Chronic Lateral Ankle Instability: Surgical Management.

Abstract:

:Surgical management for chronic lateral ankle ligament instability is useful when patients have failed nonoperative modalities. Open anatomic reconstruction is an effective method of stabilization. Ankle arthroscopy is a recommended to address intra-articular disorder before stabilization. An anatomic approach provides full range of motion, stability, and return to sport and activity. Allograft or suture tape augmentation can be useful for patients with generalized ligamentous laxity, patients with high body mass index, and elite athletes. Allograft reconstruction may be especially useful in revision procedures. Arthroscopic approach to lateral ankle ligament stabilization may provide good outcomes, with long-term data still limited.

journal_name

Clin Sports Med

authors

Ferkel E,Nguyen S,Kwong C

doi

10.1016/j.csm.2020.07.004

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

829-843

issue

4

eissn

0278-5919

issn

1556-228X

pii

S0278-5919(20)30050-8

journal_volume

39

pub_type

杂志文章,评审
  • Special shoulder problems in the throwing athlete: pathology, diagnosis, and nonoperative management.

    abstract::Shoulder problems in the overhead and throwing athlete can result in rotator cuff tendinitis. Biomechanically, there is a delicate balance between mobility and stability of the shoulder complex. Repetitive overhead stressful motion can lead to overuse tendinitis, subtle instability, labral changes, and eventual fiber ...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Abrams JS

    更新日期:1991-10-01 00:00:00

  • Biomechanics and development of the elbow in the young throwing athlete.

    abstract::This article reviews basic concepts in fundamental elbow biomechanics, particularly how they relate to the skeletally immature elbow in throwing athletes. Adult phases of throwing and the forces generated in each phase are compared with the developmental phases of throwing in children. The impact of elevated forces, p...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2004.06.005

    authors: Hutchinson MR,Wynn S

    更新日期:2004-10-01 00:00:00

  • Rehabilitation and return to play after anatomic anterior cruciate ligament reconstruction.

    abstract::Rehabilitation after anterior cruciate ligament (ACL) reconstruction should consider control of postoperative pain and swelling, protection of the healing graft, restoration of full range of motion symmetric to the contralateral knee, strengthening of the muscles that stabilize the knee, hip, and trunk, enhancing neur...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2012.08.016

    authors: Yabroudi MA,Irrgang JJ

    更新日期:2013-01-01 00:00:00

  • Swimmer's shoulder.

    abstract::The shoulder is the joint most subjected to repetitive microtrauma in swimming. This results in clinical manifestations of subacromial encroachment. The anatomy, radiographic changes, clinical findings, and histopathology of this disease process are discussed. The role of conservative exercises used in prevention as w...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ciullo JV

    更新日期:1986-01-01 00:00:00

  • Impingement in the athlete.

    abstract::There is no doubt that the understanding of shoulder mechanics and pathology will continue to evolve. It is not appropriate to consider that all patients, especially young athletes, who have shoulder pain have "impingement." Rather, a careful evaluation will result in the correct diagnosis and the institution of the a...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Miniaci A,Fowler PJ

    更新日期:1993-01-01 00:00:00

  • Dermatologic problems in athletes.

    abstract::The skin diseases observed in athletes are common dermatologic problems that are related specifically to the individual skin type, hereditary factors, age, sex, environment, and sporting activity. Early recognition and treatment of these skin diseases permit the athlete to continue participation without disability or ...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Bergfeld WF

    更新日期:1982-11-01 00:00:00

  • Diagnosis of anterior knee pain.

    abstract::A methodical approach to the evaluation of patients with anterior knee pain is extremely helpful. By exploring salient points from the patient's symptoms and history and adding important data from a comprehensive physical examination, the pieces of the puzzle can be fitted together and an accurate diagnosis can be mad...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Jacobson KE,Flandry FC

    更新日期:1989-04-01 00:00:00

  • Arthroscopy of the foot and ankle in the athlete.

    abstract::Ankle arthroscopy has evolved over the past decade to address many acute and chronic injuries in the athlete. Although similar outcomes are reported with established open procedures, arthroscopic intervention confers the advantages of decreased postoperative morbidity and earlier return to sports activity. Arthroscopi...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Cooper PS,Murray TF Jr

    更新日期:1996-10-01 00:00:00

  • Rehabilitation of cervical spine, brachial plexus, and peripheral nerve injuries.

    abstract::The cervical spine is placed at risk of injury in a number of athletic activities. It is important to understand the principles and methods of therapeutic and rehabilitative exercises both to prepare the athlete for the demands each sport will place on his or her body and to return the injured athlete to activity safe...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章

    doi:

    authors: Vegso JJ,Torg E,Torg JS

    更新日期:1987-01-01 00:00:00

  • Return to play following sports-related concussion.

    abstract::This article provides a review of current important issues in the management of athletes who have sustained a concussion during athletic competition. Recent research in the area of concussion management is reviewed with specific reference to the side line evaluation of concussion and the follow-up of the athlete durin...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2004.04.001

    authors: Lovell M,Collins M,Bradley J

    更新日期:2004-07-01 00:00:00

  • Overuse injuries.

    abstract::Stress injuries common to running athletes are always associated with a breakdown of the protective mechanisms normally inherent in healthy posture and gait. It is more important to identify and treat these breakdowns of the motor process than the resulting injury itself. Simple motor screening of athletes can identif...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Beck JL,Day RW

    更新日期:1985-07-01 00:00:00

  • Open or arthroscopic lateral release. Indications, techniques, and rehabilitation.

    abstract::Careful patient selection, accurate surgical technique, and careful postoperative rehabilitation are all equally important to success in lateral release surgery. Whether the surgery is performed by open or arthroscopic technique, one must release all layers of the retinaculum, spare the vastus lateralis, extend the re...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0278-5919(05)70006-5

    authors: Ford DH,Post WR

    更新日期:1997-01-01 00:00:00

  • The burden and management of sports-related musculoskeletal injuries and conditions within the US military.

    abstract::Military service members comprise a young and physically active population who are at increased risk for musculoskeletal injuries and conditions related to sports and physical training. Even during times of war, musculoskeletal injuries and conditions related to sports and physical training, not associated with combat...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2014.06.004

    authors: Cameron KL,Owens BD

    更新日期:2014-10-01 00:00:00

  • Sleep-wake and other biological rhythms: functional neuroanatomy.

    abstract::Knowledge from traditional neuroanatomical techniques coupled with more recent advances in functional neuroimaging and molecular genetics have led to a better understanding of how structure relates to function of many biological rhythms. In this article we review the current state of knowledge of the functional neuroa...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2004.12.008

    authors: Stiller JW,Postolache TT

    更新日期:2005-04-01 00:00:00

  • Ankle sprains and instability in dancers.

    abstract::Ankle inversion injuries are the most common traumatic injuries in dancers. Ankle stability is integral to normal mobilization and to minimizing the risk for ankle sprain. The ability of the dynamic and static stabilizers of the ankle joint to maintain their structural integrity is a major component of the normal gait...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2007.12.006

    authors: O'Loughlin PF,Hodgkins CW,Kennedy JG

    更新日期:2008-04-01 00:00:00

  • Thermal treatment of anterior cruciate ligament injury and laxity with its imaging characteristics.

    abstract::The use of radiofrequency or laser to treat lax anterior cruciate ligaments is at its infancy. The imaging results of such treated ligaments using MRI are undocumented in the literature. This article reviews the basic science behind thermal treatment of ligaments and previously published and unpublished data on this t...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0278-5919(02)00021-2

    authors: Khan AS,Sherman OH,DeLay B

    更新日期:2002-10-01 00:00:00

  • Biology of autograft and allograft healing in anterior cruciate ligament reconstruction.

    abstract::The graft-bone attachment site is the weak link in anterior cruciate ligament (ACL) reconstruction surgery because healing is slow and often incomplete. Each of the many graft options for ACL reconstruction surgery has different healing characteristics and potential. Autografts that allow bone-to-bone healing offer th...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2007.06.007

    authors: Gulotta LV,Rodeo SA

    更新日期:2007-10-01 00:00:00

  • Intracranial injuries resulting from boxing.

    abstract::A review of the available records indicates that there have been a substantial number of fatalities in primarily professional but also amateur boxers due to intracranial injuries sustained in the ring in comparison to the numbers of boxers at risk. The number of such fatalities has decreased steadily in recent years o...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0278-5919(05)70070-3

    authors: Ryan AJ

    更新日期:1998-01-01 00:00:00

  • Electromagnetic interventions in musculoskeletal disorders.

    abstract::Electromagnetic interventions in general and those considering the musculoskeletal system in particular hold many obscurities. Several studies revealing positive effects of electromagnetic fields oppose those showing no beneficial effects. After a historical review and a discussion of basic details on electromagnetic ...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2007.10.006

    authors: Bachl N,Ruoff G,Wessner B,Tschan H

    更新日期:2008-01-01 00:00:00

  • Jet lag and air travel: implications for performance.

    abstract::This review focuses on travel stress in athletes. An outline of the circadian system is presented, followed by an explanation of how disturbances to its regulation are related to jet lag. There are consequences of jet lag that affect exercise performance and health. Measures to ameliorate adverse effects of jet lag in...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2004.12.004

    authors: Reilly T,Waterhouse J,Edwards B

    更新日期:2005-04-01 00:00:00

  • Plain roentgenograms of the spine in the injured athlete.

    abstract::The valued techniques and types of plain roentgenograms of the cervical spine and the lumbar spine in athletic injuries are discussed. A considerable number of injury types exist, as well as a large number of various roentgenographic views that the physician may order. In approaching the athlete with an injured spine,...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章

    doi:

    authors: Thomas JC Jr

    更新日期:1986-04-01 00:00:00

  • Office management of the acute ankle sprain.

    abstract::Ankle injuries occur frequently in an athletic population. Understanding the anatomy, biomechanics, pathomechanics, differential diagnosis, and special pediatric considerations allows an accurate diagnosis. Treatment with a nonoperative aggressive goal-oriented therapy program has been successful at the United States ...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ryan JB,Hopkinson WJ,Wheeler JH,Arciero RA,Swain JH

    更新日期:1989-07-01 00:00:00

  • Rehabilitation of rotator cuff tendinopathy.

    abstract::Rehabilitation of the dysfunction that is associated with rotator cuff tendinopathy should be based on the evidence known about the pathoetiology of the tendinopathy, what is known about the extent of the local anatomic injury, the local and distant physiological and biomechanical alterations, and on the knowledge dev...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0278-5919(03)00048-6

    authors: Kibler WB

    更新日期:2003-10-01 00:00:00

  • The psychology of the aging athlete.

    abstract::Athletes, like other patients, will adhere to their treatment more readily if they believe the physician really understands their needs and cares about them as individuals. The guidelines provided in this article are intended to help the practitioner respond more effectively to each individual patient because effectiv...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Moss N

    更新日期:1991-04-01 00:00:00

  • Anterior cruciate ligament reconstruction. Autograft or allograft?

    abstract::Refinements in arthroscopic techniques have fostered an upsurge in arthroscopically assisted anterior cruciate ligament reconstruction. This article explores the relative merits of autogenous and allogeneic tissue used for this purpose and describes several important technical points in the author's preferred method o...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: DiStefano V

    更新日期:1993-01-01 00:00:00

  • Spinal cord abnormalities in sports.

    abstract::Many types of spinal abnormalities can have an impact on an athlete’s ability to participate in sports. One of the challenges in the current era is distinguishing the clinically relevant lesions from the incidental. Almost without exception, a Chiarimal formation, significant syringomyelia or other cyst compressing th...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.csm.2012.03.008

    authors: Proctor MR,Scott RM

    更新日期:2012-07-01 00:00:00

  • Tendon and muscle injuries in the groin area.

    abstract::Groin injuries in athletes are being recognized as one of the most difficult problems in sport. The symptoms associated with chronic groin injuries are often diffuse and uncharacteristic. These injuries usually constitute a major diagnostic and therapeutic challenge, the success of which depends on a correct diagnosis...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Renström PA

    更新日期:1992-10-01 00:00:00

  • Shoulder arthroscopy. New concepts.

    abstract::Shoulder arthroscopy has undergone dramatic advancements in the past few years. New biomechanical concepts, such as the functional rotator cuff tear, have led to new treatments, such as partial repair of massive rotator cuff tears. Techniques have evolved to repair rotator cuff tears and Bankart lesions arthroscopical...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Burkhart SS

    更新日期:1996-10-01 00:00:00

  • Hip instability: anatomic and clinical considerations of traumatic and atraumatic instability.

    abstract::Hip instability is uncommon because of the substantial conformity of the osseous femoral head and acetabulum. It can be defined as extraphysiologic hip motion that causes pain with or without the symptom of hip joint unsteadiness. The cause can be traumatic or atraumatic, and is related to both bony and soft tissue ab...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章

    doi:10.1016/j.csm.2010.12.008

    authors: Shu B,Safran MR

    更新日期:2011-04-01 00:00:00

  • The biomechanics of walking and running.

    abstract::An increased knowledge of the biomechanics of normal walking and running will improve our understanding of the possible mechanisms of pathology and ultimately improve the treatment of pathology and injury. Running, a natural extension of walking, involves increased velocities, joint range of motion, forces, muscle act...

    journal_title:Clinics in sports medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ounpuu S

    更新日期:1994-10-01 00:00:00