Foot and Ankle Surgery

Ankle Sprains and Sport Injuries

Sports Injuries and  Ankle Sprains

Ankle sprains is the most common sports injuries seen in sports. This type of injury can be seen in the football, jogging, basketball, and ather sportive activities. It can happen  during and after walking on uneven surfaces, or with ankle twists.

  • In the differential diagnosis of the ankle sprains; patients activity level, age, mechanism of injury, swollen areas,and range of motion should be noted. In some cases, physician may need further radiological and MRI evaluation.

Ankle injuries can be classified as ligament injuries, cartilage injuries, bone injuries and tendon injuries.

Symptomatic pain and swelling in the anterolateral part of ankle may suggest anterior talofibular ligament injury which is seen in 90% of all ankle sprains.

Sports Injuries and  Ankle Sprains

This ligament injury of the ankle sprain happens with  plantar flexion and inward rotation force.

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Ligament injuries can be divided into three main groups:

  1. stretching of the ligament.
  2. the ligament is partially torn.
  3. total rupture and tear of the ligament.     Also, damage to the cartilage and bone might be accompanied.

The first treatment approach to all ligament injuries can be as following:

  • Rest
  • Ice
  • Compression (i.e. with an elastic bandage, brace, etc)
  • Elevation

Despite this initial treatment, some patients may not recover quickly.

  • the patients with extreme pain in the foot along with swelling and bruising,
  • the patients who are unable to weight bear after two days of injury
  • patient with persisting pain in the following 2-3 weeks should be seen by an orthopedic surgeon.

After a detailed physical examination, often times, MRI study is necessary in these patients. The appropriate treatment is planned according to the degree of ligament injury, and existence of accompanied cartilage injuries, bone fractures, tendon and muscle injuries.

As a thumb of  rule, in young  active and sportive persons under the age of 30 years, Group 3 ligament injuries, cartilage lesions, recurrent sprains often require surgical treatment.

 

The material contained on the www.istanbulorthopedics.com web page is for general informational purposes only and is not intended neither to be a substitute for professional medical advice nor to be used for medical diagnosis or treatment.

Please consult with Your physician or other healthcare professional for medical advice.

About the author

Prof.Dr. Seref Aktas