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[Concomitant injuries after upper ankle joint dislocations]

K Dann1, G Wahler, N Neubauer

  • 1Unfallchirurgische Abteilung Wilhelminenspital.

Sportverletzung Sportschaden : Organ Der Gesellschaft Fur Orthopadisch-Traumatologische Sportmedizin
|September 1, 1996
PubMed
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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.

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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.