Suitable if > 18 years old, and should not be intoxicated/ no distracting injuries/ no neuropathy/ no gross swelling that prevents palpation of prominences
4 areas to palpate:
6cm distal aspect of fibula and tibia
Based of 5th MT
Navicular
Inability to bear weight both immediately and in emergency department
➔ XR
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What is the non operative management for Ankle sprain?
PT and proprioception (wobble board) training
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What percentage of patients recover?
Around 20% of patient develop symptoms of chronic ankle instability
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Differential diagnosis for ankle sprain that does not recover?
Osteochondral defect, loose bodies
Peroneal tendon pathology e.g. Peroneal tendon tears
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What is the surgical management for ATFL injuries?
3 general options
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AnatomicalRepair = Bostrom Gould repair
Bostrum = direct ligament repair
Gould = Augmentaion of inferior extensor retinaculum
Anatomical Reconstruction = Use of auto/allografts to reconstruct anantomical ATFL and CFL
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Non- anatomical Reconstruction = various described methods using peroneus brevis to augment the damanged ATFL. Incise proximal end of PB and:
