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Open AccessJournal Article

Ankle sprains: evaluation, treatment, rehabilitation

C Adamson, +1 more
- 01 Nov 1997 - 
- Vol. 46, Iss: 10, pp 530-537
TLDR
Primary rehabilitation, functional rehabilitation, and performance testing and the assessment of efficacy for each of these modalities are critical parts of proper treatment for ankle sprains.
Abstract
Ankle sprains are a common, costly, and potentially disabling problem. The proper history and physical examination will determine the need for radiological evaluation and treatment. Complications of ankle trauma like osteochondral fractures, peroneal tendon injuries, fracture of the os trigonum, synovial impingement, tarsal tunnel syndrome, Achilles tendon inflammation or rupture, and nerve injury are reviewed. The treatment of ankle sprains is based on the severity of the injury. Treatment begins with rest, ice, compression, and elevation. Casting and orthotics may be needed to facilitate healing. Primary rehabilitation, functional rehabilitation, and performance testing and the assessment of efficacy for each of these modalities are critical parts of proper treatment for ankle sprains.

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Citations
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Immobilisation for acute ankle sprain. A systematic review.

TL;DR: Based on the results, functional treatment currently seems a more appropriate treatment and should be encouraged and immobilisation, if necessary, should be restricted to certain patients and for short time periods.
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Position-Specific Deficit of Joint Position Sense in Ankles with Chronic Functional Instability

TL;DR: It is concluded that the ankle with FAI underestimate the amount of plantarflexion, which increases the chance of reaching greater planterflexion and inversion than patients' intention at high risk situations of spraining such as landing.
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Comparison of a lateral hop test versus a forward hop test for functional evaluation of lateral ankle sprains.

TL;DR: Whether a lateral hop test was a more sensitive functional test over time than a forward hop test in assessing lateral ankle sprains, and whether lateral hop performance can predict a subjective score from an ankle rating scale is investigated.
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Peroneal tendon dislocation

TL;DR: Most of chronic personal tendon instabilities need to be addressed by surgery due to the frustrating results obtained by nonoperative measures, however, reconstruction of the tendinous and retinacular structures can yield good-to-excellent outcomes.
References
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Nerve supply of the human knee and its functional importance

TL;DR: In 10 subjects with normal knees, an experimentally produced knee fusion was found to result in profound inhi bition of reflexly evoked quadriceps contraction, and the anatomical and physiologic data are discussed.
Journal ArticleDOI

Implementation of the Ottawa Ankle Rules

TL;DR: Implementation of the Ottawa ankle rules led to a decrease in use of ankle radiography, waiting times, and costs without patient dissatisfaction or missed fractures.
Journal ArticleDOI

Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability.

TL;DR: After reconstruction of the lateral ankle ligaments, fourteen of twenty-two patients with mild to moderate arthritic changes showed both symptomatic improvement and demonstrable widening of the medial joint space on weight-bearing roentgenograms.
Journal ArticleDOI

Prevention of ankle sprains

TL;DR: Two different methods for the prevention of ankle joint injuries in soccer were tested, where coordination training on an ankle disk improves functional stabilty and postural control, whereas an orthosis provides mechanical sup port reduces the frequency of ankle sprains.
Journal ArticleDOI

A Prospective Study of Ankle Injury Risk Factors

TL;DR: Analysis of the within-subject data demonstrated that plantarflex ion strength and the ratio of dorsiflexion to plantar flex ion strength was significantly different for the injured ankle compared with the contralateral uninjured ankle.
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