title: Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy.
abstract: Ankle sprains are the most common injuries sustained during sports activities. Most ankle sprains recover fully with non-operative treatment but 20-30% develop chronic ankle instability. Predicting which patients who sustain an ankle sprain will develop instability is difficult. This paper summarises a consensus on identifying which patients may require surgery, the optimal surgical intervention along with treatment of concomitant pathology given the evidence available today. It also discusses the role of arthroscopic treatment and the anatomical basis for individual procedures.
authors.affiliation: Clinique du Sport, 33300 Mérignac, France.
authors.forename: S
authors.initials: S
authors.lastname: Guillo
authors.forename: T
authors.initials: T
authors.lastname: Bauer
authors.forename: J W
authors.initials: JW
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: Takao
authors.forename: S W
authors.initials: SW
authors.lastname: Kong
authors.forename: J W
authors.initials: JW
authors.lastname: Stone
authors.forename: P G
authors.initials: PG
authors.lastname: Mangone
authors.forename: A
authors.initials: A
authors.lastname: Molloy
authors.forename: A
authors.initials: A
authors.lastname: Perera
authors.forename: C J
authors.initials: CJ
authors.lastname: Pearce
authors.forename: F
authors.initials: F
authors.lastname: Michels
authors.forename: Y
authors.initials: Y
authors.lastname: Tourné
authors.forename: A
authors.initials: A
authors.lastname: Ghorbani
authors.forename: J
authors.initials: J
authors.lastname: Calder
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000150:complications* / Q000175:diagnosis; D002908:Chronic Disease; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007593:Joint Instability / Q000175:diagnosis* / Q000601:surgery*; D017844:Lateral Ligament, Ankle / Q000293:injuries / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018579:Patient Selection; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D013709:Tendon Transfer / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Ankle arthroscopy; Ankle instability; Ankle sprain; Anterior talo-fibula ligament; Lateral ligament injury