title: [Lateral instability of the upper ankle joint].
abstract: Because of their frequency, ankle sprains are of major clinical and economic importance. The simple sprain with uneventful healing has to be distinguished from the potentially complicated sprain which is at risk of transition to chronic ankle instability. Conservative treatment is indicated for the acute, simple ankle sprain without accompanying injuries and also in cases of chronic instability. If conservative treatment fails, good results can be achieved by anatomic ligament reconstruction of the lateral ankle ligaments. Arthroscopic techniques offer the advantage of joint inspection and addressing intra-articular pathologies in combination with ligament repair. Accompanying pathologies must be adequately addressed during ligament repair to avoid persistent ankle discomfort. If syndesmotic insufficiency and tibiofibular instability are suspected, the objective should be early diagnosis with MRI and surgical repair.
authors.affiliation: Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland. Norbert.Harrasser@mri.tum.de.
authors.forename: N
authors.initials: N
authors.lastname: Harrasser
authors.affiliation: Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Eichelberg
authors.affiliation: Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Pohlig
authors.affiliation: Klinik für Fuß- und Sprunggelenkchirurgie, Orthopädische Fachkliniken der Hessing-Stiftung, Hessingstr. 17, 86199, Augsburg, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Waizy
authors.affiliation: Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Toepfer
authors.affiliation: Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, TU München, Ismaningerstr. 22, 81675, München, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: von Eisenhart-Rothe
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000628:therapy*; D001178:Arthroplasty / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D019317:Evidence-Based Medicine; D006801:Humans; D007103:Immobilization / Q000379:methods*; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome
keywords: Conservative treatment; Sprains; Supination; Surgery; Syndesmosis