Kantonsspital St.Gallen

[Lateral instability of the upper ankle joint]

N Harrasser, K Eichelberg, F Pohlig, H Waizy, Andreas Toepfer & R Von Eisenhart-Rothe

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.
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 (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 11-2016
journal title Orthopade (45/11)
ISSN electronic 1433-0431
pages 1001-1014
PubMed 27738709
DOI 10.1007/s00132-016-3344-8