Publication

[Lateral instability of the upper ankle joint]

Journal Paper/Review - Nov 1, 2016

Units
PubMed
Doi

Citation
Harrasser N, Eichelberg K, Pohlig F, Waizy H, Toepfer A, von Eisenhart-Rothe R. [Lateral instability of the upper ankle joint]. Orthopade 2016; 45:1001-1014.
Type
Journal Paper/Review (Deutsch)
Journal
Orthopade 2016; 45
Publication Date
Nov 1, 2016
Issn Electronic
1433-0431
Pages
1001-1014
Brief description/objective

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.