Ligamentous injuries about the ankle and subtalar joints.
Ligamentous injuries at the ankle and subtalar joint range from simple sprains to severe talar dislocations. While lateral ankle sprains are among the most frequently encountered injuries and do not pose a greater diagnostic problem, the surgeon must be suspicious not to overlook associated ligamentous injuries at the subtalar and midtarsal level that may result in chronic painful conditions. Syndesmotic instabilities with or without ankle fractures must be assessed carefully and treated properly, since these are prearthrotic conditions. In the treatment of chronic ankle or subtalar instability tenodeses provide mechanical stability while reducing subtalar mobility. Anatomic reconstruction methods therefore should be considered for both conditions.
Zwipp
Hans
H
Department of Trauma and Reconstructive Surgery, Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus der TU Dresden, Fetscherstrasse 74, 01307 Dresden, Germany.
Rammelt
Stefan
S
Grass
René
R
D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D017844:Lateral Ligament, Ankle / Q000293:injuries; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D011032:Podiatry / Q000379:methods; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D013180:Sprains and Strains / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy*; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*