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Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Updated: Jun 16, 2026

A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy
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A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy

Published on: March 1, 2024

Persistent pain after ankle sprain: targeting the causes.

H L Bassewitz1, M Shapiro

  • 1Department of Orthopaedic Surgery, University of California School of Medicine, Los Angeles, CA, 90095, USA.

The Physician and Sportsmedicine
|January 21, 2010
PubMed
Summary
This summary is machine-generated.

Persistent lateral ankle sprain pain often stems from issues beyond initial healing, requiring targeted treatments like rehabilitation or surgery for conditions such as impingement or instability.

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Last Updated: Jun 16, 2026

A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy
04:37

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Published on: March 1, 2024

A Mouse Model of Ankle-Subtalar Complex Joint Instability
09:14

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Most lateral ankle sprains resolve with conservative management.
  • Persistent pain beyond six weeks suggests underlying complications.
  • Potential causes include inadequate rehabilitation, impingement, osteochondral lesions, peroneal tendon issues, syndesmosis injury, or lateral instability.

Purpose of the Study:

  • To outline potential causes of persistent pain after lateral ankle sprains.
  • To detail appropriate treatment strategies for various post-sprain complications.

Main Methods:

  • Review of common etiologies for prolonged ankle pain post-sprain.
  • Summarization of evidence-based treatment options for identified complications.

Main Results:

  • Inadequate rehabilitation necessitates supervised or home exercise programs.
  • Refractory impingement syndrome warrants surgical intervention.
  • Occult osteochondral/chondral lesions typically require arthroscopic procedures.
  • Peroneal tendon injuries benefit from initial conservative management.
  • Syndesmosis injury treatment is dictated by severity, ranging from conservative to surgical.
  • Lateral instability can be addressed with bracing, physiotherapy, or surgery.

Conclusions:

  • Persistent lateral ankle pain requires thorough evaluation to identify specific causes.
  • Tailored treatment approaches, encompassing conservative measures, rehabilitation, and surgery, are crucial for optimal patient outcomes.