Understanding and Treating Lateral Ankle Sprains and their Consequences: A Constraints-Based Approach

Sports Medicine

Volumn 43, Issue 6, 2013, Pages 385-393

  Wikstrom, Erik A ^a   Hubbard Turner, Tricia ^a   McKeon, Patrick O ^b  

^a UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE   (United States)

^b UNIVERSITY OF KENTUCKY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANKLE; ANKLE INJURY; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; JOINT INSTABILITY; LIGAMENT; OSTEOARTHRITIS; PATHOPHYSIOLOGY; REVIEW; ANKLE INJURIES; COMPLICATION;

ANKLE INJURIES; ANKLE JOINT; HUMANS; JOINT INSTABILITY; LIGAMENTS, ARTICULAR; OSTEOARTHRITIS; RANGE OF MOTION, ARTICULAR;

EID: 84878620527     PISSN: 01121642     EISSN: 11792035     Source Type: Journal    
DOI: 10.1007/s40279-013-0043-z     Document Type: Article

References (97)

1. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311-9. (Pubitemid 46919986)
2. Fernandez WG, Yard EE, Comstock RD. Epidemiology of lower extremity injuries among U.S. high school athletes. Acad Emer Med. 2007;14(7):641-5. (Pubitemid 46929084)
3. McKay GD. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35:103-8. (Pubitemid 32275775)
4. Konradsen L, Magnusson P. Increased inversion angle replication error in functional ankle instability. Knee Surg Sports Traumatol Arthrosc. 2000;8:246-51.
5. McKeon PO. A new twist on ankle sprains: sensorimotor rehab keeps a local injury from developing into a cascade of disability. Ad Phys Ther Rehab. 2010;21(13):29-32.
6. McKeon PO, Hubbard-Turner TJ, Wikstrom EA. Consequences of ankle inversion trauma: a novel recognition and treatment paradigm. In: Zaslav KR, editor. An international perspective on topics in sports medicine and sports injury. Rijeka: InTech; 2012.
7. Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Med. 2006;36(3):263-77.
8. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005;39(3):1-4.
9. Smith RW, Reischl SF. Treatment of ankle sprains in young athletes. Am J Sports Med. 1986;14(6):465-71. (Pubitemid 17207817)
10. Peters JW, Trevino SG, Renstrom PA. Chronic lateral ankle instability. Foot Ankle. 1991;12(3):182-91.
11. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-75. (Pubitemid 36068850)
12. Harrington KD. Degenerative arthritis of the ankle secondary to long-standing lateral ligmanet instability. J Bone Joint Surg. 1979;61:354-61. (Pubitemid 9154272)
13. Hintermann B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30(3):402-9. (Pubitemid 34547780)
14. Hirose K, Murakami G, Minowa T, et al. Lateral ligament injury of the ankle and associated cartilage degeneration in the talocural join: anatomic study using elderly cadavers. J Orthop Sci. 2004;9(1):37-43. (Pubitemid 38197197)
15. Taga I, Shino K, Inoue N, et al. Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study. Am J Sports Med. 1993;21:120-6.
16. Hashimoto T, Inokuchi S. A kinematic study of ankle joint instability due to rupture of the lateral ligaments. Foot Ankle Int. 1997;18:729-34. (Pubitemid 27495300)
17. Verhagen RA, de Keizer G, Van Dijk CN. Long-term follow-up of inversion trauma of the ankle. Arch Orthop Trauma Surg. 1995;114:92-6.
18. WHO. Global Health Risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2012.
19. McKeon PO, Medina-McKeon JM, Mattacola CG, et al. Finding context: a new model for interpreting clinical evidence. Int J Athl Ther Train. 2011;16(5):10-3.
20. Hoch MC, McKeon PO. Integrating contemporary models of motor control and health in chronic ankle instability. ATSHC. 2010;2(2):82-8.
21. de Vries JS, Kingma I, Blakevoort L, et al. Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):601-6.
22. Evans T, Hertel J, Sebastianelli W. Bilateral deficits in postural control following lateral ankle sprain. Foot Ankle Int. 2004;25(11):833-9. (Pubitemid 39488487)
23. Brostrom L. Sprained ankles V: treatment and prognosis in recent ligament ruptures. Acta Chir Scand. 1966;132:537-50.
24. Youdas JW, McLean TJ, Krause DA, et al. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehab. 2009;18:358-74.
25. Aiken AB, Pelland L, Brison R, et al. Short-term natural recovery of ankle sprains following discharge from emergency departments. J Orthop Sports Phys Ther. 2008;38(9):566-71.
26. Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002;32(4):166-73. (Pubitemid 34275692)
27. Hubbard TJ, Hertel J. Anterior positional fault of the fibula after sub-acute lateral ankle sprains. Man Ther. 2008;13(1):63-7. (Pubitemid 351172859)
28. Konradsen L, Olesen S, Hansen H. Ankle sensorimotor control and eversion strength after acute ankle inversion injuries. Am J Sports Med. 1998;26:72-7. (Pubitemid 28086406)
29. Koralewicz LM, Engh GA. Comparison of proprioception in arthritic and age-matched normal knees. J Bone Joint Surg Am. 2000;82-A(11):1582-8.
30. Holme E, Magnusson SP, Becher K, et al. The effect of supervised rehabilitation on strength, postural sway, position sense and reinjury risk after acute ankle ligament sprain. Scand J Med Sci Sports. 1999;9(2):104-9.
31. McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability. Part 1: can deficits be detected with instrumented testing? J Athl Train. 2008;43(3):293-304.
32. Wikstrom EA, Naik S, Lodha N, et al. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sports Exerc. 2009;39(6):1287-95.
33. Wikstrom EA, Naik S, Lodha N, et al. Bilateral balance impairments after lateral ankle trauma: a systematic review and meta-analysis. Gait Posture. 2010;32(2):82-6.
34. Crosbie J, Green T, Refshauge K. Effects of reduced ankle dorsiflexion following lateral ligament sprain on temporal and spatial gait parameters. Gait Posture. 1999;9:167-72. (Pubitemid 29320138)
35. Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008;27(3):353-70, vii. (Pubitemid 351707731)
36. Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: evolution of the model. J Athl Train. 2011;46(2):133-41.
37. Martin RL, Irrgang JJ. A survey of self-reported outcome instruments for the foot and ankle. J Orthop Sports Phys Ther. 2007;37(2):72-84.
38. Hale SA, Hertel J. Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. J Athl Train. 2005;40(1):35-40. (Pubitemid 40471819)
39. Tropp H, Odenrick P, Gillquist J. Stabilometry recordings in functional and mechanical instability of the ankle joint. Int J Sports Med. 1985;6(3):180-2. (Pubitemid 15072097)
40. Hertel J, Denegar CR, Monroe MM, et al. Talocural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exer. 1999;31(11):1501-8.
41. Lentell G, Baas B, Lopez D, et al. The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle. J Orthop Sports Phys Ther. 1995;21(4):206-15.
42. Louwerens JWK, Ginai AZ, Van Linge B, et al. Stress radiography of the talocrural and subtalar joints. Foot Ankle. 1995;16:148-55.
43. Hubbard TJ, Kramer LC, Denegar CR, et al. Contributing factors to chronic ankle instability. Foot Ankle Int. 2007;28(3):343-54. (Pubitemid 46362501)
44. Hubbard TJ, Hertel J, Sherbondy P. Fibular position in those with self-reported chronic ankle instability. J Orthop Sports Phys Ther. 2006;36(1):3-9. (Pubitemid 43077252)
45. Wikstrom EA, Hubbard TJ. Talar positional fault in person with chronic ankle instability. Arch Phys Med Rehabil. 2010;91(8):1267-71.
46. Hoch MC, McKeon PO. Normative range of weight-bearing lunge test performance asymmetry in healthy adults. Man Ther. 2011;16(5):516-9.
47. Docherty CL, McLeod TCV, Shultz SJ. Postural control deficits in participants with functional ankle instability as measured by the balance error scoring system. Clin J Sports Med. 2006;16:203-8.
48. Gribble PA, Hertel J, Denegar CR, et al. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39(4):321-9. (Pubitemid 40029899)
49. Hertel J, Braham RA, Hale SA, et al. Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther. 2006;36(3):131-7.
50. Olmsted LC, Carcia CR, Hertel J, et al. Efficacy of the star excursion in balance tests in detecting reach deficits in subjects with chronic ankle instability. J Athl Train. 2002;37(4):501.
51. Sedory EJ, McVey ED, Cross KM, et al. Arthrogenic muscle response of the quadriceps and hamstrings with chronic ankle instability. J Athl Train. 2007;42(3):355-60. (Pubitemid 47535679)
52. Caulfield BM, Garrett M. Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump. Int J Sports Med. 2002;23(1):64-8. (Pubitemid 34033025)
53. Gribble PA, Hertel J, Denegar CR. Chronic ankle instability and fatigue create proximal joint alterations during performance of the star excursion balance test. Int J Sports Med. 2007;28(3):236-42. (Pubitemid 46423577)
54. Monaghan K, Dean E, Caulfield B. Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional ankle instability of the ankle joint. Clin Biomech. 2006;21:168-74. (Pubitemid 43003719)
55. Delahunt E, Monaghan K, Caulfield B. Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional ankle instability of the ankle joint. Am J Sports Med. 2006;34(12):1070-976. (Pubitemid 44704252)
56. Drewes LK, McKeon PO, Kerrigan DC, et al. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport. 2009;12(6):685-7.
57. Hass CJ, Bishop M, Doidge D, et al. Chronic ankle instability alters central organization of movement. Am J Sports Med. 2010;38(4):829-34.
58. Wikstrom EA, Bishop M, Inamdar AD, et al. Gait termination control strategies are altered in chronic ankle instability subjects. Med Sci Sports Exer. 2010;42(1):197-205.
59. Hubbard TJ, Hicks-Little CA, Cordova ML. Mechanical and sensorimotor implications with ankle osteoarthritis. Arch Phys Med Rehabil. 2009;90:1136-41.
60. Khazzam M, Long JT, Marks RM, et al. Preoperative gait characterization of patients with ankle arthrosis. Gait Posture. 2006;24:85-93. (Pubitemid 43963356)
61. Valderrabano V, Nigg BM, von Tscharner V, et al. Gait analysis in ankle osteoarthritis and total ankle replacement. Clin Biomech. 2007;22:894-904. (Pubitemid 47259579)
62. Horisberger M, Hintermann B, Valderrabano V. Alterations of plantar pressure distribution in posttraumatic end-stage ankle osteoarthritis. Clin Biomech. 2009;24(3):303-7.
63. Valderrabano V, von Tscharner V, Nigg BM, et al. Lower leg muscle atrophy in ankle osteoarthritis. J Orthop Res. 2006;24:2159-69. (Pubitemid 46017191)
64. Nuesch C, Valderrabano V, Huber C, et al. Gait patterns of asymmetric ankle osteoarthritis patients. Clin Biomech. 2012;27:613-8.
65. Nüesch C, Huber C, Pagenstert G, et al. Muscle activation of patients suffering from asymmetric ankle osteoarthritis during isometric contractions and level walking: a time frequency analysis. J Electromyogr Kinesiol. 2012;22(6):939-46.
66. Wikstrom EA, Anderson RB. Alterations in gait initiation are present in those with post-traumatic ankle osteoarthritis: a pilot study. J Appl Biomech. 2012. (Epub 2012 Jul 6).
67. Wiewiorski M, Dopke K, Steiger C, et al. Muscular atrophy of the lower leg in unilateral post traumatic osteoarthritis of the ankle joint. Int Orthop. 2012;36(10):2079-85.
68. Davids K, Glazier P, Araujo D, et al. Movement systems as dynamical systems: the functional role of variability and its implications for sports medicine. Sports Med. 2003;33(4):245-60. (Pubitemid 36433820)
69. Davids K, Glazier P. Deconstructing neurobiological coordination: the role of the biomechanics-motor control nexus. Exerc Sport Sci Rev. 2010;38(2):86-90.
70. McKeon PO, Hertel J. The dynamical-systems approach to studying athletic injury. Athl Ther Today. 2006;11(1):31-3. (Pubitemid 43132460)
71. Latash ML, Scholz JP, Schoner G. Motor control strategies revealed in the structure of motor variability. Exer Sport Sci Rev. 2002;30:26-31. (Pubitemid 34272900)
72. Stergiou N, Harbourne R, Cavanaugh J. Optimal movement variability: a new theoretical perspective for neurological physical therapy. J Neurol Phys Ther. 2006;30(3):120-9.
73. McKeon PO, Hertel J. Spatiotemporal postural control deficits are present in those with chronic ankle instability. BMC Musculoskelet Disord. 2008;9:76. (Pubitemid 352000998)
74. Drewes LK, McKeon PO, Paolini G, et al. Altered ankle kinematics and shank-rear-foot coupling in those with chronic ankle instability. J Sport Rehab. 2009;18(3):375-88.
75. Beynnon BD, Renstrom PA, Alosa DM, et al. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res. 2001;19(2):213-20. (Pubitemid 32331695)
76. Yeung MS, Chan KM, So CH, et al. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28(2):112-6. (Pubitemid 24209852)
77. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005;39(3):e14.
78. Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train. 2002;37(4):413-29. (Pubitemid 36068856)
79. Hubbard TJ, Wikstrom EA. Ankle sprain: pathophysiology, predisposing factors, and management strategies. Open Access J Sports Med. 2010;1:115-22.
80. Beynnon BD, Renstrom PA, Haugh L, et al. A prospective, randomized clinical investigation of the treatment of first-time ankle sprains. Am J Sports Med. 2006;34(9):1401-12.
81. Lamb SE, Marsh JL, Nakash R, et al. Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet. 2009;373:575-81.
82. Wikstrom EA, McKeon PO. Manipulative therapy effectiveness following acute lateral ankle sprains: a systematic review. Athl Train Sports Health Care. 2011;6(3):271-9.
83. McKeon PO. First words: cultivating functional variability. The dynamical systems approach to rehabilitation. Athl Ther Today. 2009;14(4):1-3.
84. McKeon PO. Dynamic systems theory as a guide to balance training development for chronic ankle instability. Athl Train Sports Health Care. 2012;4(5):230-6.
85. McKeon PO, Ingersoll CD, Kerrigan DC, et al. Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sports Exerc. 2008;40(10):1810-9.
86. Hilgendorf JR, Vela LI, Gobert DV. Influence of vestibular-ocular reflex training on postural stability, dynamic visual acuity, and gaze stabilization in patients with chronic ankle instability. Athl Train Sports Health Care. 2012;4(5):220-9.
87. Sandrey MA, Schafer J. Effects of a 4-week dynamic balance-training program supplemented with Graston instrumented-assisted soft tissue mobilization for chronic ankle instability. Med Sci Sports Exer. 2011;43(5):529.
88. Strauss JE, Forsberg JA, Lippert FG. Chronic lateral ankle instability and associated conditions: a rationale for treatment. Foot Ankle Int. 2007;28(10):1041-4. (Pubitemid 47536042)
89. Alanen V, Taimela S, Kinnunen J, et al. Incidence and clinical significance of bone bruises after supination injury of the ankle: a double-blind, prospective study. J Bone Joint Surg Br. 1998;80(3):513-5. (Pubitemid 28230588)
90. Hertel J, Denegar CR, Monroe MM, et al. Talocrural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exerc. 1999;31(11):1501-8.
91. Valderrabano V, Horsiberger M, Russell I, et al. Etiology of ankle osteoarthritis. Clin Orthop Relat Res. 2009;467(7):1800-6.
92. Avci S, Sayh U. Comparison of the results of short-term rigid and semi-rigid cast immobilization for the treatment of grade 3 inversion injuries of the ankle. Injury. 1998;29:581-4. (Pubitemid 28508536)
93. Cetti R, Christensen SE, Corfitzen MT. Ruptured fibular ankle ligament plaster or pilton brace? Br J Sport Med. 1984;18:104-9.
94. Hubbard TJ, Cordova ML. Mechanical instability after an acute lateral ankle sprain. Arch Phys Med Rehabil. 2009;90(7):1142-6.
95. Freeman MA. Treatment of ruptures of the lateral ligament of the ankle. J Bone Joint Surg. 1965;47B:661-8.
96. Konradsen L, Holmer P, Sondergaard L. Early mobilizing treatment for grade III ankle ligmanet injuries. Foot Ankle. 1991;12:660-8.
97. Munk B, Holm-Christensen K, Lind T. Long-term outcome after ruptured lateral ankle ligaments. Acta Orthop Scand. 1995;66:452-4.