Lateral chronic ankle instability: A brief review
Lateral ankle sprain (LAS) is considered “an acute traumatic injury to the lateral ligament complex of the ankle joint as a result of excessive inversion of the rear foot or a combined plantar flexion and adduction of the foot”. Chronic ankle instability (CAI) is characterized by a history of one si...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Orthopaedic Diseases and Traumatology |
| Subjects: | |
| Online Access: | http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=204;epage=208;aulast=Agarwal |
| _version_ | 1797219156612874240 |
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| author | Saurabh Agarwal Abhishek Nagaich Nibin Sunny |
| author_facet | Saurabh Agarwal Abhishek Nagaich Nibin Sunny |
| author_sort | Saurabh Agarwal |
| collection | DOAJ |
| description | Lateral ankle sprain (LAS) is considered “an acute traumatic injury to the lateral ligament complex of the ankle joint as a result of excessive inversion of the rear foot or a combined plantar flexion and adduction of the foot”. Chronic ankle instability (CAI) is characterized by a history of one significant LAS, subsequent recurrent sprains, episodes of the ankle giving way, or self-reported deficits in ankle function for >1 year following the initial sprain. If untreated, instability may lead to cartilage deterioration and end in degenerative ankle disease. The objective of this review is to provide recent scientific evidence on CAI. Through this article, we have tried to put some light upon a problem that causes significant morbidity to the patient by compilation of the available evidence-based concepts. The need for this article is as there is the absence of a generalized treatment algorithm, the presence of various treatment modalities, the presence of two schools of opinion regarding treatment, and the absence of comprehensive text. Years of research have identified numerous impairments associated with CAI such as decreases in range of motion, strength, postural control, and altered movement patterns during functional activities when compared to individuals with no LAS history. As a result, an impairment-based rehabilitation model was developed to treat the common impairments associated with CAI. The impairment-based rehabilitation model has been shown to be an effective rehabilitation strategy at improving both clinical and patient-oriented outcomes in patients with CAI. We have reviewed the current literature regarding diagnosis, imaging, conservative methods, surgical approaches, and rehabilitation protocols. |
| first_indexed | 2024-03-07T21:35:13Z |
| format | Article |
| id | doaj.art-0095ed0e53344bcf849610b469dd5f82 |
| institution | Directory Open Access Journal |
| issn | 2665-9352 2665-9360 |
| language | English |
| last_indexed | 2024-04-24T12:29:10Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedic Diseases and Traumatology |
| spelling | doaj.art-0095ed0e53344bcf849610b469dd5f822024-04-08T06:28:25ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedic Diseases and Traumatology2665-93522665-93602023-01-016320420810.4103/jodp.jodp_85_22Lateral chronic ankle instability: A brief reviewSaurabh AgarwalAbhishek NagaichNibin SunnyLateral ankle sprain (LAS) is considered “an acute traumatic injury to the lateral ligament complex of the ankle joint as a result of excessive inversion of the rear foot or a combined plantar flexion and adduction of the foot”. Chronic ankle instability (CAI) is characterized by a history of one significant LAS, subsequent recurrent sprains, episodes of the ankle giving way, or self-reported deficits in ankle function for >1 year following the initial sprain. If untreated, instability may lead to cartilage deterioration and end in degenerative ankle disease. The objective of this review is to provide recent scientific evidence on CAI. Through this article, we have tried to put some light upon a problem that causes significant morbidity to the patient by compilation of the available evidence-based concepts. The need for this article is as there is the absence of a generalized treatment algorithm, the presence of various treatment modalities, the presence of two schools of opinion regarding treatment, and the absence of comprehensive text. Years of research have identified numerous impairments associated with CAI such as decreases in range of motion, strength, postural control, and altered movement patterns during functional activities when compared to individuals with no LAS history. As a result, an impairment-based rehabilitation model was developed to treat the common impairments associated with CAI. The impairment-based rehabilitation model has been shown to be an effective rehabilitation strategy at improving both clinical and patient-oriented outcomes in patients with CAI. We have reviewed the current literature regarding diagnosis, imaging, conservative methods, surgical approaches, and rehabilitation protocols.http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=204;epage=208;aulast=Agarwalchronic ankle instabilitychronic ankle sprainlateral ankle sprain |
| spellingShingle | Saurabh Agarwal Abhishek Nagaich Nibin Sunny Lateral chronic ankle instability: A brief review Journal of Orthopaedic Diseases and Traumatology chronic ankle instability chronic ankle sprain lateral ankle sprain |
| title | Lateral chronic ankle instability: A brief review |
| title_full | Lateral chronic ankle instability: A brief review |
| title_fullStr | Lateral chronic ankle instability: A brief review |
| title_full_unstemmed | Lateral chronic ankle instability: A brief review |
| title_short | Lateral chronic ankle instability: A brief review |
| title_sort | lateral chronic ankle instability a brief review |
| topic | chronic ankle instability chronic ankle sprain lateral ankle sprain |
| url | http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=204;epage=208;aulast=Agarwal |
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