[Lateral instability of the upper ankle joint]
N Harrasser, K Eichelberg, F Pohlig, H Waizy, Andreas Toepfer & R Von Eisenhart-Rothe
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abstract
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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.
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citation
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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.
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type
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journal paper/review (Translation2::getLang(): unknown language "".
Use Translation2::setLang() to set a default language.)
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date of publishing
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11-2016
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journal title
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Orthopade (45/11)
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ISSN electronic
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1433-0431
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pages
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1001-1014
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PubMed
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27738709
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DOI
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10.1007/s00132-016-3344-8
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