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Search Results for : Ankle Sprain
Merck Online Lab
Diagnosis Therapy Rehabilitation Imaging Clinical Laboratory
Ankle sprains and fractures in adults.
Author(s): Small, K
Journal: Orthop Nurs 2010 Mar 26; Vol. 28, Issue 6; Page(s) 314-20
[Medline ID - 20016349]

The orthopaedic nurse will undoubtedly care for patients with ankle injuries. Ankle sprains and fractures are common injuries seen in orthopaedic practices in the United States. To provide comprehensive nursing care of these injuries, nurses should understand ankle biomechanics as well as anatomy. Knowledge of fracture classification schemes, pathology of injury, and treatment modalities is also important. Fracture classification schemes vary as do treatment modalities. Ankle sprains and fractures can be treated operatively or nonoperatively, and orthopaedic nurses play an important role in the care of patients with such ankle injuries.

Peroneal nerve injury with foot drop complicating ankle sprain--a series of four cases with review of the literature.
Author(s): Brief, JM; Brief, R; Ergas, E; Brief, LP; Brief, AA
Journal: Bull NYU Hosp Jt Dis 2010 Mar 2; Vol. 67, Issue 4; Page(s) 374-7
[Medline ID - 20001941]

Foot drop has many etiologies. One rarely mentioned and often neglected reason for foot drop is an acute inversion sprain of the ankle. Over the past 14 years, a collection of 32 cases of foot drop have been compiled in our orthopaedic and physiatric practices. All cases had appropriate evaluations, including electrodiagnostic studies (electromyography and nerve conduction studies) to determine the location and type of injury. Treatment and follow-up are also discussed. Of the 32 case studies, four were caused by a straightforward acute inversion sprain of the ankle. These cases are described with the electrodiagnostic evaluations, treatments, and outcomes. Proposed mechanisms for this type of foot drop are discussed, including traction and compression of the common peroneal nerve as it winds around the neck of the fibula, and possible compression by hematoma. Surgical versus conservative treatment is described. The functional impairment associated with foot drop is detailed.

Hockey injuries: a pediatric sport update.
Author(s): Shindle, MK; Marx, RG; Kelly, BT; Bisson, L; Burke, CJ
Journal: Curr Opin Pediatr 2010 Mar 26; Vol. 22, Issue 1; Page(s) 54-60
[Medline ID - 19966569]

PURPOSE OF REVIEW: Ice hockey is a fast-paced sport played by an increasing number of children and teens across the nation. RECENT FINDINGS: The risk of injury in youth hockey is high due to contact from body checking. Youth hockey programs need to educate players, coaches, and parents about the importance of knowing and following the rules as well as the dangers of body checking another player from behind. SUMMARY: In this article, we will present an overview of the types and rates of injuries that occur in ice hockey and then present a detailed review of hip/groin injuries that are commonly diagnosed in these athletes.

[Acute ankle sprains: ordinary plaster is still the best therapy]
Author(s): Steurer, J
Journal: Praxis (Bern 1994) 2010 Jan 16; Vol. 98, Issue 24; Page(s) 1470-1
[Medline ID - 19953475]

ABSTRACT NOT AVAILABLE

Neuromuscular training for sports injury prevention: a systematic review.
Author(s): H; übscher, M; Zech, A; Pfeifer, K; H; änsel, F; Vogt, L; Banzer, W
Journal: Med Sci Sports Exerc 2010 May 27; Vol. 42, Issue 3; Page(s) 413-21
[Medline ID - 19952811]

PURPOSE: The aim of this systematic review was to assess the effectiveness of proprioceptive/neuromuscular training in preventing sports injuries by using the best available evidence from methodologically well-conducted randomized controlled trials and controlled clinical trials without randomization. METHODS: Two independent researchers performed a literature search in various electronic databases and reference lists. The reviewers independently assessed trials for inclusion criteria and methodological quality and extracted the data. Focusing on studies of high methodological quality, relative risks (RR) and 95% confidence intervals (CI) were used to estimate treatment effects. RESULTS: From a total of 32 relevant studies, 7 methodologically well-conducted studies were considered for this review. Pooled analysis revealed that multi-intervention training was effective in reducing the risk of lower limb injuries (RR = 0.61, 95% CI = 0.49-0.77, P < 0.01), acute knee injuries (RR = 0.46, 95% CI = 0.28-0.76, P < 0.01), and ankle sprain injuries (RR = 0.50, 95% CI = 0.31-0.79, P < 0.01). Balance training alone resulted in a significant risk reduction of ankle sprain injuries (RR = 0.64, 95% CI = 0.46-0.9, P < 0.01) and a nonsignificant risk reduction for injuries overall (RR = 0.49, 95% CI = 0.13-1.8, P = 0.28). Exercise interventions were more effective in athletes with a history of sports injury than in those without. CONCLUSION: On the basis of the results of seven high-quality studies, this review showed evidence for the effectiveness of proprioceptive/neuromuscular training in reducing the incidence of certain types of sports injuries among adolescent and young adult athletes during pivoting sports. Future research should focus on the conduct of comparative trials to identify the most appropriate and effective training components for preventing injuries in specific sports and populations.

Oversized young athletes: a weighty concern.
Author(s): McHugh, MP
Journal: Br J Sports Med 2009 Dec 1; Vol. 44, Issue 1; Page(s) 45-9
[Medline ID - 19945974]

The prevalence of overweight and obesity in children and adolescents is increasing worldwide, with a corresponding decline in physical fitness and general physical activity level. Overweight and obese adolescents are more than twice as likely to be injured in sports and other physical activities compared with non-overweight and non-obese adolescents. Obese adolescent athletes are more than three times as likely to sustain an ankle sprain compared with normal weight adolescent athletes. At the societal level, promoting physical activity for children and improving dietary habits are key strategies for lowering the prevalence of overweight and obesity. The increased risk of injury associated with being overweight or obese may in part be due to low physical activity level. Promotion of physical activity for children can provide neuromuscular training that may be beneficial in decreasing injury risk associated with general play and sports participation. For lower-extremity injuries, specific neuromuscular training interventions, such as balance training, have great potential in reversing the increased injury risk associated with overweight and obesity. Finally, the injured overweight young athlete may have a more prolonged recovery period than non-overweight young athletes. Early aggressive treatment of swelling with physical modalities, prolonged non-weight bearing, limited period of immobilisation and regular repetitive passive joint motion are indicated for the overweight young athlete with a lower-extremity joint injury.

Rehabilitation of ankle and foot injuries in athletes.
Author(s): Chinn, L; Hertel, J
Journal: Clin Sports Med 2011 Jan 1; Vol. 29, Issue 1; Page(s) 157-67, table of contents
[Medline ID - 19945591]

Foot and ankle injuries are extremely common among athletes and other physically active individuals. Rehabilitation programs that emphasize the use of therapeutic exercise to restore joint range of motion, muscle strength, neuromuscular coordination, and gait mechanics have been shown to have clinical success for patients suffering various foot and ankle pathologies. Rehabilitation programs are discussed for ankle sprains, plantar fasciitis, Achilles tendonitis, and turf toe.

Proprioceptive training reduces the risk of ankle sprain recurrence in athletes.
Author(s): Lin, C
Journal: Aust J Physiother 2009 Nov 26; Vol. 55, Issue 4; Page(s) 283
[Medline ID - 19589822]

ABSTRACT NOT AVAILABLE

[Ankle sprain: which ligaments are injured?]
Author(s): Polzer, H; Ockert, B; Grote, S; Volkering, C; Mutschler, W; Kanz, KG
Journal: MMW Fortschr Med 2009 Dec 19; Vol. 151, Issue 40; Page(s) 42-3
[Medline ID - 19927918]

ABSTRACT NOT AVAILABLE

Extensive mononuclear infiltration and myogenesis characterize recovery of dysferlin-null skeletal muscle from contraction-induced injuries.
Author(s): Roche, JA; Lovering, RM; Roche, R; Ru, LW; Reed, PW; Bloch, RJ
Journal: Am J Physiol Cell Physiol 2011 Feb 1; Vol. 298, Issue 2; Page(s) C298-312
[Medline ID - 19923419]

We studied the response of dysferlin-null and control skeletal muscle to large- and small-strain injuries to the ankle dorsiflexors in mice. We measured contractile torque and counted fibers retaining 10-kDa fluorescein dextran, necrotic fibers, macrophages, and fibers with central nuclei and expressing developmental myosin heavy chain to assess contractile function, membrane resealing, necrosis, inflammation, and myogenesis. We also studied recovery after blunting myogenesis with X-irradiation. We report that dysferlin-null myofibers retain 10-kDa dextran for 3 days after large-strain injury but are lost thereafter, following necrosis and inflammation. Recovery of dysferlin-null muscle requires myogenesis, which delays the return of contractile function compared with controls, which recover from large-strain injury by repairing damaged myofibers without significant inflammation, necrosis, or myogenesis. Recovery of control and dysferlin-null muscles from small-strain injury involved inflammation and necrosis followed by myogenesis, all of which were more pronounced in the dysferlin-null muscles, which recovered more slowly. Both control and dysferlin-null muscles also retained 10-kDa dextran for 3 days after small-strain injury. We conclude that dysferlin-null myofibers can survive contraction-induced injury for at least 3 days but are subsequently eliminated by necrosis and inflammation. Myogenesis to replace lost fibers does not appear to be significantly compromised in dysferlin-null mice.
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Clinical Conditions

 - A/C Degeneration

 - Adolescent Low Back

 - Ankle Sprain

 - Ankylosing Spondylitis

 - Arthritides

 - Brachial Plexus Neuritis

 - Carpal Tunnel Syndrome

 - Headache/Cephalgia

 - Cervical Disc Degen

 - Cervical Sprain

 - Cervical Strain

 - Cervical Osteoarthritis

 - Cervical Radiculopathy

 - Cervical Spine Instability

 - Cervical Spondylosis

 - Cervical Torticollis

 - Chronic Low Back Pain

 - Chronic Pain

 - Disc Displacement

 - Facet Arthropathy

 - Facet Capsulitis

 - Failed Back

 - Fibromyalgia

 - Frozen Shoulder

 - Knee Sprain

 - Lateral Epicondylitis

 - Low Back Pain

 - Lumbar Disc Degen

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 - Metatarsalgia

 - Psoriatic Arthritis

 - Reactive Arthritis

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 - Rotator Cuff Syndrome

 - SI Dysfunction

 - Sciatica

 - Scoliosis

 - Shoulder Bursitis

 - Spondylolisthesis

 - Stroke

 - Tarsal Tunnel Syndrome

 - TMD

 - Tendinopathy

 - Thoracic Outlet Syn

 - Ulnar Nerve Entrapment

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