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Lateral ankle sprains: evaluation and treatment.

T D Vitale1, L M Fallat

  • 1Department of Podiatric Surgery, Oakwood Springwells Health Center, Dearborn, Michigan.

The Journal of Foot Surgery
|May 1, 1988
PubMed
Summary

Podiatric physicians need comprehensive knowledge for evaluating and treating complex lateral ankle trauma. This review details anatomy, injury mechanisms, diagnostic tests, and treatment options for lateral ankle sprains.

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Area of Science:

  • Podiatry
  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Emergency departments frequently encounter lateral ankle trauma.
  • Podiatric physicians require specialized knowledge for effective evaluation and treatment.
  • Lateral ankle injuries are often complex, involving osseous and soft tissue structures.

Purpose of the Study:

  • To provide a comprehensive review of lateral ankle anatomy and anomalies.
  • To elucidate the mechanisms of injury in lateral ankle sprains.
  • To detail specialized diagnostic tests, including stress radiography and arthrography.
  • To review current treatment modalities and institutional experience.
  • To emphasize that lateral ankle sprains are not simple soft tissue injuries.

Main Methods:

  • Review of normal lateral ankle anatomy and common anomalies.
  • Analysis of lateral ankle sprain injury mechanisms.
  • Demonstration of specialized tests (stress radiography, arthrography) with illustrative examples.
  • Literature review on current treatment strategies.
  • Presentation of institutional treatment experience.

Main Results:

  • Detailed anatomical and radiological findings for normal, variant, and abnormal lateral ankle states.
  • Illustrative examples of diagnostic imaging for lateral ankle injuries.
  • Comprehensive overview of established and emerging treatment protocols.
  • Evidence supporting the complexity of lateral ankle injuries beyond soft tissue damage.

Conclusions:

  • Accurate diagnosis requires understanding normal anatomy, variants, and pathology.
  • Specialized tests are crucial for definitive diagnosis of lateral ankle injuries.
  • Treatment should be tailored to the specific injury, moving beyond the "simple sprain" paradigm.
  • Enhanced knowledge empowers podiatric physicians to manage lateral ankle trauma effectively.

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