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Current Concepts in Acute and Chronic Lateral Ankle Instability.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|June 19, 2026
Summary
Lateral ankle ligament injuries are common. Proper management, including bracing and rehabilitation, helps prevent chronic lateral ankle instability (CLAI), which affects about 25% of ankle sprain patients.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Lateral ankle ligament injuries are prevalent in athletes and the general population.
- Chronic lateral ankle instability (CLAI) develops in approximately 25% of ankle sprain cases.
- CLAI presents as mechanical or functional instability, diagnosed clinically with imaging support.
Purpose of the Study:
- To review the diagnosis and management of chronic lateral ankle instability.
- To highlight the importance of rehabilitation in preventing and treating CLAI.
- To discuss current surgical standards for CLAI.
Main Methods:
- Literature review of diagnostic and treatment modalities for CLAI.
- Analysis of non-operative and operative management strategies.
- Emphasis on the role of rehabilitation in recovery.
Main Results:
- Non-operative treatment is effective for most patients.
- The Broström-Gould technique is the current gold standard for surgical repair.
- Early rehabilitation, including balance and proprioception training, is vital for restoring stability.
Conclusions:
- Adequate management and rehabilitation are key to preventing CLAI.
- Surgical intervention is reserved for cases unresponsive to conservative treatment.
- Restoring postural stability through early, targeted rehabilitation is crucial for both acute and chronic ankle instability.
