Ankle Lateral Ligament Injury Assessment: Difference between revisions

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== Introduction ==
== Introduction ==
[https://physio-pedia.com/Ankle_Sprain#cite_note-Roos-1 Lateral ankle ligament injruy] is a common MSK condition representing 85% of ankle injuries <ref>Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wickstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. American journal of sports medicine. 2016.''The American Journal of Sports Medicine'' Vol 45, Issue 1, pp. 201 - 209</ref>and has a high recurrencce rate<ref>Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. Am J Sports Med.2017;45(1):201–209.
[https://physio-pedia.com/Ankle_Sprain#cite_note-Roos-1 Lateral ankle ligament injruy] is a common MSK condition representing 85% of ankle injuries <ref>Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wickstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. American journal of sports medicine. 2016.''The American Journal of Sports Medicine'' Vol 45, Issue 1, pp. 201 - 209</ref>and has a high recurrencce rate<ref>Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. Am J Sports Med.2017;45(1):201–209.
</ref>. Persisting post-injury symptoms such as  swelling, impaired strength, instability (occasional giving way), and impaired balance responses for more than 6 months following the initial injury is defined as <nowiki>''</nowiki> [https://physio-pedia.com/Chronic_Ankle_Instability_Risk_Identification#cite_note-2 Chronic Ankle Instability-CAI]<nowiki>''</nowiki><ref>Fernández-de-las-Peñas C, editor. Manual therapy for musculoskeletal pain syndromes: An evidence-and clinical-informed approach. Elsevier Health Sciences; 2015 Jun 17</ref>.   
</ref>. Persisting post-injury symptoms such as  swelling, impaired strength, instability (occasional giving way), and impaired balance responses for more than 12 months following the initial injury is defined as <nowiki>''</nowiki> [https://physio-pedia.com/Chronic_Ankle_Instability_Risk_Identification#cite_note-2 Chronic Ankle Instability-CAI]<nowiki>''</nowiki><ref>Fernández-de-las-Peñas C, editor. Manual therapy for musculoskeletal pain syndromes: An evidence-and clinical-informed approach. Elsevier Health Sciences; 2015 Jun 17</ref>. Up to 70% of patients report developing chronic ankle instability<ref>Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med 2005;39:e14; discussion e14.
</ref>.     
 
Risk Factors are classified into intrinsic and extinsic factors: 
 
limited dorsiflexion, reduced proprioception, postural control deficiencies on SLS <ref>Kobayashi T, Yoshida M, Yoshida M, et al. Intrinsic Predictive Factors of Noncontact Lateral Ankle Sprain in Collegiate Athletes: A Case-Control Study. Orthop J SportsMed 2013;1:232596711351816.</ref>     
 
Additional factors that may contribute to an increased risk are reduced strength, coordination, cardiorespiratory, endurance, limited overall ankle joint ROM and decreased peroneal reaction time
 
''What’s new:'' An increase in available data made it possible to identify female sex as well as potentially a lower BMI being risk factors for ankle sprains. Additionally, a recommendation is provided which was missing in the original guideline.
 
The highest incidence of LAS was found for aeroball, basketball, indoor volleyball, field sports and climbing<ref>Waterman BR, Belmont PJ, Cameron KL, et al. Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med 2010;38:797–803.</ref>.   


== References  ==
== References  ==


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Revision as of 21:23, 12 November 2019

Original Editor - Mariam Hashem

Top Contributors - Mariam Hashem, Kim Jackson, Jess Bell, Tarina van der Stockt and Olajumoke Ogunleye

Introduction[edit | edit source]

Lateral ankle ligament injruy is a common MSK condition representing 85% of ankle injuries [1]and has a high recurrencce rate[2]. Persisting post-injury symptoms such as swelling, impaired strength, instability (occasional giving way), and impaired balance responses for more than 12 months following the initial injury is defined as '' Chronic Ankle Instability-CAI''[3]. Up to 70% of patients report developing chronic ankle instability[4].

Risk Factors are classified into intrinsic and extinsic factors:

limited dorsiflexion, reduced proprioception, postural control deficiencies on SLS [5]

Additional factors that may contribute to an increased risk are reduced strength, coordination, cardiorespiratory, endurance, limited overall ankle joint ROM and decreased peroneal reaction time

What’s new: An increase in available data made it possible to identify female sex as well as potentially a lower BMI being risk factors for ankle sprains. Additionally, a recommendation is provided which was missing in the original guideline.

The highest incidence of LAS was found for aeroball, basketball, indoor volleyball, field sports and climbing[6].

References[edit | edit source]

  1. ↑ Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wickstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. American journal of sports medicine. 2016.The American Journal of Sports Medicine Vol 45, Issue 1, pp. 201 - 209
  2. ↑ Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. Am J Sports Med.2017;45(1):201–209.
  3. ↑ Fernández-de-las-Peñas C, editor. Manual therapy for musculoskeletal pain syndromes: An evidence-and clinical-informed approach. Elsevier Health Sciences; 2015 Jun 17
  4. ↑ Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med 2005;39:e14; discussion e14.
  5. ↑ Kobayashi T, Yoshida M, Yoshida M, et al. Intrinsic Predictive Factors of Noncontact Lateral Ankle Sprain in Collegiate Athletes: A Case-Control Study. Orthop J SportsMed 2013;1:232596711351816.
  6. ↑ Waterman BR, Belmont PJ, Cameron KL, et al. Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med 2010;38:797–803.
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