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Orthopade. 2016 Nov;45(11):1001-1014.

[Lateral instability of the upper ankle joint].

[Article in German]

Author information

1
Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland. Norbert.Harrasser@mri.tum.de.
2
Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland.
3
Klinik für Fuß- und Sprunggelenkchirurgie, Orthopädische Fachkliniken der Hessing-Stiftung, Hessingstr. 17, 86199, Augsburg, Deutschland.
4
Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.

Abstract

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. Arthroscopic techniques offer the advantage of joint inspection and addressing intra-articular pathologies in combination with ligament repair. Accompanying pathologies must be adequately addressed during ligament repair to avoid persistent ankle discomfort. If syndesmotic insufficiency and tibiofibular instability are suspected, the objective should be early diagnosis with MRI and surgical repair.

KEYWORDS:

Conservative treatment; Sprains; Supination; Surgery; Syndesmosis

PMID:
27738709
DOI:
10.1007/s00132-016-3344-8
[Indexed for MEDLINE]

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