[Diagnostics and Therapy of Ankle Instability]

Area of Science:

• Orthopedics
• Sports Medicine
• Musculoskeletal Injuries

Background:

• Ankle sprains are frequent musculoskeletal injuries, commonly affecting the lateral ligamentous complex.
• Prompt and accurate diagnosis is crucial for effective management and prognosis.

Purpose of the Study:

• To outline diagnostic and therapeutic strategies for ankle sprains and chronic ankle instability.
• To identify risk factors contributing to the development of chronic ankle instability.

Main Methods:

• Medical history and physical examination to assess ankle sprains.
• Diagnostic imaging to rule out concomitant injuries like fractures or osteochondral defects.
• Conservative treatment including bracing, immobilization, and functional rehabilitation.

Main Results:

• Approximately 80% of ligamentous ankle injuries achieve full recovery with correct treatment.
• Inappropriate treatment, deltoid ligament injury, hyperlaxity, and foot deformities are risk factors for chronic instability.

Conclusions:

• Conservative management is the primary approach for ankle sprains.
• Surgical intervention should be considered for chronic ankle instability unresponsive to conservative therapies.