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KMID : 1037920230100010001
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Arthroscopy and Orthopedic Sports Medicine
2023 Volume.10 No. 1 p.1 ~ p.9
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Acute ankle lateral ligament injury: an up-to-date review
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Lee Sung-Hyun
Kim Min-Seok
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Abstract
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Ankle lateral ligament injuries are common in everyday life and sports. Because most lateral ankle ligament injuries oc-cur during sports, proper diagnosis, treatment, and rehabilitation are critical to the patient’s prognosis. A physical exami-nation is necessary for determining ankle injuries. Radiographic examinations include radiography, ultrasonography, and magnetic resonance imaging (MRI), and there are differing views on these tools. The goal of treatment for acute ankle lateral ligament injuries is to prevent chronic ankle instability. Exercise and bracing are more evidenced-based rec-ommendations that should be incorporated into the rehabilitation process. A comprehensive and progressive exercise program should include range of motion, stretching, strengthening, neuromuscular, proprioceptive, and sport-specific exercises. Many systematic reviews have found insufficient evidence to support the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprains. Surgical treatment for acute lateral ankle sprain without concomi-tant pathologies is not recommended and should only be considered in cases of severe injury with large bony avulsion or frank dislocation or professional athletes with complete ligament rupture (Grade III) and severe instability.
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KEYWORD
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Ankle, Diagnosis, Sprain, Treatment
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