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[Concomitant injuries after upper ankle joint dislocations]
1Unfallchirurgische Abteilung Wilhelminenspital.
Summary
The Air Stirrup Ankle Brace effectively treats ankle inversion injuries, with 88% of patients showing excellent results. Magnetic Resonance Imaging (MRI) is recommended for persistent pain to detect subtle osteochondral lesions.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- The Air Stirrup Ankle Brace, introduced in 1979, is a functional treatment for pathological ankle inversion.
- Conservative treatments are often employed for ankle injuries, but further investigation may be needed for persistent symptoms.
Purpose of the Study:
- To evaluate the effectiveness of the Air Stirrup Ankle Brace in treating ankle inversion.
- To investigate the utility of clinical, radiological, and MRI investigations in characterizing persistent ankle pain after brace treatment.
Main Methods:
- Retrospective study of 109 patients treated with an Air Stirrup Ankle Brace.
- Clinical examination, anterior stress roentgenogram, talar tilt, and 1.0 Tesla MRI were used for investigation.
Main Results:
- 88% of patients (96/109) reported excellent results with the brace.
- MRI detected osteochondral lesions in 10 of 13 patients with persistent pain, including separated ossicles, fractures, and bone bruises.
- Clinical and basic radiological assessments identified only 2 cases of moderate instability.
Conclusions:
- The Air Stirrup Ankle Brace is highly effective for functional treatment of ankle inversion.
- MRI is crucial for diagnosing subtle osteochondral lesions in patients with persistent ankle pain post-conservative treatment.
- An MRI investigation is recommended for all ankle sprain patients experiencing ongoing pain after conservative management.