Operative Techniques in Sports Medicine
Volume 18, Issue 1 , Pages 18-26 , March 2010

Lateral Ankle Ligament Injuries in Athletes: Diagnosis and Treatment

  • Adam T. Groth, MD
    • ,
  • Gregory P. Guyton, MD
    • ,
  • Lew C. Schon, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Lew C. Schon, MD, Union Memorial Orthopaedics, The Johnston Professional Building, Suite 400, 3333 N Calvert Street, Baltimore, MD 21218

References 

  1. Colville MR. Surgical treatment of the unstable ankle. J Am Acad Orthop Surg. 1998;6:368–377
  2. Berlet GC, Anderson RB, Davis WH. Chronic lateral ankle instabiliaty. Foot Ankle Clin. 1999;4:713–728
  3. Digiovanni BF, Fraga CJ, Cohen BE, et al. Associated injuries found in chronic lateral ankle instability. Foot Ankle Int. 2000;21:809–815
  4. Strauss JE, Forsberg JA, Lippert FG. Chronic lateral ankle instability and associated conditions: A rationale for treatment. Foot Ankle Int. 2007;28:1041–1044
  5. Nitz AJ, Dobner JJ, Kersey D. Nerve injury and grades II and III ankle sprains. Am J Sports Med. 1985;13:177–182
  6. O'Neill PJ, Parks BG, Walsh R, et al. Excursion and strain of the superficial peroneal nerve during inversion ankle sprain. J Bone Joint Surg Am. 2007;89:979–986
  7. Johnston EC, Howell SJ. Tension neuropathy of the superficial peroneal nerve: Associated conditions and results of release. Foot Ankle Int. 1999;20:576–582
  8. Frey C, Feder KS, DiGiovanni C. Arthroscopic evaluation of the subtalar joint: Does sinus tarsi syndrome exist?. Foot Ankle Int. 1999;20:185–191
  9. Bassett FH, Gates HS, Billys JB, et al. Talar impingement by the anteroinferior tibiofibular ligament (A cause of chronic pain in the ankle after inversion sprain). J Bone Joint Surg Am. 1990;72:55–59
  10. Beighton PH, Horan FT. Dominant inheritance in familial generalised articular hypermobility. J Bone Joint Surg Br. 1970;52:145–147
  11. DiGiovanni CW, Brodsky A. Current concepts: Lateral ankle instability. Foot Ankle Int. 2006;27:854–866
  12. Bell SJ, Mologne TS, Sitler DF, et al. Twenty-six-year results after Broström procedure for chronic lateral ankle instability. Am J Sports Med. 2006;34:975–978
  13. Broström L. Sprained ankles. VI. Surgical treatment of chronic ligament ruptures. Acta Chir Scand. 1966;132:551–565
  14. Javors JR, Violet JT. Correction of chronic lateral ligament instability of the ankle by use of the Broström procedure (A report of 15 cases). Clin Orthop Relat Res. 1985;198:201–207
  15. Gould N, Seligson D, Gassman J. Early and later repair of lateral ligament of the ankle. Foot Ankle. 1980;1:84–89
  16. Hamilton WG, Thompson FM, Snow SW. The modified Broström procedure for lateral ankle instability. Foot Ankle. 1993;14:1–7erratum 180
  17. Karlsson J, Bergsten T, Lansinger O, et al. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am. 1988;70:581–588
  18. Karlsson J, Bergsten T, Lansinger O, et al. Surgical treatment of chronic lateral instability of the ankle joint (A new procedure). Am J Sports Med. 1989;17:268–273
  19. Karlsson J, Eriksson BI, Bergsten T, et al. Comparison of two anatomic reconstructions for chronic lateral instability of the ankle joint. Am J Sports Med. 1997;25:48–53
  20. Krips R, van Dijk CN, Halasi PT, et al. Long-term outcome of anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: A multicenter study. Foot Ankle Int. 2001;22:415–421
  21. Glas E, Paar O, Smasal V, et al. Periosteal flap reconstruction of the external ankle ligaments (Results of a follow-up study). Unfallchirurg. 1985;88:219–222
  22. Kirk KL, Schon LC. Technique tip: Periosteal flap augmentation of the Broström lateral ankle reconstruction. Foot Ankle Int. 2008;29:254–255
  23. Okazaki K, Miyagi S, Tokunaga J. Anatomic reconstruction of the lateral ligament of the ankle using a periosteal flap from the fibula. Tech Foot Ankle Surg. 2005;4:98–103
  24. Rudert M, Wulker N, Wirth CJ. Reconstruction of the lateral ligaments of the ankle using a regional periosteal flap. J Bone Joint Surg Br. 1997;79:446–451
  25. Sjolin SU, Dons-Jensen H, Simonsen O. Reinforced anatomical reconstruction of the anterior talofibular ligament in chronic anterolateral instability using a periosteal flap. Foot Ankle. 1991;12:15–18
  26. Bohnsack M, Surie B, Kirsch IL, et al. Biomechanical properties of commonly used autogenous transplants in the surgical treatment of chronic lateral ankle instability. Foot Ankle Int. 2002;23:661–664
  27. Colville MR, Grondel RJ. Anatomic reconstruction of the lateral ankle ligaments using a split peroneus brevis tendon graft. Am J Sports Med. 1995;23:210–213
  28. Colville MR, Marder RA, Zarins B. Reconstruction of the lateral ankle ligaments (A biomechanical analysis). Am J Sports Med. 1992;20:594–600
  29. Bahr R, Pena F, Shine J, et al. Biomechanics of ankle ligament reconstruction (An in vitro comparison of the Broström repair, Watson–Jones reconstruction, and a new anatomic reconstruction technique). Am J Sports Med. 1997;25:424–432
  30. Schmidt R, Cordier E, Bertsch C, et al. Reconstruction of the lateral ligaments: Do the anatomical procedures restore physiologic ankle kinematics?. Foot Ankle Int. 2004;25:31–36
  31. Burks RT, Morgan J. Anatomy of the lateral ankle ligaments. Am J Sports Med. 1994;22:72–77
  32. Karlsson J, Lundin O, Lind K, et al. Early mobilization versus immobilization after ankle ligament stabilization. Scand J Med Sci Sports. 1999;9:299–303
  33. Karlsson J, Rudholm O, Bergsten T, et al. Early range of motion training after ligament reconstruction of the ankle joint. Knee Surg Sports Traumatol Arthrosc. 1995;3:173–177
  34. Safran MR, Benedetti RS, Bartolozzi AR, et al. Lateral ankle sprains: A comprehensive review (Part 1: Etiology, pathoanatomy, histopathogenesis, and diagnosis). Med Sci Sports Exerc. 1999;31:S429–S437
  35. Safran MR, Zachazewski JE, Benedetti RS, et al. Lateral ankle sprains: A comprehensive review (Part 2: Treatment and rehabilitation with an emphasis on the athlete). Med Sci Sports Exerc. 1999;31:S438–S447
  36. Kirk KL, Campbell JT, Guyton GP, et al. ATFL elongation after Broström procedure: A biomechanical investigation. Foot Ankle Int. 2008;29:1126–1130

PII: S1060-1872(09)00138-5

doi: 10.1053/j.otsm.2009.11.005

Operative Techniques in Sports Medicine
Volume 18, Issue 1 , Pages 18-26 , March 2010

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