Diagnostic Metods Ankle Joint

103 patients with ankle injuries were examined. 81.3% of patients complained of pain. In 78.0% of patients, joint function was impaired, in 58.8% — joint deformation, in 72.9% — swelling in the joint area, in 79.6% — soreness in the projection of interbercular syndesmosis, in 87.7% — different severity of joint movement restriction. When analyzing radiographs, fractures of one or two ankles, foot subvisions both outside and behind, fractures of the posterior edge of the tibia were detected. The Foot and Ankle Disease Assessment Scale of the American Foot and Ankle Orthopedic Association (AOFAS) was used to objectively assess the functional state of the ankle joint. Known clinical and radiological methods of examination of the ankle joint make it possible for a person skilled in the art to detect damage to both the bone structure and the ligament apparatus. However, for objective assessment of the functional state of the ankle joint and foot, it is recommended to use scales of clinical assessment of the ankle joint state.

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Foot and Ankle Injuries in Elite Taekwondo Athletes: A 4-Year Descriptive Analysis

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211061112 ◽

2021 ◽

Vol 9 (12) ◽

pp. 232596712110611

Author(s):

Maximilian Willauschus ◽

Johannes Rüther ◽

Michael Millrose ◽

Matthias Walcher ◽

Christophe Lambert ◽

...

Keyword(s):

Ankle Joint ◽

Incidence Rates ◽

Injury Mechanism ◽

Ankle Injuries ◽

Fisher Exact Test ◽

Injury Incidence ◽

Foot And Ankle ◽

Time Loss ◽

Data Set ◽

Injury Type

Background: Foot and ankle injuries are a common but underestimated problem in taekwondo. Detailed data on injury incidence rates (IIRs), patterns, and injury mechanism are missing. Purpose: The primary aims were to evaluate the prevalence of foot and ankle injuries and the exposure-adjusted IIR of elite taekwondo athletes during matches while training (ie, sparring) and in competitions. The secondary aims were to evaluate injury site, type, sport-specific mechanism, and time loss. Study Design: Descriptive epidemiology study. Methods: Athletes from a single national Olympic taekwondo training center were assessed prospectively for foot and ankle injuries over 4 years (between January 1, 2016, and December 31, 2019). Data were collected regarding number and type of injuries, anatomic location, and total exposure time during training and competition for each athlete. Injury mechanism and dominant foot were assessed via personal interview. Time loss from sport was analyzed retrospectively. The injury prevalence and IIR were calculated. Correlation between mechanism and injury type, location, and dominant foot was evaluated. Time loss according to location and injury type was assessed. The chi-square test and Fisher exact test were used to test for differences in sex, age, and taekwondo experience and for comparison of injury location and type, injury mechanism, and side dominance, respectively. Training and competition IIRs and prevalence were calculated with 95% CIs (for Poisson rates). Results: From an initial 107 athletes, 79 (73.8%) were included in the final data set. Of these athletes, 38 were injured (n = 112 injuries) for a prevalence of 48.1% (95% CI, 43%-52%). The overall IIR of the ankle joint was 13.14 injuries per 1000 athletes (95% CI, 1.5-25.9) and was significantly higher during competition versus training ( P < .001). Ankle joint injuries were most common (n = 71; 63%). Significantly more noncontact versus contact ankle ligament injuries (n = 46; 83%) occurred ( P < .001). The forefoot (n = 18; 66%) was mainly affected by contact injuries ( P < .001). Time loss was the highest for midfoot fractures (mean ± SD, 23.0 ± 0.6 days; range, 23-24 days). Conclusion: Noncontact ligamentous ankle injuries were most common, with a higher incidence during competition. Improvement of strength, endurance, and postural stability under strain is recommended for prevention.

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Foot and Ankle Injections in Athletes

Sports Health A Multidisciplinary Approach ◽

10.1177/19417381211003619 ◽

2021 ◽

pp. 194173812110036

Author(s):

Jonathan K. Ochoa ◽

Christopher E. Gross ◽

Robert B. Anderson ◽

Andrew R. Hsu

Keyword(s):

English Language ◽

Platelet Rich Plasma ◽

Empirical Studies ◽

Autologous Blood ◽

Case Series ◽

Placental Tissue ◽

Ankle Injuries ◽

Extensive Literature ◽

Foot And Ankle ◽

Level Of Evidence

Context: Injections are commonly used by health care practitioners to treat foot and ankle injuries in athletes despite ongoing questions regarding efficacy and safety. Evidence Acquisition: An extensive literature review was performed through MEDLINE, Google Scholar, and EBSCOhost from database inception to 2021. Keywords searched were injections, athletes, sports, foot and ankle, corticosteroids, platelet-rich plasma, and placental tissue. Search results included articles written in the English language and encompassed reviews, case series, empirical studies, and basic science articles. Study Design: Clinical review. Level of Evidence: Level 4. Results: Corticosteroids, platelet-rich plasma/autologous blood, anesthetic, and placental tissue injections are commonly used in the treatment of foot and ankle injuries. Primary indications for injections in athletes include plantar fasciitis, Achilles tendinosis, isolated syndesmotic injury, and ankle impingement with varying clinical results. Conclusions: Despite promising results from limited case series and comparative studies, the data for safety and efficacy of injections for foot and ankle injuries in athletes remain inconclusive.

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Diagnosis and Management of Foot and Ankle Injuries in Dancers

Current Physical Medicine and Rehabilitation Reports ◽

10.1007/s40141-021-00313-8 ◽

2021 ◽

Author(s):

Julia L. Iafrate ◽

Christine E. Townsend ◽

Charles Scott ◽

Hye-Jin Yun ◽

Allison Ventola ◽

...

Keyword(s):

Ankle Injuries ◽

Foot And Ankle ◽

Diagnosis And Management

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Role of ultrasonography in assessment of painful ankle

QJM ◽

10.1093/qjmed/hcab106.039 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mohamed Amin Nassef ◽

Shaimaa El Metwaly El Diasty ◽

Marina Sameh Lamei

Keyword(s):

Ankle Joint ◽

Joint Pain ◽

Pathological Condition ◽

Ankle Injuries ◽

Ankle Pain ◽

Cross Sectional ◽

Screening Study ◽

Underlying Causes ◽

Post Traumatic

Abstract Background Ankle disorders are a relatively common pathological condition, and ankle injuries account for approximately 14% of sports-related orthopedic emergency visits. Various imaging modalities can be used to make a diagnosis in cases of ankle pain; however, ultrasound (US) has several benefits for the evaluation of ankle pain, especially in the tendons, ligaments, and nerves of the ankle. Aim of the work to assess the role of high resolution US as a valuable tool in the depiction of causes of ankle joint pain. Patient & methods our study is a cross sectional descriptive screening study including 25 patients with ankle joint pain (acute or chronic), post traumatic or not with no age or sex predilection. Results The study included 15 (60%) males and 10 (40%) females. Their age ranged from 10 to 60 years with a mean age of 33.84±13.31years. Chronic ankle pain was the most common presenting symptom in 15 patients (60%) whereas 10 (40%) patients presented with acute ankle pain after trauma. The posterior ankle compartment was the most common affected compartment (24%) of cases. About 7 cases (28%) were presented by ankle swelling with or without pain. Conclusion In conclusion, MSK US is useful in detecting the underlying causes of ankle pain and still it has the potential to offer more valuable data if it is well mastered by the sonographers.

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In-vivo analysis of ankle joint movement for patient-specific kinematic characterization

Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine ◽

10.1177/0954411917709492 ◽

2017 ◽

Vol 231 (9) ◽

pp. 831-838 ◽

Cited By ~ 4

Author(s):

Carlo Ferraresi ◽

Carlo De Benedictis ◽

Walter Franco ◽

Daniela Maffiodo ◽

Alberto Leardini

Keyword(s):

Ankle Joint ◽

Patient Specific ◽

Joint Movement ◽

In Vivo Analysis

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Magnetic resonance imaging in traumatic injuries of the ankle joint in children

Russian Journal of Pediatric Surgery ◽

10.18821/1560-9510-2020-24-4-266-271 ◽

2020 ◽

Vol 24 (4) ◽

pp. 266-271

Author(s):

N. Yu. Serova ◽

T. A. Akhadov ◽

I. A. Melnikov ◽

O. V. Bozhko ◽

N. A. Semenova ◽

...

Keyword(s):

Ankle Joint ◽

Soft Tissues ◽

Diagnostic Value ◽

Ankle Injuries ◽

Deltoid Ligament ◽

Anterior Talofibular Ligament ◽

Mri Findings ◽

Traumatic Injuries ◽

Sport Activities ◽

Bone Fragments

Introduction. Sprain of the ankle joint is one of the most common injuries in children during sport activities. Purpose. To define MRI diagnostic value in ankle joint injuries. Material and methods. 30 patients , 18 boys and 12 girls aged 8-17 ( average age 14.6 years), were enrolled into the study. 20 of them (66.7%) were 12-14 years old, 3 (10%) - < 10 years old and 7 (23.3 %) - > 14 years old. A Philips AchievadStream 3.0 Tesla scanner was used for MRI examination. Results. MRI findings showed that 17 (56.7%) patients had damage of the anterior talofibular ligament; 8 patients had avulsion of bone fragments of the lateral ankle; 9 patients (30.0%) had partial deltoid ligament injuries. Complete rupture of ligaments was rare and was seen only in two patients (6.7%). Conclusion. MRI is a method of choice in assessing ankle injuries due to high contrast of soft tissues, high resolution and multi-planar potentials. MRI is especially useful in examining soft ankle tissue structures such as tendons, ligaments, nerves and fascia, as well as in revealing hidden / subtle bone damage.

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