the ankle joint 8,13,16,18 have not been supported. Specifically, clinical grading of anterior ankle laxity has been found to be unreliable as compared with arthrography.…”

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confidence: 99%

“…Specifically, clinical grading of anterior ankle laxity has been found to be unreliable as compared with arthrography. 8,13,18 Therefore, it appears problematic to use unreliable and invalid clinical tests as classification criteria.…”

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confidence: 99%

The Relationship Between Self-Reported and Clinical Measures and the Number of Days to Return to Sport Following Acute Lateral Ankle Sprains

Cross¹,

Worrell²,

Leslie³

et al. 2002

J Orthop Sports Phys Ther

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Study Design: This is a prospective observational study. Objective: To determine the relationship of self-reported and clinical measures to the number of days to return to sport following acute lateral ankle sprains. Background: In order to direct rehabilitation, injury classification schemes should include self-reported and clinical measures that help prognosticate the number of days to return to sport (DAYS). Methods and Measures: Twenty Division II college athletes (7 men, 13 women; mean age = 19.2 ± 1.1 years) were assessed following an acute lateral ankle sprain and upon return to sport. Athletes were assessed by three self-reported measures: global function question, Short Form-36 Physical Function scale (SF36PF), visual analog pain scale, and four clinical measures: ankle active range of motion (AROM), ankle dorsiflexion strength, ankle plantar flexion strength, ambulation status. Simple regression, multiple regression, and effect sizes (ES) were used to analyze these data. Results: The simple regression revealed a statistically significant relationship between DAYS and the global function question (r 2 = .22), the SF36PF (r 2 = .28), and the patient's ambulation status (r 2 = .27). A multiple regression using these three variables in combination was also statistically significant (P = .015) and explained approximately one-third of the variance in DAYS, (r 2 = .37). All dependent variables revealed large or moderate ES. Conclusion: Self-reported functional measures in conjunction with the athlete's ambulation status are important factors in predicting the number of days to return to sport following acute lateral ankle sprains. Further research using large sample sizes and other clinical and functional measures is necessary.

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“…52% dos pacientes com dor sobre o LTFA tem acometimento deste, e 72% dos pacientes com dor na topografia da inserção do LCF tem ruptura deste (FUNDER ET AL., 1982).…”

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“…Acreditamos, no entanto, que a localização inicial da dor é fundamental na identificação dos ligamentos lesados (Funder et al, 1982), da mesma forma que é de extrema importância na suspeição de lesões associadas.…”

Section: Hockenbury E Sammarco 2001 Descrevem a Ocorrência De Lesõesunclassified

Estudo comparativo, prospectivo e randomizado do resultado de duas formas de tratamento clínico das lesões ligamentares primárias agudas e graves do tornozelo

Prado¹

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Ruptures of the Lateral Ligaments of the Ankle:Clinical Diagnosis

Cited by 43 publications

References 4 publications

Operative treatment of lateral ligament instability

Operative treatment of lateral ligament instability

The Relationship Between Self-Reported and Clinical Measures and the Number of Days to Return to Sport Following Acute Lateral Ankle Sprains

Estudo comparativo, prospectivo e randomizado do resultado de duas formas de tratamento clínico das lesões ligamentares primárias agudas e graves do tornozelo

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