Статті в журналах: "Ankle injuries"

1

Moseley, Mary, Zaira Rivera-Diaz, and Daniel M. Fein. "Ankle Injuries." Pediatrics In Review 43, no. 3 (March 1, 2022): 185–87. http://dx.doi.org/10.1542/pir.2021-004992.

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2

Swain, Randall A., and Worthe S. Holt. "Ankle injuries." Postgraduate Medicine 93, no. 3 (February 15, 1993): 91–100. http://dx.doi.org/10.1080/00325481.1993.11701623.

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3

Perera, C. "ANKLE INJURIES." Medicine & Science in Sports & Exercise 33, no. 5 (May 2001): S81. http://dx.doi.org/10.1097/00005768-200105001-00461.

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Gulbrandsen, Matthew, David E. Hartigan, Karan A. Patel, Justin L. Makovicka, Sailesh V. Tummala, and Anikar Chhabra. "Ten-Year Epidemiology of Ankle Injuries in Men's and Women's Collegiate Soccer Players." Journal of Athletic Training 54, no. 8 (August 1, 2019): 881–88. http://dx.doi.org/10.4085/1062-6050-144-18.

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Context Data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) have indicated that ankle injuries are the most common injuries among NCAA soccer players. Objective To review 10 years of NCAA-ISP data for soccer players' ankle injuries to understand how the time period (2004–2005 through 2008–2009 versus 2009–2010 through 2013–2014), anatomical structure injured, and sex of the athlete affected the injury rate, mechanism, and prognosis. Design Descriptive epidemiology study. Setting Online injury surveillance. Main Outcome Measure(s) The NCAA-ISP was queried for men's and women's soccer ankle data from 2004 to 2014. Ankle-injury rates were calculated on the basis of injuries per 1000 athlete-exposures. Rate ratios (RRs) were used to compare injury rates. Injury proportion ratios (IPRs) were used to compare injury characteristics. Results When compared with the 2004–2005 through 2008–2009 seasons, the 2009–2010 through 2013–2014 seasons showed a similar rate of injuries (RR = 0.94, 95% confidence interval [CI] = 0.85, 1.04) but fewer days missed (P < .001) and fewer recurrent injuries (IPR = 0.55, 95% CI = 0.41, 0.74). The 4 most common ankle injuries, which accounted for 95% of ankle injuries, were lateral ligament complex tears (65.67%), tibiofibular ligament (high ankle) sprains (10.3%), contusions (10.1%), and medial (deltoid) ligament tears (9.77%). Of these injuries, high ankle sprains were most likely to cause athletes to miss ≥30 days (IPR = 1.9, 95% CI = 1.24, 2.90). Men and women had similar injury rates (RR = 1.02, 95% CI = 0.94, 1.11). Men had more contact injuries (IPR = 1.28, 95% CI = 1.16, 1.41) and contusion injuries (IPR = 1.34, CI = 1.03, 1.73) but fewer noncontact injuries (IPR = 0.86, 95% CI = 0.78, 0.95) and lateral ligamentous complex injuries (IPR = 0.92, 95% CI = 0.86, 0.98). Conclusions Although the rate of ankle injuries did not change between the 2004–2005 through 2008–2009 seasons and the 2009–2010 through 2013–2014 seasons, the prognoses improved. Among the 4 most common ankle injuries, high ankle sprains resulted in the worst prognosis. Overall, male and female NCAA soccer players injured their ankles at similar rates; however, men were more likely to sustain contact injuries.

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Kolodziej, Mathias, Steffen Willwacher, Kevin Nolte, Marcus Schmidt, and Thomas Jaitner. "Biomechanical Risk Factors of Injury-Related Single-Leg Movements in Male Elite Youth Soccer Players." Biomechanics 2, no. 2 (May 26, 2022): 281–300. http://dx.doi.org/10.3390/biomechanics2020022.

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Altered movement patterns during single-leg movements in soccer increase the risk of lower-extremity non-contact injuries. The identification of biomechanical parameters associated with lower-extremity injuries can enrich knowledge of injury risks and facilitate injury prevention. Fifty-six elite youth soccer players performed a single-leg drop landing task and an unanticipated side-step cutting task. Three-dimensional ankle, knee and hip kinematic and kinetic data were obtained, and non-contact lower-extremity injuries were documented throughout the season. Risk profiling was assessed using a multivariate approach utilising a decision tree model (classification and regression tree method). The decision tree model indicated peak knee frontal plane angle, peak vertical ground reaction force, ankle frontal plane moment and knee transverse plane angle at initial contact (in this hierarchical order) for the single-leg landing task as important biomechanical parameters to discriminate between injured and non-injured players. Hip sagittal plane angle at initial contact, peak ankle transverse plane angle and hip sagittal plane moment (in this hierarchical order) were indicated as risk factors for the unanticipated cutting task. Ankle, knee and hip kinematics, as well as ankle and hip kinetics, during single-leg high-risk movements can provide a good indication of injury risk in elite youth soccer players.

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Renström, Per A. F. H., and Scott A. Lynch. "Ankle ligament injuries." Revista Brasileira de Medicina do Esporte 4, no. 3 (June 1998): 71–80. http://dx.doi.org/10.1590/s1517-86921998000300002.

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Renstrom, P. A., and L. Konradsen. "Ankle ligament injuries." British Journal of Sports Medicine 31, no. 1 (March 1, 1997): 11–20. http://dx.doi.org/10.1136/bjsm.31.1.11.

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8

Tandeter, H. B., and P. Shvartzman. "Acute Ankle Injuries." Nurse Practitioner 22, no. 10 (October 1997): 124. http://dx.doi.org/10.1097/00006205-199710000-00027.

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Levy, David M., Kristoff Reid, and Christopher E. Gross. "Ankle Syndesmotic Injuries." Techniques in Orthopaedics 32, no. 2 (June 2017): 80–83. http://dx.doi.org/10.1097/bto.0000000000000226.

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10

Konradsen, Lars, Michael Voigt, and Charlotte Hojsgaard. "Ankle Inversion Injuries." American Journal of Sports Medicine 25, no. 1 (January 1997): 54–58. http://dx.doi.org/10.1177/036354659702500110.

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11

Peña, Fernando A., and J. Chris Coetzee. "Ankle Syndesmosis Injuries." Foot and Ankle Clinics 11, no. 1 (March 2006): 35–50. http://dx.doi.org/10.1016/j.fcl.2005.12.007.

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12

Abbassian, Ali, and Rhidian Thomas. "Ankle ligament injuries." British Journal of Hospital Medicine 69, no. 6 (June 2008): 339–43. http://dx.doi.org/10.12968/hmed.2008.69.6.29624.

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13

Oh, Hyeri, Hyosung Lim, and Minsoo Jeon. "Analysis of Sports Injury in Lower Extremities of High School Taekwondo Athletes." Applied Sciences 11, no. 24 (December 9, 2021): 11690. http://dx.doi.org/10.3390/app112411690.

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Sports injuries frequently occur in athletes during competitive activities and practice routines, and the causes include cumulative fatigue from repetitive training, lack of warm-up exercises, and absence of motivation during competition. We aimed to determine the frequency and characteristics of lower extremity injuries in high school Taekwondo athletes. This study evaluated lower extremity sports injuries in 473 high school Taekwondo athletes. We conducted frequency and cross analyses. The questionnaire tools were developed to identify the characteristics of lower extremity injuries in Taekwondo athletes. Results: For injury by person, thigh injuries and re-injuries were most frequent. In non-contact injury, ankle injuries and re-injuries were most numerous. In the men’s lightweight category, thighs were injured the most in injury by person and ankles suffered the most non-contact injuries. In the men’s heavyweight category, the number of knee injuries was highest in injury by person, and the number of ankle injuries was highest in non-contact injury. In the women’s lightweight category, thighs suffered a higher number of injuries by person, whereas ankles had the highest number of non-contact injuries. In the women’s heavyweight category, thighs had the highest number of injuries by persons, whereas ankles had the highest number of non-contact injuries. The causes of ankle injury in weight classes were different in the two sexes. Conclusion: In this study, we confirmed that the sports damage suffered by student athletes mainly occurs as injuries in training situations without opponents. Our findings could help formulate basic guidelines for preventing sports injury in Taekwondo.

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14

Fox, Rabun S., Ryan G. Rogero, Daniel Corr, Steven M. Raikin, David I. Pedowitz, Joseph Larwa, Joseph T. O’Neil, and Daniel J. Fuchs. "Outcomes of Suture-Button Fixation for Treatment of Maisonneuve Injuries." Foot & Ankle Orthopaedics 5, no. 4 (October 1, 2020): 2473011420S0021. http://dx.doi.org/10.1177/2473011420s00213.

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Category: Ankle; Trauma Introduction/Purpose: The purpose of this study was to evaluate the radiographic and functional outcomes of suture-button devices for treatment of Maisonneuve injuries, which present unique considerations due to the proximal one-third fibular fracture, through which the distal fibular segment can potentially shorten. Methods: Patients undergoing operative management of Maisonneuve injuries from 2014-2018 utilizing suture-button devices with 2 fellowship-trained foot and ankle orthopedic surgeons were included. Exclusion criteria included use of a transosseous syndesmotic screw, fixation of the proximal fibular fracture, or less than 12 months follow-up. Medial clear space, tibiofibular clear space, tibiofibular overlap, talocrural angle, and distal fibular congruency on the injured and non-injured ankles were measured. Patients also completed the Foot & Ankle Ability Measure (FAAM)-Activities of Daily Living (ADL) and -Sports subscales and Visual Analog Scale (VAS) for pain (n/100). Thirty-three patients were included. Results: Three (9.1%) patients experienced a postoperative complication, including 1 wound dehiscence and 2 requiring hardware removal. No significant differences were demonstrated in radiographic parameters measured between 6-week and final radiographs on the injured ankle, as well between final radiographs taken of the injured and uninjured ankles (Table 1). At mean follow-up of 34.7 (range, 12-58) months, patients had a mean FAAM-ADL of 91.1, FAAM-Sports of 81.7, and VAS pain of 14.3. Conclusion: This study demonstrates that isolated use of suture-button devices for syndesmotic fixation in Maisonneuve injury patterns is effective at maintaining fibular length and reduction of the syndesmosis, as well as achieving satisfactory patient outcomes. [Table: see text]

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15

Graydon, R., D. Fewtrell, S. Atkins, and J. Sinclair. "The effects of ankle protectors on lower limb kinematics in male football players: a comparison to braced and unbraced ankles." Comparative Exercise Physiology 13, no. 4 (October 5, 2017): 251–58. http://dx.doi.org/10.3920/cep160031.

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Football (soccer) players have a high risk of injuring the lower extremities. To reduce the risk of ankle inversion injuries ankle braces can be worn. To reduce the risk of ankle contusion injuries ankle protectors can be utilised. However, athletes can only wear one of these devices at a time. The effects of ankle braces on stance limb kinematics has been extensively researched, however ankle protectors have had little attention. Therefore, the current study aimed to investigate the effects of ankle protectors on lower extremity kinematics during the stance phase of jogging and compare them with braced and uncovered ankles. Twelve male participants ran at 3.4 m/s in three test conditions; ankle braces (BRACE), ankle protectors (PROTECTOR) and with uncovered ankles (WITHOUT). Stance phase kinematics were collected using an eight-camera motion capture system. Kinematic data between conditions were analysed using one-way repeated measures ANOVA. The results showed that BRACE (absolute range of motion (ROM) = 10.72° and relative ROM = 10.26°) significantly (P<0.05) restricted the ankle in the coronal plane when compared to PROTECTOR (absolute ROM=13.44° and relative ROM =12.82°) and WITHOUT (absolute ROM=13.64° and relative ROM=13.10°). It was also found that both BRACE (peak dorsiflexion=17.02° and absolute ROM=38.34°) and PROTECTOR (peak dorsiflexion =18.46° and absolute ROM =40.15°) significantly (P<0.05) reduced sagittal plane motion when compared to WITHOUT (peak dorsiflexion =19.20° and absolute ROM =42.66°). Ankle protectors’ effects on lower limb kinematics closely resemble that of an unbraced ankle. Therefore, ankle protectors should only be used as a means to reduce risk of ankle contusion injuries and not implemented as a method to reduce the risk of ankle inversion injuries. Furthermore, the reductions found in sagittal plane motion of the ankle could possibly increase the bodies energy demand needed for locomotion when ankle protectors are utilised.

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Ellapen, Terry Jeremy, N. Acampora, S. Dawson, J. Arling, C. Van Niekerk, and H. J. Van Heerden. "Comparison of the effect of semi-rigid ankle bracing on performance among injured v. non-injured adolescent female hockey players." South African Journal of Sports Medicine 26, no. 3 (September 29, 2014): 73. http://dx.doi.org/10.17159/2413-3108/2014/v26i3a101.

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Objective. To determine the comparative proprioceptive performance of injured v. non-injured adolescent female hockey players wearing an ankle brace.Methods. Data were collected from 100 high school players who belonged to the Highway Secondary School Hockey League, KwaZulu-Natal, via voluntary parental informed consent and player assent. Players completed an injury questionnaire probing the prevalence and nature of hockey injuries (March - August 2013). Subsequently, players completed a Biodex proprioceptive test with and without an ankle brace. Probability was set at p≤0.05.Results. Twenty-two players sustained ankle injuries within the 6-month study period (p<0.001). Injured players performed similarly without bracing (right anterior posterior index (RAPI) 2.8 (standard deviation (SD) 0.9); right medial lateral index (RMLI) 1.9 (0.7); left anterior posterior index (LAPI) 2.7 (0.9); left medial lateral index (LMLI) 1.7 (0.6)) compared with bracing (RAPI 2.7 (1.4); RMLI 1.8 (0.6); LAPI 2.6 (1.0); LMLI 1.5 (0.6)) (p>0.05). However, bracing improved the ankle stability of the non-injured group (RAPI 2.2 (0.8); RMLI 1.5 (0.5); LAPI 2.4 (0.9); RMLI 1.5 (0.5)) compared with their performance without a brace (RAPI 2.5 (1.0); RMLI 1.8 (0.8); LAPI 2.8 (1.1); LMLI 1.8 (0.6)) (p<0.05).Conclusion. Ankle bracing did not enhance the stability of injured ankles. However, ankle bracing has an ergogenic effect that enhances the stability of healthy ankles.

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Khan, Umar Zia, Wali Muhammad, and Abdur Rehman Qureshi. "ANKLE FRACTURES;." Professional Medical Journal 25, no. 08 (August 4, 2018): 1160–63. http://dx.doi.org/10.29309/tpmj/2018.25.08.53.

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Objectives: To evaluate the pattern of ankle fractures presented to our regionaltrauma and tertiary care center. Study Design: Prospective Study. Place & Duration of Study:Lady Reading Hospital, Peshawar from November 2016 to October 2017-Twelve months.Methods: The study group included 107 patients with ankle fractures where age, gender,mechanism of injury, presence of closed or open fracture was recorded. The fractures wereclassified according to Lauge-Hansen and Danis-Weber classifications. Medial malleoluscomminution and presence of talar shift was recorded. The pattern of fractures was analyzedand compared with literature. Results: 52.3% sustained these fractures while running/walkingfollowed by road traffic accident in 25.2%. Supination external rotation injures and Weber B werethe commonest followed by supination adduction injuries and Weber A fractures. 25 % of anklefractures were open. 27.1 % showed medial malleolus comminution and talar shift was noticedin 77% cases. Conclusion: We observed high proportion of open and unstable fractures alongwith higher rate of medial malleolus comminution in our patients. High proportion of supinationadduction injuries were recorded which is associated with impaction injury of medial tibialplafond.

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Park, Byeong Seop, Chin Youb Chung, Moon Seok Park, Ki Hyuk Sung, Young Choi, Chulhee Park, Seungbum Koo, and Kyoung Min Lee. "Inverse Relationship Between Radiographic Lateral Ankle Instability and Osteochondral Lesions of the Talus in Patients With Ankle Inversion Injuries." Foot & Ankle International 40, no. 12 (August 27, 2019): 1368–74. http://dx.doi.org/10.1177/1071100719868476.

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Background: Insufficient or excessive bony constraint surrounding the talus might contribute to the occurrence of ligamentous injury or bone contusion, respectively, at the time of ankle inversion injuries. This study aimed to investigate the relationship between radiographic lateral ankle instability and osteochondral lesions of the talus (OLT) following ankle inversion injuries. Methods: A total of 195 patients (113 men and 83 women; mean age, 38.7 years) with a history of ankle inversion injuries were included in this study. All patients underwent ankle magnetic resonance imaging (MRI) and stress radiography. The tibiotalar tilt angle on varus stress radiograph, anterior translation of the talus on anterior-drawer lateral radiographs, bimalleolar tilt angle, and fibular position were radiographically determined. The radiographic lateral ankle instability was defined as tibiotalar tilt angle ≥10 degrees, and the presence of OLT was confirmed on MR images. The relationship between the radiographic lateral ankle instability and the presence of OLT was statistically analyzed. Results: The presence of radiographic lateral ankle instability (tibiotalar tilt angle ≥10 degrees) showed an inverse relationship with that of OLT in the chi-squared test ( P = .003). An increased tibiotalar tilt angle was associated with lower incidence of OLT ( P = .011) in the multiple regression analysis, and the presence of OLT was associated with a decreased tibiotalar tilt angle ( P = .016) in the binary logistic regression analysis. Conclusions: This study showed an inverse relationship between lateral ankle instability and the development of OLT following ankle inversion injury. The role of bony constraint in the development of sports injuries in the ankle should be considered with these injuries. Level of Evidence: Level III, diagnostic, comparative study.

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Sokka, Taru, Matias Hilska, Tommi Vasankari, Mari Leppänen, Pekka Kannus, Jari Parkkari, Heidi Haapasalo, Hannele Forsman, Jani Raitanen, and Kati Pasanen. "Females Sustain more Ankle Injuries than Males in Youth Football." International Journal of Sports Medicine 41, no. 14 (July 20, 2020): 1017–23. http://dx.doi.org/10.1055/a-1192-5399.

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AbstractThis prospective study evaluated the incidence and pattern of acute injuries in youth (9- to 14-year- old) football players. Ten football clubs [n=730 players (567 males, 163 females)] participated in the 20-week follow-up study (January–June 2015). Data was collected by sending a standardized weekly SMS to players’ parents/guardians with follow-up interviews for injured players. During the study period, 278 players (38%) sustained 410 acute injuries. The overall injury incidence for males and females was 6.47 (95% CI, 5.84–7.09) injuries per 1000 h of football exposure. Most injuries (40%) caused minimal absence from sports. Eighty-four percent of the injuries affected the lower extremities, with the ankle (30%), knee (17%), and thigh (16%) being the most commonly injured body sites. Females had significantly higher ankle injury rate (IRR) 1.85 (95% CI, 1.18–2.91, p=0.007) and non-contact ankle injury rate IRR 2.78 (95% CI, 1.91–4.02, p<0.001) than males. In conclusion, our results showed that the acute injury incidence among youth football is moderately high, and females are at higher risk for ankle injuries. Injury prevention programs aimed at preventing ankle injuries should be considered in the future.

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20

LaBella, C. "Ankle Braces Reduce Basketball Players' Ankle Injuries." AAP Grand Rounds 26, no. 6 (December 1, 2011): 61. http://dx.doi.org/10.1542/gr.26-6-61.

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Guzman, Javier Z., Kevin K. Chen, Jimmy J. Chan, and Ettore Vulcano. "Epidemiology of Contact and Non-Contact Ankle Injuries in Collegiate Athletes." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0019. http://dx.doi.org/10.1177/2473011419s00193.

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Category: Ankle, Sports Introduction/Purpose: Ankle injuries can often have profound implication in the potential careers of National Collegiate Athletic Association (NCAA) athletes. Accordingly, a more thorough characterization of these injuries and insight into injury etiology is warranted. In addition, a more comprehensive understanding will allow proper education of athletes when injuries do occur. Here we review the incidence and effect of ankle injuries on NCAA athletes and their athletic season. Methods: Ankle injuries across 16 collegiate sports played by men and women from 2004-05 to 2013-14 academic years were surveyed from the NCAA Injury Surveillance Program (NCAA-ISP). Ankle injury rates per 10,000 athlete-exposures (IR), operative rate, annual injury rate trends, re-injury rates, in-season status (pre/in/post-season) at time of injury, and time loss distributions were perused. In effort to include both male and female atheletes equally, a sub-group analysis of contact sports played by both genders (C-BG) was performed to determine if there was a significant difference in risk when compared to those athletes that did not play contact sports. These sports included basketball, soccer, lacrosse, and ice hockey. Types of ankle injuries (soft tissues or bony) were also sub-classified and counted. Results: Over the course of 10 years, there were 14,080 ankle injures identified (IR=11.9). There were 8,978 (IR=12.1) injuries in males and 5,102 (IR=11.7) injuries in females. The rate of injuries that occurred in C-BG cohort (IR=14.5) was greater than that of the total group of noncontact participants (IR=7.6). When comparing injury rates between all contact sports(IR=14.1) and all noncontact sports (IR=7.6) the difference was found to be statistically significant(p <0 .0001). In the C-BG group, 1.4% of injuries were operative (N=93). The overall mean time loss for C-BG was 10.9 days when excluding patients who had season ending injuries. Across all atheletes, the top three contact sports with season ending ankle injuries were football, basketball, and lacrosse. Importantly,16.8% of all injuries were classified as re-injuries. Conclusion: Ankle injuries represent a common and broad spectrum of injuries in collegiate athletes. A majority of ankle injuries occurred during the regular season with sprains, strains, contusions, and fractures representing the most common types of injuries. Contact sports tend to have higher rates of ankle injuries than noncontact sports. As the consequence of index ankle injury appears to be higher predisposition to reinjury, a better understanding of the kinds of ankle injuries and their respective causes may help elucidate trends useful in the development of various prevention strategies.

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Wilkerson, Leonard A. "ANKLE INJURIES IN ATHLETES." Primary Care: Clinics in Office Practice 19, no. 2 (June 1992): 377–92. http://dx.doi.org/10.1016/s0095-4543(21)00142-1.

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23

Wright, Ian C., Darren J. Stefanyshyn, and Benno M. Nigg. "Prevention of Ankle Injuries." Sports Medicine 26, no. 1 (July 1998): 59. http://dx.doi.org/10.2165/00007256-199826010-00005.

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Vosseller, J. Turner, Elizabeth R. Dennis, and Shaw Bronner. "Ankle Injuries in Dancers." Journal of the American Academy of Orthopaedic Surgeons 27, no. 16 (August 2019): 582–89. http://dx.doi.org/10.5435/jaaos-d-18-00596.

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Matharu, GS, PS Najran, and KM Porter. "Soft-tissue ankle injuries." Trauma 12, no. 2 (April 2010): 105–15. http://dx.doi.org/10.1177/1460408610367967.

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LEACH, ROBERT E., and GREGORY LOWER. "Ankle Injuries in Skiing." Clinical Orthopaedics and Related Research &NA;, no. 198 (September 1985): 127???133. http://dx.doi.org/10.1097/00003086-198509000-00019.

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Lockey, A. S., and S. M. Barnes. "Intrasound for ankle injuries." Emergency Medicine Journal 15, no. 1 (January 1, 1998): 70. http://dx.doi.org/10.1136/emj.15.1.70-a.

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Rebman, Lester W. "Ankle Injuries: Clinical Observations." Journal of Orthopaedic & Sports Physical Therapy 8, no. 3 (September 1986): 153–56. http://dx.doi.org/10.2519/jospt.1986.8.3.153.

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Holz, David F., and Paul A. Stone. "Ankle Injuries in Athletes." AORN Journal 42, no. 6 (December 1985): 896–904. http://dx.doi.org/10.1016/s0001-2092(07)64426-3.

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30

Monsell, F. P., and M. L. Porter. "Audit of ankle injuries." BMJ 302, no. 6787 (May 25, 1991): 1275. http://dx.doi.org/10.1136/bmj.302.6787.1275-a.

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31

Mai, Nicholas, and Leslie Cooper. "Assessment of Ankle Injuries." Journal of School Nursing 25, no. 1 (February 2009): 34–39. http://dx.doi.org/10.1177/1059840508327629.

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32

Hatch, R. "Radiography for ankle injuries." JAMA: The Journal of the American Medical Association 270, no. 4 (July 28, 1993): 453b—453. http://dx.doi.org/10.1001/jama.270.4.453b.

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Hatch, Robert. "Radiography for Ankle Injuries." JAMA: The Journal of the American Medical Association 270, no. 4 (July 28, 1993): 453. http://dx.doi.org/10.1001/jama.1993.03510040057025.

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Waller, John F. "Radiography for Ankle Injuries." JAMA: The Journal of the American Medical Association 270, no. 4 (July 28, 1993): 454. http://dx.doi.org/10.1001/jama.1993.03510040057026.

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A, Kharroubi, Hormatllah M, Sefiani Y, Lekhal B, Elmesnaoui A, and Bensaid Y. "Vascular Injuries by Ankle Strangulation: A Case Report." Scholars Journal of Medical Case Reports 4, no. 6 (June 2016): 368–71. http://dx.doi.org/10.21276/sjmcr.2016.4.6.1.

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Giza, Eric, Colin Fuller, Astrid Junge, and Jiri Dvorak. "Mechanisms of Foot and Ankle Injuries in Soccer." American Journal of Sports Medicine 31, no. 4 (July 2003): 550–54. http://dx.doi.org/10.1177/03635465030310041201.

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Background Although player-to-player contact is a risk factor in the majority of soccer injuries, the mechanisms leading to these injuries have not been analyzed. Purpose To assess the relationships between foot/ankle injuries and foul play and tackle type, and to identify the position of the foot and ankle at the time of injury. Study Design Prospective cohort study. Methods Team physicians prospectively recorded each injury in four world soccer competitions, and the videotaped incident leading to the injury was retrospectively analyzed. Results Of 76 foot and ankle injuries (52 contusions, 20 sprains, 4 fractures), direct contact occurred between players in 72. Significantly more injuries involved a tackle from the side and a lateral or medial tackle force. The injured limb was weightbearing in 41 and nonweightbearing in 35 of the incidents. Significantly more injuries resulted in time lost from soccer when the limb was weightbearing. The most common foot and ankle positions at the time of injury were pronated/neutral in the sagittal plane for weightbearing limbs, and plantar flexed/neutral in the coronal plane for nonweightbearing limbs. The most common foot and ankle rotations at the time of injury were external (23) and eversion (28). Conclusions The majority of injuries were caused by tackles involving lateral or medial forces that created a corresponding eversion or inversion rotation of the foot or ankle. The weightbearing status of the injured limb was a significant risk factor.

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Yasuda, Toshito, Hiroaki Shima, Katsunori Mori, Seiya Tsujinaka, and Masashi Neo. "Simultaneous Reconstruction of the Medial and Lateral Collateral Ligaments for Chronic Combined Ligament Injuries of the Ankle." American Journal of Sports Medicine 45, no. 9 (April 18, 2017): 2052–60. http://dx.doi.org/10.1177/0363546517700859.

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Background: Objective data on chronic injuries of the medial collateral ligament (MCL) of the ankle are scarce. Chronic MCL injuries are frequently associated with lateral collateral ligament (LCL) injuries. For patients with chronic combined MCL and LCL injuries, the authors have performed simultaneous surgery of the 2 ligaments. Hypothesis: Simultaneous surgery of the 2 ligaments may be effectively used to treat chronic combined MCL and LCL injuries. Study Design: Case series; Level of evidence, 4. Methods: Surgical outcomes were evaluated in 29 consecutive patients presenting with chronic MCL and LCL injuries (30 ankles; 15 men and 14 women; mean age, 31 years; 13 competitive and 10 recreational athletes). Preoperative and postoperative clinical outcomes were measured with the Karlsson score and the Japanese Society for Surgery of the Foot (JSSF) ankle-hindfoot scale score. The patients underwent preoperative and postoperative functional measurements and a radiological examination. In addition, preoperative magnetic resonance imaging (MRI) results, arthroscopic findings, and histology of the MCL were evaluated. Results: Preoperatively, the deep fibers of the MCL did not appear striated in 29 ankles, and high-intensity signal changes were observed in 23 ankles on T2-weighted or gradient echo MRI. MCL ruptures were confirmed with arthroscopic surgery. Medial impingement lesions and focal chondral lesions were confirmed in 10 and 21 ankles, respectively. Histology of the reconstructed MCL showed dense collagen fibers with vessels. The mean postoperative follow-up period was 30 months (range, 24-52 months). There was a significant change between preoperative and postoperative Karlsson scores (69.0 vs 96.1 points, respectively; P < .0001) and JSSF scores (69.8 vs 94.5 points, respectively; P < .0001). On varus and valgus stress radiography, the postoperative talar tilt angle was significantly lower than the preoperative angle. Postoperative anterior displacement on stress radiography was significantly lower than preoperative anterior displacement. Postoperatively, all 23 athletes returned to their preinjury level of sports participation. Conclusion: MCL insufficiency resulted from medial ankle instability and medial impingement lesions. Outcomes in the patients indicated that MCL reconstruction or resection of medial impingement lesions, performed in addition to LCL reconstruction, is effective for treating chronic combined MCL and LCL injuries of the ankle.

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Brusenskaya, E. I. "Measuring device for diagnosing ankle injuries." N.N. Priorov Journal of Traumatology and Orthopedics 9, no. 1 (February 2, 2022): 72–75. http://dx.doi.org/10.17816/vto97139.

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The measuring device for diagnosis of ankle injuries is presented. Using that device it was possible to determine and compare the polar coordinates of certain points in healthy and injured joints on direct and lateral radiograms. The device enabled to increase the accuracy of diagnosis, allow to quantitatively assess the degree of bone fragment displacement and trauma severity.

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Peltekova, I., H. M. Houech, and Lora Vasileva. "ANKLE INJURIES IN BASKETBALL - TREATMENT AND ADAPTATION TO THE TRAINING PROCESS." Trakia Journal of Sciences 19, Suppl.1 (2021): 399–404. http://dx.doi.org/10.15547/tjs.2021.s.01.058.

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The article analyzes the problems of sports injuries, the main focus is on ankle injuries received during training and basketball competition. Given the growing incidence of ankle pain complaints not only from pupils and students- game lovers, but also from professionals of all ages, ankle injuries are considered significant injuries, with serious consequences for the training of basketball players. The aim of the study is to indicate the most common ankle injuries received during basketball training and competition activities and to explain the options for treatment. Conclusions: The factors for the occurrence of chronic injuries in the ankles are complex, but most authors determine the lack of proper treatment and subsequent model for gradual adaptation to training after injury as most significant. That is why coaches and doctors combine their knowledge with the task of reducing injuries during training and competitive activities in basketball and effective recovery of the athlete after treatment of injuries.

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Mellet, E., and A. Stewart. "The prevalence of clinical signs of ankle instability in club rugby players." South African Journal of Sports Medicine 25, no. 1 (April 29, 2013): 23. http://dx.doi.org/10.17159/2413-3108/2013/v25i1a388.

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Background. Ankle injuries are one of the most common injuries in sport and have a high recurrence rate.Aim. To determine the prevalence of clinical signs of ankle injuries in club rugby players in South Gauteng.Methods. Institutional ethical clearance was obtained for the study. Of the 180 players from 9 clubs who were eligible for participation in thestudy, 76% (n=137) were recuited. Informed consent was obtained before players were asked to complete a battery of tests. Each player wasasked to complete a demographic questionnaire and the Olerud and Molander questionnaire to determine the prevalence of clinical signs ofperceived instability. The prevalence of clinical signs of mechanical instability was determined by the anterior drawer test (ADT) and talartilt test (TTT). Balance and proprioception were assessed by the Balance Error Scoring System (BESS) and this was used to determine theprevalence of clinical signs of functional instability.Results. The prevalence of perceived instability was 44%. The prevalence of clinical signs of mechanical ankle instability was 33%. There was anincreased prevalence of mechanical instability in players who had a history of previous ankle injuries: ADT left (p=0.003); ADT right (p=0.01);TTT left (p=0.001); TTT right (p=0.08), both tests positive left (p=0.001) and both tests positive right (p=0.03). The prevalence of clinical signsof functional ankle instability depended on the surface and visual input, and was greater as the challenge or perturbation increased.Conclusion. There was a high prevalence of clinical signs of ankle instability in club rugby players for perceived, mechanical and functionalinstability. Those with previously injured ankles were more likely to have unstable ankles.

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Mellet, E., and A. Stewart. "The prevalence of clinical signs of ankle instability in club rugby players." South African Journal of Sports Medicine 25, no. 1 (March 15, 2013): 23. http://dx.doi.org/10.17159/2078-516x/2013/v25i1a388.

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Background. Ankle injuries are one of the most common injuries in sport and have a high recurrence rate.Aim. To determine the prevalence of clinical signs of ankle injuries in club rugby players in South Gauteng.Methods. Institutional ethical clearance was obtained for the study. Of the 180 players from 9 clubs who were eligible for participation in thestudy, 76% (n=137) were recuited. Informed consent was obtained before players were asked to complete a battery of tests. Each player wasasked to complete a demographic questionnaire and the Olerud and Molander questionnaire to determine the prevalence of clinical signs ofperceived instability. The prevalence of clinical signs of mechanical instability was determined by the anterior drawer test (ADT) and talartilt test (TTT). Balance and proprioception were assessed by the Balance Error Scoring System (BESS) and this was used to determine theprevalence of clinical signs of functional instability.Results. The prevalence of perceived instability was 44%. The prevalence of clinical signs of mechanical ankle instability was 33%. There was anincreased prevalence of mechanical instability in players who had a history of previous ankle injuries: ADT left (p=0.003); ADT right (p=0.01);TTT left (p=0.001); TTT right (p=0.08), both tests positive left (p=0.001) and both tests positive right (p=0.03). The prevalence of clinical signsof functional ankle instability depended on the surface and visual input, and was greater as the challenge or perturbation increased.Conclusion. There was a high prevalence of clinical signs of ankle instability in club rugby players for perceived, mechanical and functionalinstability. Those with previously injured ankles were more likely to have unstable ankles.

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Dao, Duc minh, P.D. Phuoc, and T.X. Tuy. "Research control for ankle joint rehabilitation device." Journal of Mechanical Engineering and Sciences 16, no. 1 (March 23, 2022): 8743–53. http://dx.doi.org/10.15282/jmes.16.1.2022.08.0691.

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The ankle is one of the joints that is often injured when playing sports or in daily activities. Improper handling due to lack of knowledge about the ankles causes these injuries to last long, cause disability and affect our daily activities. Rehabilitation treatment is important for the purpose of maintaining and improving the mobility of joints. This paper, presenting the experimental results of the training device to rehabilitate ankle joints for human in dorsiflexion/plantarflexion exercises. The PD controller has been applied and controlled device. During the training, the angle of the ankle joint is monitored by the Arduino IDE software. The error of the set angle and the experimental angle is 10. The device manufactured in the workshop of Pham Van Dong university base on aluminum material. Experiments were conducted on both without load mode and with human mode. For human safety, besides the program containing the Arduino Mega controller, the device has mechanical brakes and an emergency button. The device’s tracking performance was determined by comparing the input and output angular position of the device.

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Wood, Addison R., Seyed A. Arshad, Hannah Kim, and Donald Stewart. "Kinematic Analysis of Combined Suture-Button and Suture Anchor Augment Constructs for Ankle Syndesmosis Injuries." Foot & Ankle International 41, no. 4 (January 15, 2020): 463–72. http://dx.doi.org/10.1177/1071100719898181.

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Background: Syndesmosis injuries are common, with up to 25% of all ankle injuries being reported to involve an associated syndesmosis injury. These injuries are typically treated with cortical screw fixation or suture-button implants when indicated, but the addition of a suture anchor augment implant has yet to be evaluated. The purpose of this study was to evaluate the ability of a suture anchor augment to add sagittal plane translational and transverse plane rotational constraint to suture-button constructs with syndesmosis injuries. We hypothesized that the suture anchor augment oriented in parallel with the fibers of an injured anterior-inferior tibiofibular ligament (AITFL) in addition to a suture-button construct would achieve physiological motion and stability at the syndesmosis through increased rotational and translational constraint of the fibula. Methods: Eleven fresh-frozen cadaver ankles were stressed in external rotation using a custom-made ankle rig. Each ankle had simultaneous recording of ultrasound video, 6 degrees-of-freedom kinematics of the fibula and tibia, and torque as the ankle was stressed by an examiner. The ankles were tested in 6 different states: native uninjured; injured with interosseous ligament and AITFL sectioned; 1× suture button; 2× suture buttons, divergent; 1× suture anchor augment with 2× suture buttons, divergent; and 1× suture anchor augment with 1× suture buttons. Results: Only the suture anchor augment + 2× suture buttons and suture anchor augment + 1× suture-button constructs were found to be significantly different from the injured state ( P = .0003, P = .002) with mean external rotation of the fibula. Conclusion: Overall, the most important finding of this study was that the addition of a suture anchor augment to suture-button constructs provided a mechanism to increase external rotational constraint of the fibula. Clinical Relevance: This study provides a mechanistic understanding of how the combined suture-button and suture anchor augment construct provides an anatomically similar reconstruction of constraints found in the native ankle. However, none of the constructs examined in this study were able to fully restore physiologic motion.

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Cho, Whi Je, and Young Koo Lee. "Feasibility of Arthroscopic Anterior Talofibular Ligament Repair and Comparison Between Arthroscopic and MR Findings for Anterior Talofibular Ligament Injuries." Foot & Ankle Orthopaedics 7, no. 1 (January 2022): 2473011421S0013. http://dx.doi.org/10.1177/2473011421s00134.

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Category: Arthroscopy; Ankle; Arthroscopy Introduction/Purpose: The Modified Broström Operation (MBO) has been frequently used to treat chronic lateral ankle instability. Recent studies of arthroscopic anterior talofibular ligament (ATFL) repair found that if the ligament is detached at the fibular attachment or there is sufficient remnant tissue, it can be directly repaired using suture anchors. In this study, ATFL injuries were classified and the feasibility of arthroscopic ATFL repair according to injury type was determined. The diagnostic validity of magnetic resonance imaging (MRI) of ATFL injuries was investigated by comparing MRI and arthroscopic findings. Methods: The 197 ankles (93 right, 104 left; 12 bilateral) of 185 patients (90 men and 107 women; mean age, 33.5 years, range: 15-68 years) were treated between September 2015 and October 2019. All patients underwent arthroscopic MBO after a diagnosis of chronic lateral ankle instability. ATFL injuries were classified according to their grade and arthroscopically determined location (type 2: partial rupture, type 3A: fibular detachment, type 3B: talar detachment, type 3C: midsubstance rupture, type 3D: absence of ATFL, type 3E: os subfibulare). Two musculoskeletal radiologists blinded to the surgical findings evaluated all of the ankle injuries and classified them as described above. An oblique-coronal MRI sequence was used to improve diagnostic accuracy. Results: The kappa value for interobserver reliability was 0.82 (95% confidence interval [CI], 0.76-0.88), indicating excellent interobserver reliability. The kappa value for the agreement between the arthroscopic findings and MRI findings was also high (0.85; 95% CI, 0.79-0.91). Among the 197 injured ankles, according to ankle arthroscopy, 67 were type 2 (34%), 28 were type 3A (14%), 13 were type 3B (7%), 29 were type 3C (15%), 26 were type 3D (13%), and 34 were type 3E (17%). Conclusion: In this study, arthroscopic ATFL repair was feasible in ~14% of ATFL injuries related to chronic lateral ankle instability. The ATFL classification system proposed herein could help surgeons to determine treatment options before surgery in patients with ATFL injuries, and even evaluate acute injury. Our results also supported the use of MRI for diagnosing ATFL injuries and showed that it is an informative tool during the preoperative period.

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Hall, Reginald L., Michael J. Shereff, James Stone, and James F. Guhl. "Ankle arthroscopy in industrial injuries of the ankle." Arthroscopy: The Journal of Arthroscopic & Related Surgery 11, no. 2 (April 1995): 127–33. http://dx.doi.org/10.1016/0749-8063(95)90056-x.

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Fujii, Tadashi, Harold B. Kitaoka, Kota Watanabe, Zong-Ping Luo, and Kai-Nan An. "Ankle Stability in Simulated Lateral Ankle Ligament Injuries." Foot & Ankle International 31, no. 6 (June 2010): 531–37. http://dx.doi.org/10.3113/fai.2010.0531.

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Aydın, Hasan, Volkan Kızılgöz, Önder Ersan, and Baki Hekimoğlu. "The Role of Diffusion Weighted MR Imaging in the Diagnosis of Tendon Injuries of the Ankle and Foot." Medicina 58, no. 2 (February 20, 2022): 321. http://dx.doi.org/10.3390/medicina58020321.

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Background and objectives: Our aim is to determine the diagnostic performance and utility of Diffusion Weighted MR Imaging (DWI) against the routine Magnetic Resonance Imaging (MRI) for the evaluation of patients with tendon injuries of the ankle and foot. Materials and Method: After institutional review board approval and informed consent taken from all the patients, ankle and foot MR imaging and DWI-Apparent Diffusion Coefficient (ADC) mapping were performed on the 81 injured tendons of 50 patients. All tendon injuries were named as Rupture (R), Partial tear (PT), and Tenosynovitis (T). Diagnostic interpretation was based on the MRI-DWI and ADC mapping, verified by either open surgery, diagnostic arthroscopy, or conservative procedures-splint application. Statistical analysis of this research was assessed by Fischer’s exact test, variance analysis test between dependent groups, Receiver Operating Characteristics (ROC) curve, and Pearson chi square statistics. Results: MRI depicted all tendon injuries with 70% sensitivity and 100% specificity, and showed a significant statistical relationship to surgical and arthroscopic references with high agreement (p < 0.05, k: 0.609). DWI had 100% sensitivity and 83–90% specificity for the visualization of tendon injuries with certain agreement and a significant statistical relationship to the gold standard (p < 0.05, k: 0.890–0.899). For all those injured tendons, DWI had 100% sensitivity for the diagnosis of R, and 92–97% sensitivity corresponding to PT and T over routine ankle MR imaging. The specificity of DWI to MRI ranged from 75 to 44% for all the injured tendons. DWI had significant statistical superiority over MRI for the visualization of R, PT, and T of all tendons included in this research (p < 0.05). Conclusions: DWI is a good imaging modality for the visualization of ankles with tendon injuries, possibly further improving the sensitivity of the classical ankle and foot MRI, and supplying more beneficial and diagnostic information than routine MR imaging on the basis of R, PT, and T of tendons at the ankle and foot.

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Mait, Alexander Ritz, Jason Lee Forman, Bingbing Nie, John Paul Donlon, Adwait Mane, Ali Reza Forghani, Robert B. Anderson, M. Truitt Cooper, and Richard W. Kent. "Propagation of Syndesmotic Injuries During Forced External Rotation in Flexed Cadaveric Ankles." Orthopaedic Journal of Sports Medicine 6, no. 6 (June 1, 2018): 232596711878133. http://dx.doi.org/10.1177/2325967118781333.

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Background: Forced external rotation of the foot is a mechanism of ankle injuries. Clinical observations include combinations of ligament and osseous injuries, with unclear links between causation and injury patterns. By observing the propagation sequence of ankle injuries during controlled experiments, insight necessary to understand risk factors and potential mitigation measures may be gained. Hypothesis: Ankle flexion will alter the propagation sequence of ankle injuries during forced external rotation of the foot. Study Design: Controlled laboratory study. Methods: Matched-pair lower limbs from 9 male cadaveric specimens (mean age, 47.0 ± 11.3 years; mean height, 178.1 ± 5.9 cm; mean weight, 94.4 ± 30.9 kg) were disarticulated at the knee. Specimens were mounted in a test device with the proximal tibia fixed, the fibula unconstrained, and foot translation permitted. After adjusting the initial ankle position (neutral, n = 9; dorsiflexed, n = 4; plantar flexed, n = 4) and applying a compressive preload to the tibia, external rotation was applied by rotating the tibia internally while either lubricated anteromedial and posterolateral plates or calcaneal fixation constrained foot rotation. The timing of osteoligamentous injuries was determined from acoustic sensors, strain gauges, force/moment readings, and 3-dimensional bony kinematics. Posttest necropsies were performed to document injury patterns. Results: A syndesmotic injury was observed in 5 of 9 (56%) specimens tested in a neutral initial posture, in 100% of the dorsiflexed specimens, and in none of the plantar flexed specimens. Superficial deltoid injuries were observed in all test modes. Conclusion: Plantar flexion decreased and dorsiflexion increased the incidence of syndesmotic injuries compared with neutral matched-pair ankles. Injury propagation was not identical in all ankles that sustained a syndesmotic injury, but a characteristic sequence initiated with injuries to the medial ligaments, particularly the superficial deltoid, followed by the propagation of injuries to either the syndesmotic or lateral ligaments (depending on ankle flexion), and finally to the interosseous membrane or the fibula. Clinical Relevance: Superficial deltoid injuries may occur in any case of hyper–external rotation of the foot. A syndesmotic ankle injury is often concomitant with a superficial deltoid injury; however, based on the research detailed herein, a deep deltoid injury is then concomitant with a syndesmotic injury or offloads the syndesmosis altogether. A syndesmotic ankle injury more often occurs when external rotation is applied to a neutral or dorsiflexed ankle. Plantar flexion may shift the injury to other ankle ligaments, specifically lateral ligaments.

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Smila, Baiba, Andra Fernāte, and Velga Zaļaiskalna. "THE EFFECT OF ANKLE AND SUBTALAR JOINT SOMATIC DYSFUNCTION CORRECTION TO IMPROVE ORIENTEER STATIC BALANCE." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (May 26, 2016): 553. http://dx.doi.org/10.17770/sie2016vol3.1473.

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The most frequent injuries among sports orienteers are the ankle injuries. The one of the most effective means to prevent the ankle injuries and recurrent ankle injuries is balance and stability development. The aim of this study is to find out the most effective method to develop static stability in the previously injured ankle for orienteers: osteopathic treatment of the ankle and subtalar joints or balance exercises, or the combination of osteopathic treatment of the ankle and subtalar joints and balance exercises. The effectiveness analysis of the intervention methods was conducted with the use of Digital Balance Analyzer (DBA) for the assessment of statical balance. 36 orienteers (12 to 18 years old) were randomized in three groups to an intervention, after being assessed at baseline and then reassessed one week later. Static balance improvements are only when using osteopathy and ankle joints subtalar somatic dysfunction correction together with balance exercises. Separate osteopathy or balance exercises will not give results as effective as the combination of these two effects.

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Mailuhu, Adinda K. E., Rogier M. van Rijn, Janine H. Stubbe, Sita M. A. Bierma-Zeinstra, and Marienke van Middelkoop. "Incidence and prediction of ankle injury risk: a prospective cohort study on 91 contemporary preprofessional dancers." BMJ Open Sport & Exercise Medicine 7, no. 2 (June 2021): e001060. http://dx.doi.org/10.1136/bmjsem-2021-001060.

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ObjectivesThis study examines the incidence of ankle injuries and identifies ankle injury risk among contemporary preprofessional dancers.MethodsA total of 91 first-year contemporary preprofessional dancers were prospectively followed during one academic year. Self-reported ankle injuries, assessed with the Oslo Sports Trauma Research Centre questionnaire, were categorised as all complaint ankle injuries, substantial ankle injuries or time-loss ankle injuries. In addition, ankle injuries leading to medical attention were included. Regression analyses were used to determine the association between potential risk factors (dancer characteristics, history of ankle injury in the previous year, ankle range of motion and dorsiflexion) and ankle injuries.ResultsThe 1-year ankle injury incidence proportion was 18.7% (n=17), 8.8% (n=8), 15.4% (n=14) and 7.7% (n=7), respectively, for all complaint ankle injuries, ankle injuries requiring medical attention, time-loss injuries and substantial injuries. Being male (OR=0.27; 95% CI 0.09 to 0.75) and being a student of the Bachelors in Dance and Education (OR=0.27; 95% CI 0.08 to 0.97) were univariately associated with a lower risk of an ankle injury.ConclusionAlmost 20% of first-year preprofessional dancers reported an ankle injury, with more than 80% of the dancers reporting that their injury leads to dance time loss. Males and students of the bachelors in dance and education were at lower risk of ankle injuries. As ankle injuries are common among dancers, studies with larger sample sizes, a more heterogeneous population (eg, different dance styles) and longer follow-up periods are necessary to evaluate the impact of ankle injuries in further detail.

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