title: [Rupture of the fibular ligament of the upper ankle joint].
abstract: A prospective randomized trial was performed to compare conservative functional treatment and operative functional treatment for rupture of the lateral ankle ligament. On the basis of the results observed 1 and 2 years after injury, primary functional therapy with a orthetic support appeared to be the method of choice. In a 100-point clinical check-up scale we were not able to find any statistical differences between the treatments. This type of conservative treatment gives a high degree of mechanical stability, a shorter time off work and the ability to take a full, active part in sports within 3 months in all cases. Operative treatment is indicated only in cases of dislocation of the foot and ankle, ankle ligament rupture with additional osteochondral talus fracture, and second-stage injuries or reruptures.
authors.affiliation: Unfallchirurgische Klinik, Medizinischen Hochschule Hannover.
authors.forename: H
authors.initials: H
authors.lastname: Zwipp
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
authors.forename: B
authors.initials: B
authors.lastname: Wippermann
authors.forename: H
authors.initials: H
authors.lastname: Thermann
authors.forename: F
authors.initials: F
authors.lastname: Gottschalk
mesh_terms: D000328:Adult; D016512:Ankle Injuries; D001265:Athletic Injuries / Q000534:rehabilitation / Q000601:surgery*; D002370:Casts, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries*; D008297:Male; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000534:rehabilitation; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D012421:Rupture; D013165:Splints
vernacular_title: Fibulare Bandruptur am oberen Sprunggelenk.