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Titre : | Ankle Joint Microinstability: You Might Have Never Seen It but It Has Definitely Seen You : Complexities Involving the Ankle Sprain (2023) |
Auteurs : | Jordi Vega ; Miki Dalmau-Pastor |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 28, n° 2, Juin 2023) |
Article en page(s) : | p. 333-344 |
Note générale : | https://doi.org/10.1016/j.fcl.2023.01.008 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Instabilité articulaire ; Ligament latéral de la cheville ; Traumatismes de la cheville |
Note de contenu : |
Ankle microinstability results from the superior fascicle injury of an anterior talofibular ligament (ATFL) and is a potential cause of chronic pain and disability after an ankle sprain.
In contrast to the inferior fascicle of ATFL, the superior fascicle of ATFL is an intra-articular but extrasynovial structure, and it is relaxed in dorsiflexion and tightened in plantarflexion. The superior fascicle of ATFL is observed on the lateral gutter floor during an ankle dorsiflexion and nondistraction arthroscopic technique. Ankle microinstability is usually asymptomatic. When symptoms appear, patients describe a subjective ankle instability feeling, recurrent symptomatic ankle sprains, anterolateral pain, or a combination of them. The diagnosis of ankle microinstability is based primarily on the patients medical history and physical examination. A subtle anterior drawer test can usually be observed, with no talar tilt. Ankle microinstability should be initially treated conservatively. If this fails, and because the superior fascicle of ATFL is an intra-articular ligament, an arthroscopic procedure is recommended in order to address the superior fascicle injury of ATFL. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751523000207 |