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It is well known today that the ankle is the joint of the body most exposed to trauma. Indeed, by virtue of its anatomical location, the ankle bears the entire weight of the body, and its load per square centimeter is the greatest if we compare it to all other joints (Fallat et al., 1998). Generally speaking, ankle sprains involve partial or total stretching or tearing of one or more ligaments in the ankle joint, following an involuntary twisting movement that exceeds the normal limits of the joint (Cooke et al., 2009).
The most common mechanism of injury is inversion of the foot into plantar flexion (plantar flexion and calcaneal varus), which stresses the lateral collateral ligament and often impacts the anterior fibular tendons (Hertel et al., 2002). In order to gain a better understanding of the mechanism of injury in lateral ankle sprains, and to develop optimal management with patients, we will discuss the pathophysiology, assessment, and management of lateral ankle sprains.
Anatomy Review
Incidence & Prevalence
What Is Chronic Ankle Instability?
Consequence of Chronic Instability
Pathoanatomy
Classification
Risk Factors
Mechanism of Injury
Evolution & Prognostic Factors
Main Principles
Subjective Assessment
Injury Diagnosis
Mechanical & Sensorimotor Impairment
Focus on Dorsiflexion
Screening Intrinsic Foot Muscles
Scales & Scores
Evaluating Neurocognitive
Choice of Treatment
Initial Management
Exercise Therapy: Recommendations
Strengthening Work
Focus on Intrinsic Muscles?
Neuromuscular Exercises and Motor Control
Manual Therapy
Returning to Running
RTP & Ankle-GO Criteria
Preparing Your Athlete With a Continuum
Neurocognitive Rehabilitation
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