Chronic Ankle Instability: A Case Study

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:

The typical ankle sprain arises with inversion of the plantar flexed foot during weight bearing. Maximum elongation and strain of the Anterior talo fibular ligament occurs when foot is in plantar flexion. Stressful inversion through in plantar flexion can increase the chance of stress and strain to the ligament external the yield point or even the final failure strain. The force may be adequate to damage the calcaeno fibular ligament. More frequently, damage to the anterior talo fibular ligament causes excessive dorsiflexion of the ankle . Constant inversion stress with the ankle neutral or dorsiflexion leads to failure strain of the calcaeno fibular ligament .19 The athelete or sports player who uses the ankle more, so his sole of the foot

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

The ankle is an incredibly complex component of the skeletomuscular system. The ankle-foot complex must provide both stability and mobility. It is responsible for providing a stable base of support for the body (stability), but must be flexible enough to absorb the body’s weight during gait (mobility).

DOI: 8/26/2007. Patient is a 46 year-old male general production worker who sustained a work-related injury to his left ankle as a result of walking over an uneven driveway. The patient was subsequently diagnosed with tendonitis and degenerative joint disease. As per SOAP notes dated 7/6/16, the patient complains of ankle pain and that he is out of medications. Objective findings reve3aled pain with motion and while in cast. It was further noted that it seems to cycle and stable. Motion in the “STJ” residual from failure of fusion pain producing relative to time on it, in cast/out. Plan notes that left ankle lateral aspect is the area of tenderness. Current medications are Norco and

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

In her article “A Sprained Ankle May Have Lifelong Consequences” from the September 16, 2015 edition of The New York Times, Gretchen Reynolds indicated that sprained ankles are more significant and enduring than we have assumed. Gretchen began by explaining how sprained ankles are probable to permanently alter how properly and frequently someone walks.

Although not as common as other joint replacement surgeries, total ankle arthroplasty can be just as beneficial. There is more to a total ankle arthroplasty than just fixing the problem area. Ankle arthroplasty, also called a TAA or total ankle replacement, is a surgical procedure that can give a patient a better quality of life. Being in an orthopedic setting, I have seen numerous total knee replacements as well as quite a few hip replacements but not one total ankle replacement. As I started looking more into the topic, I discovered this procedure has an advantage over other ankle surgeries, such as an ankle fusion.

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

The Anterior Cruciate Ligament also known as the ACL is deemed the most commonly torn ligament in the knee and can result from both contact and noncontact injuries. Most Anterior Cruciate Ligament injuries result from an extreme force on the lateral side of the person’s knee causing a valgus force which pushes the knee inward (Kisner & Colby, 2012, pp. 802-803). This injury to the side of the knee can also cause a “Terrible Triad” injury which also injures both the medial meniscus and the medial collateral ligament (Kisner & Colby, 2012, p. 803). Our textbook further states that “the most common noncontact mechanism is a rotational mechanism in which the tibia is externally rotated on the planted foot….this mechanism can account for as many as 78% of all ACL injuries” (Kisner & Colby, 2012, p. 803). If the person does not seek medical help with this injury they are susceptible to also injuring the remaining support ligaments as well. Patients usually present with joint effusion; possibly 25 degrees of flexion, joint swelling if blood vessels are involved, limited ROM, stress pain and instability along with quads avoidance gait patterns (Kisner & Colby, 2011, p. 208)

Grade I involves stretching a ligament, Grade II involves stretch or slight tear to a ligament, and Grade III involves the ligaments to be ruptured. Such results of Grade III can cause an individual to not be able to walk. With that being said, prevention is an important factor especially if an individual has already had an injury to the foot or ankle because it is more likely to happen again. As stated in the beginning, once an individual has had a foot or an ankle injury it is 73.5 percent chance that it can reoccur (Lynam, L.). A big help to prevent such injury is as simple as warming up and stretching your ankle and foot before heavy activities. This will help stretch the muscles and the tendons in the ankle. Other simple prevention mechanism includes wearing the right shoes when out doing physical activities, wearing an ankle brace if the ankle or foot has been injured already in the past, paying close attention to your surroundings, and to pay attention to warning signs if the individual is getting tired. It is important to teach the patient that once the area is injured they need to rest, ice and elevate their foot for correct care. Once again, teach them how to prevent it

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.

In this paper I will be researching ACL injuries in sports. Along with what causes these injuries to happen, how they can be prevent and if the footwear we use as athletes can make these injuries more or less likely to happen to us. I will also be looking closely into the reoccurring ACL injury in which Derrick Rose of the Chicago Bulls has been suffering from for the past few years.

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.

The foot and ankle are important weight-bearing organs that have a vital role in activities of daily life (Walker, 2014). The most familiar injury is an acute sprain (Mai and Cooper 2009). It is estimated that more than 300,000 people came to the emergency department with acute ankle sprains every year (Roche et al, 2009). The ankle is a synovial hinge joint which is made up of the distal fibula forming the lateral malleolus, while the distal tibia forming the medial malleolus and the talus (Walker, 2014). The ankle sprain happened when weight is put to the foot and the foot experienced an uneven surface or got twisted and it rotated towards or away from midline of body, known as eversion or inversion. This occurrence causes ligaments on outside