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Ankle Sprains
Posted By:
Monday, August 19, 2019
Ankle injuries are among the most common reasons to see a physician, not just orthopaedic surgeons. Injuries range from simple "rolled ankles" to high velocity traumatic injuries. Orthopaedic surgeons care for the entire gamut. Ankle sprains are very common and there are few people who have not experienced at least one episode of a "rolled" or "turned" ankle. Most of these require the usual Rest, Ice, Compression and Elevation therapy (RICE) to help mitigate symptoms and speed recovery.
A lace up ankle brace can sometimes help improve stability in the short term and get athletes back on the field of play or employees back to work. Occasionally, the ankle sprains become a chronic problem lasting months or even years! Multiple ankle sprains or frequent feelings of instability of the ankle is a problem for some people. In these instances, surgery may be warranted to improve the stability of the ankle. By improving the stability of the ankle, we are hopefully preventing further damage to the ankle bones, ligaments, tendons and the ever-precious cartilage. With every ankle sprain, damage to the surrounding tissues may increase the risk for fracture, tendon tears or permanent cartilage damage - which can lead to arthritis.
The surgery can be as simple as repairing the torn ligament to help improve the alignment of the ankle and prevent asymmetric wear or stress on the surrounding structures of the ankle. The most common ligament torn is the anterior talofibular ligament or ATFL. This ligament is important for keeping the ankle joint, aka the socket, and preventing excessive movement in the hinge joint of the ankle. When fixing the ATFL, we first examine the inside of the ankle joint to verify the injury and check for other damage. Occasionally, loose fragments, inflamed tissue and other tears are found that require to be treated. The next step is to repair the torn ligament and reattach it back to the fibula. Once this is completed, most surgeons prefer a period of immobilization in a cast or a boot for 2 to 6 weeks. Rehab focuses on improving the strength and motion of the ankle.
Ankle sprains are common ailments and can usually be treated with a little TLC, a light brace and patience. For those injuries that are chronic, that hinder everyday life or a return to sports, consider an evaluation by an orthopaedic surgeon.
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08/19/2019 - Numb Fingers and Hands
08/19/2019 - Ankle Sprains
07/19/2019 - The Sunshine Vitamin
07/19/2019 - Stepping up your game
07/19/2019 - Putting the Health Back in Hea
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