Chronic Ankle Instability

The second half of this is outline too brief and superficial to be very helpful. See these web sites that do a better job describing Ankle Fractures:

Lateral ankle sprains result in multiple acute problems including missed playing time, mechanical and functional instability, weakness, and countless other issues. Injury to the lateral ligamentous complex results in more time lost from participation than any other single sport-related injury. If left untreated or treated poorly, an ankle sprain can develop into a chronic condition. As many as 33% to 42% of lateral ankle sprains exhibit a common and serious residual disability referred to as chronic ankle instability or CAI (Hale et al., 2014). The American College of Foot and Ankle Surgeons defines chronic ankle instability as a condition characterized by recurring “giving way of the outer (lateral) side of the ankle,” and can occur in the absence of mechanical instability. Hale et al., (2014) states chronic ankle instability to be a long-term sequela to an ankle sprain injury and is felt in 20% to 40% of grade II or III diagnosed ankle sprains. By decreasing the chance of obtaining a lateral ankle sprain, chronic ankle instability and other ankle pathology would therefore also be

Patient is a 15-year-old male presenting after sustaining an inversion sprain to his right ankle while playing basketball yesterday. This occurred about 1:30 p.m. Patient indicates that he landed after jumping up for a rebound and came down on it sideways with an inversion injury. He did hear and feel a crack at that time. He was assisted off the court, sat down, then limped back to his residence. He noted increasing pain within the next hour. Pain is most prominent on the lateral aspect of the right ankle, although he also complained of anteromedial pain inferior to the medial malleolus, in addition to pain localized to the right arch and extending distally to the IP joint of the right great toe. He also complains of numbness in the toe. He does have prior history of recurrent ankle sprains. A lot due to

Gediminas T, Aleksandras K, Lankaite D. Isometric eversion and inversion testing after acute ankle sprains. Annals of Physical and Rehabilitation Medicine. 2014;57. doi:10.1016/j.rehab.2014.03.978.

However, there was no significant difference in tactile acuity between the involved (15.69 ± 11.02) and uninvolved (11.58 ± 7.40) mid-foot as well as between the involved (12.38 ± 8.49) and uninvolved (11.20 ± 7.47) forefoot. There was also no significant difference in plantar fascia thickness measured [prone in subtalar joint neutral (STJN), prone STJN with all toes dorsiflexed, and standing in STJN] between involved [2.86 ± 0.95, 3.04 ± 1.36, and 3.27 ± 1.25] and uninvolved feet [3.10 ± 0.94, 3.31 ± 1.03, and 3.54 ± 0.99] respectively. All plantar fascia thickness measured less than 4 mm, indicating that there is no longer local tissue pathology. Moreover, no significant differences in ankle dorsiflexion or in mean great toe extension between involved and uninvolved feet were noted. Finally, there were also no significant differences found in pain pressure threshold between the most painful sites of the involved (5.91 kp ± 3.08 kPa) versus the uninvolved (11.98 kp ± 13.46 kPa) foot as well as between the hand web space of the involved (7.31 kp ± 5.50 kPa) versus the uninvolved (5.04 kp ± 2.61 kPa)

Ankle injuries are on the most common injuries that most athletes have to deal with throughout their playing career, some research has shown that an ankle sprain is seven times more like to occur than other injuries. With this being said a lot of coaches require their athletes to either tape or have a brace on the ankle to prevent the injury from occurring in the first place, however evidence has shown that the use of an ankle brace does not always prevent the injury from happening. So the question becomes does the brace impair the athlete to perform at their highest level. In this study they took ten healthy D-3 male athletes, and ten female athletes. They used video analysis to record the kinematics of the lower extremities during a countermovement

The study will analyze the effect that prophylactic ankle braces cause to the joints of the knee and determining if it increases the stress placed on them. The primary function of a prophylactic ankle that is being used is to put a restriction on the inversion range of motion it usually has, since it is where most injuries occur in an ankle sprain. What people don’t know is that it also decreases your overall performance, total range of motion, and other kinematics as well. When a player is jumping and landing, the use of an ankle brace significantly reduces the amount of internal and external rotation you have in your ankle. So, when the rotation of the subtalar joint in the transverse plane is reduced, your leg and foot aren’t able to

The ankle joint is a rolling joint that gains most of its stability from osseous and ligamentous structures. Congruence of distal articular surface of the tibia, fibula, and trochlear surface of the talus aids in even distribution of weight-bearing forces on the joint. Medial ligamentous structures, interosseous membrane, tibiofibular, lateral collateral ligaments, and tendinous structures assume static stabilization role of the ankle. (10,11,22).

The pain and limited mobility caused by ankle arthritis can make daily life challenging; thus, negatively affecting an individual’s overall quality of life. In addition, this limited mobility and frequent pain often leads to anxiety and depression. At Nilssen Orthopedics Ankle and Foot Center, we are dedicated to improving our patients’ quality of life by addressing their symptoms using conservative treatments and, when necessary, surgical intervention.

(2010) randomly allocated 33 elderly women to an intervention group (IG; n = 17) and a control group (CG; n = 16). Baseline and 8-week assessments were made with a dynamometer for strength and a force plate for postural control; the limits of stability (LOS) test and the modified clinical test of sensory interaction for balance (CTSIBm) were used during postural control assessments (Boughen, Dunn, Nitz, Johnson, & Khan, 2003; Clark & Rose, 2001). The IG participated in a balance and lower extremity exercise program under direct therapy supervision, twice a week. The lower extremity exercises targeted the hip flexors, knee extensors, and ankle dorsi- and plantar-flexors. Burt et al. reported an 82.3% adherence

The central idea of the article “What it’s like to grow up with an ankle” is that the ankle device monitors the behaviour of suspects and growing up wearing this bracelet is very difficult. The suspect/culprit cannot go to certain region of the city because they are strictly banned for entering certain areas. According to the article it states that- “... he took a plea deal of 90 days of probation with GPS monitoring, which meant he had to wear an ankle bracelet.” This piece of evidence explains that the suspect have to follow specific plan,time and requirements set by the court. The device will vibrate if the culprit goes out of the boundaries. Also, if the suspect tries to cheat with the device, they might go to jail again. According to the

Certain functional abilities such as walking need some amount of dorsiflexion, minimum of 10 degrees of dorsiflexion (mecagni et al). With the ageing ankle dorsiflexion range of motion is reduced Chesworth et al, 1992). Decreased ankle range of motion alters movement patterns declining the balance of these patients (Elin et al, 2011) (Mecagni et al). Furthermore, decreases in postural control may result from the use of motions at the hip or trunk that are required to compensate for restrictions in motion at the ankle (Mecagni et al).

Stability impairments can be addressed through conventional physical therapy techniques such as strengthening hip and knee extensors to develop a positive extensors support, regaining HAT control, promoting weight bearing on involved lower extremity, weight shifting, utility of assistive device and practicing proactive and reactive modes to challenge balance. In addition to the aforementioned therapy techniques, visual feedback with force platforms is often utilized clinically and is an effective approach for the treatment of balance/instability and mobility issues. This patient can be trained with the force platform and visual feedback (Biodex Balance Master) to appropriately identify and maintain his COG while having to respond and correctly

Foot injuries are very common in athletics as well as in everyday life. It’s very debilitating to have a foot injury since we use our feet in all of our daily activities. Research published in "Medicine and Science in Sports and Exercise” indicates that the average adult takes between 5,000 to 7,000 steps a day. Some sports require the most dedicated athletes spend multiple hours a day pounding their feet on the turf or pavement. Most injuries that occur in the foot require a person to try and stay off of it or completely immobilize it. Since this is very difficult for a person to do, a large percentage of foot injuries often have a very high chance of reoccurring. The severity of some injuries that can be deceiving as well. Often times a nagging pain is ignored and eventually becomes a much bigger problem.

Background: The most common way to sprain an ankle in basketball is to step on someone else’s foot, or to plant and to turn the wrong way.