Ankle sprains and instability

Med Clin North Am. 2014 Mar;98(2):313-29. doi: 10.1016/j.mcna.2013.11.003. Epub 2014 Jan 10.

Abstract

Ankle injuries are among the most common injuries presenting to primary care providers and emergency departments and may cause considerable time lost to injury and long-term disability. Inversion injuries about the ankle involve about 25% of all injuries of the musculoskeletal system and 50% of all sports-related injuries. Medial-sided ankle sprains occur less frequently than those on the lateral side. High ankle sprains occur less frequently in the general population, but do occur commonly in collision sports. Providers should apply the Ottawa ankle rules when radiography is indicated and refer fractures and more severe injuries to orthopedic surgery as needed.

Keywords: Eversion; Inversion; Ottawa ankle rules; PRICEMMMS; Sprain; Syndesmosis.

Publication types

  • Review

MeSH terms

  • Ankle Injuries* / diagnosis
  • Ankle Injuries* / epidemiology
  • Ankle Injuries* / etiology
  • Ankle Injuries* / physiopathology
  • Ankle Injuries* / surgery
  • Ankle Joint / diagnostic imaging
  • Ankle Joint / physiopathology
  • Ankle* / diagnostic imaging
  • Ankle* / physiopathology
  • Athletic Injuries / diagnosis
  • Athletic Injuries / epidemiology
  • Athletic Injuries / etiology
  • Athletic Injuries / physiopathology
  • Athletic Injuries / surgery
  • Disability Evaluation
  • Humans
  • Joint Instability* / epidemiology
  • Joint Instability* / etiology
  • Joint Instability* / physiopathology
  • Orthopedic Procedures / methods*
  • Outcome Assessment, Health Care
  • Postural Balance
  • Radiography
  • Tarsal Bones / diagnostic imaging
  • Tarsal Bones / physiopathology