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Syndesmotic ankle sprains.

M J Boytim1, D A Fischer, L Neumann

  • 1Braemar Sports Medicine Center, Minneapolis, Minnesota 55439.

The American Journal of Sports Medicine
|May 1, 1991
PubMed
Summary
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Syndesmotic ankle sprains in professional football players result in significantly longer recovery times and more treatments compared to lateral ankle sprains. Early diagnosis using the external rotation stress test is crucial for proper management.

Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Athletic Training

Background:

  • Ankle sprains are common injuries in professional football.
  • Distinguishing between syndesmotic and lateral ankle sprains is critical for appropriate management.
  • Syndesmotic ankle sprains often have prolonged recovery, impacting athlete availability.

Purpose of the Study:

  • To compare the outcomes of syndesmotic ankle sprains versus lateral ankle sprains in professional football players.
  • To highlight the diagnostic utility of the external rotation stress test for syndesmotic ankle sprains.
  • To emphasize the prolonged recovery associated with syndesmotic ankle sprains.

Main Methods:

  • Retrospective review of ankle sprains in a professional football team over six years.

Related Experiment Videos

  • Comparison of 15 players with syndesmotic sprains against 28 players with lateral sprains.
  • Analysis of missed games, practices, and treatment received.

    • Main Results:

    • Players with syndesmotic sprains missed significantly more games and practices.
    • Syndesmotic sprains required substantially more treatments than lateral sprains.
    • A prolonged recovery time was clearly demonstrated for syndesmotic ankle sprains.

    Conclusions:

    • Syndesmotic ankle sprains lead to greater time loss and treatment burden compared to lateral ankle sprains.
    • The external rotation stress test aids in the early differential diagnosis of syndesmotic ankle sprains.
    • Awareness of syndesmotic ankle sprains and their diagnostic methods improves clinical management.