How Do You Know if Ankle Is Sprained

Medical condition

Sprains Foot
Other names	Twisted ankle, rolled ankle

Lateral view of the human ankle
Specialty	Orthopedics, sports medicine, Physical medicine and rehabilitation, Family unit medicine
Symptoms	Swelling, bruising, pain
Diagnostic method	Physical examination
Differential diagnosis	Maisonneuve fracture, high talocrural joint sprain
Treatment	Physical medicine and rehabilitation

A sprained ankle, likewise known as a twisted ankle or rolled ankle, is an injury where sprain occurs on one or more ligaments of the ankle. It is the most common injury to occur in ball sports, such as basketball, volleyball, football, and racquet sports.

Signs and symptoms [edit]

Knowing the symptoms that can be experienced with a sprain is of import in determining that the injury is not really a interruption in the bone. When a sprain occurs, hematoma occurs within the tissue that surrounds the joint, causing a trample. White blood cells responsible for inflammation migrate to the area, and blood flow increases equally well.^[1] Along with this inflammation, swelling and pain is experienced. The nerves in the surface area go more sensitive when the injury is suffered, so pain is felt every bit throbbing and volition worsen if at that place is pressure placed on the area. Warmth and redness are likewise seen every bit blood flow is increased. Also in that location is a decreased ability to motion the joint.^{[ citation needed ]}

Correct foot, housed in an air caryatid, has get swollen as a result of a more than severe 2nd caste sprain to the ankle.
Right foot, 3rd degree sprain. One mean solar day after injury.

Cause [edit]

Movements – especially turning, and rolling of the foot – are the master cause of an ankle sprain.^[2]

The risk of a sprain is greatest during activities that involve explosive side-to-side motion, such as lawn tennis, skateboarding or basketball. Sprained ankles can also occur during normal daily activities such as stepping off a curb or slipping on ice. Returning to activity before the ligaments have fully healed may crusade them to heal in a stretched position, resulting in less stability at the ankle articulation. This can pb to a condition known equally Chronic Talocrural joint Instability (CAI), and an increased risk of ankle sprains.^{[ citation needed ]}

The following factors can contribute to an increased adventure of talocrural joint sprains:

Weak muscles/tendons that cross the ankle joint, especially the muscles of the lower leg that cross the outside, or lateral aspect of the talocrural joint articulation (i.east. peroneal or fibular muscles);
Weak or lax ligaments that join together the basic of the ankle joint – this tin can be hereditary or due to overstretching of ligaments as a result of repetitive ankle sprains;
Inadequate articulation proprioception (i.e., sense of joint position);
Tiresome neuron muscular response to an off-residue position;
Running on uneven surfaces;
Shoes with inadequate heel support^{[ citation needed ]}; and
Wearing high-heeled shoes – due to the weak position of the ankle joint with an elevated heel, and a small base of back up.

Ankle sprains occur usually through excessive stress on the ligaments of the talocrural joint. This tin be caused by excessive external rotation, inversion or eversion of the foot caused past an external force. When the foot is moved past its range of motion, the excess stress puts a strain on the ligaments. If the strain is great enough to the ligaments by the yield signal, then the ligament becomes damaged, or sprained.^[3] ^[iv]

Diagnosis [edit]

The diagnosis of a sprain relies on the medical history, including symptoms, as well every bit making a differential diagnosis, mainly in distinguishing it from strains or os fractures. The Ottawa ankle rule is a uncomplicated, widely used rule to help differentiate fractures of the ankle or mid-foot from other ankle injuries that do not require x-ray radiography. Information technology has a sensitivity of nearly 100%, meaning that a patient who tests negative, co-ordinate to the rule near certainly does non have an ankle fracture.^[5] If ankle pain is persistent half dozen–8 weeks after initial sprain, MRI imaging of the articulation can be considered to rule out peroneal tendon, osteochondral, or syndesmotic injury.^{[ citation needed ]}

Nomenclature of severity [edit]

Talocrural joint sprains are classified grade one, 2, and iii.^[half-dozen] Depending on the amount of damage or the number of ligaments that are damaged, each sprain is classified from balmy to severe. A form 1 sprain is defined as mild harm to a ligament or ligaments without instability of the affected articulation. A grade two sprain is considered a partial tear to the ligament, in which it is stretched to the point that it becomes loose. A class iii sprain is a complete tear of a ligament, causing instability in the afflicted joint.^[7] Bruising may occur around the ankle.^[viii]

Types [edit]

Inversion (lateral) ankle sprain [edit]

The nearly common type of ankle sprain occurs when the foot has a force, typically trunk weight, causing it to internally rotated to a higher degree than it is supposed to, affecting the lateral side of the foot. When this type of ankle sprain happens, the outer, or lateral, ligaments are stretched likewise much. The inductive talofibular ligament is ane of the about commonly involved ligaments in this type of sprain, followed by the calcaneofibular ligament^[9] and posterior talofibular ligament^[9] respectively, the later constitute in more than severe talocrural joint sprains. Approximately lxx–85% of talocrural joint sprains are inversion injuries.

When the talocrural joint becomes inverted, the inductive talofibular and calcaneofibular ligaments are damaged. This is the most common ankle sprain.^{[ citation needed ]}

Eversion (medial) ankle sprain [edit]

A less mutual type of ankle sprain is called an eversion injury, affecting the medial side of the human foot. This happens when, instead of the ankle rotating medially resulting in an inversion injury (the foot rolling too much to the inside), the talocrural joint rotates laterally resulting in an eversion injury (when the pes rolls too much to the outside). When this occurs, the medial, or deltoid, ligament is strained.

High (syndesmotic) ankle sprain [edit]

A high ankle sprain is an injury to the large ligaments above the talocrural joint that bring together together the two long bones of the lower leg, called the tibia and fibula. High ankle sprains commonly occur from a sudden and forceful outward twisting of the foot. This commonly occurs in contact and cutting sports such as football, rugby, ice hockey, roller derby, basketball, volleyball, lacrosse, softball, baseball, track, ultimate frisbee, soccer, tennis and badminton and horse riding.

Handling [edit]

Initial treatment commonly consists of balance, icing, compression and elevation (which is often referred to past the mnemonic RICE or sometimes PRICE with P being "protection"). These elements accept been recommended by physicians for decades for the treatment of soft tissue damage, and sprained ankles, one of the almost common soft tissue injuries. RICE helps limit the amount of swelling to the area, and "facilitates venous and lymphatic drainage".^[x] While nigh universally accepted as a treatment, there is insufficient evidence to make up one's mind its relative effectiveness equally therapy for acute ankle sprains in adults,^[11] and the National Athletic Trainers Association notes that most of the rationale for using RICE or individual components is based largely on low-quality clinical trials and laboratory studies with uninjured participants or beast models^[12]

Conservative measures [edit]

A brace offering moderate support and compression for a Grade I ankle sprain

Ice is ofttimes used to reduce swelling in cycles of 15–20 minutes on and 20–30 minutes off. Icing an ankle too long can crusade common cold injuries, which is indicated by the area turning white.^[13] As well, it is often recommended that water ice not be applied straight to the peel, but should have a sparse buffer between the ice and the affected area, and some professionals think ice demand not be applied at all. Recently, Gabe Mirkin, Doc, who coined and popularized the acronym RICE in his The Sportsmedicine Book in 1978, no longer recommends "complete" balance or ice for healing a sprain. After reviewing modernistic studies, he notes that because ice closes off the blood vessels, "ice doesn't increment healing—it delays it," and "consummate Rest may delay healing." He now advises skipping water ice altogether unless needed to reduce hurting from swelling.^[xiv] A minor but growing number of doctors no longer recommend RICE for sprains ^[xv] ^[16] . Still, it is widely accepted and, although the clinical testify is sparse, cryotherapy (ice) has been a mainstay of clinical do for rehabilitation specialists.

In uncomplicated lateral ankle sprains, swelling of the soft tissue can be prevented with pinch effectually both malleoli, peak of the injured talocrural joint college than the heart, and pain-free exercises.^[17]

An orthopedic walking kick is frequently used for the treatment of a sprained talocrural joint injury. Braces and crutches are too used to assist alleviate the pain so the injured talocrural joint can heal as quickly and painlessly as possible.

Although constitute to be less effective than casts, compression bandages are used to provide back up and compression for sprained ankles. Wrapping is started at the ball of the human foot and slowly continued upwards to the base of the calf muscle; this allows the swelling to travel up toward the center of the body so that it does non gather in the foot. In addition, other external supports such as Kinesio taping does non "improve talocrural joint functioning or functioning in people with or without ankle injuries."^[18] The "electric current prove does not support or encourage the employ of Kinesio taping applied to the ankle for improvements in functional performance, regardless the population."^[18]

Rehabilitation and recovery [edit]

Many dissimilar types of rehabilitation exercises tin can be done to aid an ankle sprain regardless of the severity of the injury. The purpose of rehabilitation gives the power for the talocrural joint to regain strength and flexibility. A sprained ankle becomes swollen due to the increased amount of edema within the tissue. Physiologically, edema contributes to the sensation of pain in the ankle and so priority is given to assuasive the fluid to leave the talocrural joint.^[19] This tin be washed instantly by implementing the RICE machinery which is resting the ankle, applying ice, compressing, and elevating information technology.^[10] The emphasis of the first week of rehabilitation should be on protecting the ankle to avoid further harm. As the healing progresses, stress can be practical by different mechanisms until the ankle is fully recovered.^[xx] The primal to a fast recovery is to implement all the different types of ankle sprain exercises so that the range of motility volition increase while the pain is decreasing.^[21]

In cases where the ankle does not heal in an appropriate corporeality of time, other exercises need to be implemented so that strength and flexibility can exist regained. Concrete therapists assign unlike types of ankle sprain exercises that deal with ankle flexibility, strengthening, residuum, and agility. If an talocrural joint sprain does non heal properly, the articulation may get unstable and may lead to chronic hurting.^[22] Receiving proper treatment and performing exercises that promote ankle part is important to strengthen the ankle and prevent further injury.

Ankle immobilization [edit]

A brusk menstruum of immobilization in a beneath-human knee cast or in an Aircast leads to a faster recovery at three months compared to a tubular compression cast.^[23] In contrast, a randomized controlled trial has ended that appropriate exercise immediately after a sprain improves function and recovery.^[24] These exercises were focused on increasing ankle range of movement, activation and strengthening of talocrural joint musculature, and restoring normal sensorimotor control, and were carried out for 20 minutes, iii times a day.^[24] After the injury, it is advisable not to walk for a couple of days. Bed rest will aid to accelerate the healing process and eliminate the chance of mishandling the affected limb. Driving vehicles or operating mechanism should not exist attempted. Acute lateral ankle sprain (LAS) is a common injury in athletes and is often associated with decreased able-bodied performance and, if treated poorly, can upshot in chronic ankle issues, such as instability. Concrete performance demands, such every bit cutting, hopping, and landing, involved with certain sport participation suggests that the rehabilitation needs of an athlete afterwards LAS may differ from those of the full general population. Depending on the patient's goals, early dynamic training afterward an acute lateral ankle sprain in athletes tin result in a shorter recovery fourth dimension and reduced likelihood of reinjury^[25]

The amount of therapy that a person can handle will depend on their level of pain and the grade of sprain they experienced. It is not recommended to render to sports or extreme concrete activities until hopping on the ankle is possible without pain. Wearing high-top tennis shoes may likewise help prevent ankle sprains if the shoes used are laced snugly and if the ankle is taped with a wide, nonelastic adhesive tape.^[26]

Ankle mobilization/manipulation [edit]

For astute talocrural joint sprains, manual joint mobilization/manipulation of the ankle has been plant to diminish hurting and increase range of motion. For treatment of subacute/chronic lateral ankle sprains, these techniques improved talocrural joint range-of-motility, decreased hurting and improved office.^[27]

Ankle exercises [edit]

To prevent sprains or re-injury from occurring, strengthening and stretching exercises should exist done through a full range of talocrural joint motion. To improve ankle mobility, ankle circles can be performed by extending the legs in front of the body and so moving the foot up and downwards, side to side, or rotating the pes in a circle. Another common practice to amend mobility, besides every bit proprioception, is to employ the toes to draw the letters of the alphabet in the air. Most importantly, the lateral attribute of the ankle articulation should exist strengthened with eversion exercises (i.e., underside of the foot is turned outward against resistance) to meliorate lateral ankle stability.^[28] Stretching is also an important component of a strengthening program, to help maintain joint flexibility.

Remainder and stability grooming are especially of import to retrain the ankle muscles to work together to back up the joint.^[29] This includes exercises that are performed by continuing on one foot and using the injured talocrural joint to elevator the body onto its toes. To further heighten residuum and stability, practise devices such as the wobble lath can be used, progressing from double-leg to single-leg stance, first with eyes open and then with eyes airtight, for enhanced effectiveness.

Flexibility exercises [edit]

Flexibility exercises include a towel stretch^[30] and writing the alphabet with the toes, which will increase the range of motion.

Strengthening exercises [edit]

Ankle strengthening exercises are step ups and walking on toes which will strengthen the muscles around the swollen area.

Rest exercises [edit]

Balance exercises include the use of a residuum lath, which helps the whole trunk role to maintain residual. The use of residual boards has been shown to produce significantly positive results in gaining proper residue.^[31] While performing balance exercises, the activity can be altered by using a unmarried legged opinion instead of a double legged opinion, by opening or closing ane's eyes, or changing the surface of remainder to stable or unstable. This exercise can likewise be used for primary prevention of ankle sprains, as a meta-assay exploring it's efficacy in prevention showed that there is a significant decrease in ankle sprain incidence among those who perform these exercises compared to people who don't.^[32]

Agility exercises [edit]

Rehabilitation exercises for an ankle sprain

Plyometrics exercises such as squat jumps and power skipping should non be implemented until the ankle has regained full agility.

Other strategies that can be used to prevent talocrural joint injury include:

Ensure proper warm-upward prior to stretching and activity;
When running, cull level surfaces and avoid rocks or holes;
Ensure that shoes have adequate heel back up;
If high-heeled shoes are worn, ensure that heels are no more than two inches in height, and avert heels with a narrow base.

Prognosis [edit]

Most people meliorate significantly in the first 2 weeks. Even so, some yet take bug with pain and instability after ane year (5–thirty%). Re-injury is also very common.^[33] There are currently no published bear witness-based criteria to inform RTS (return to sport) decisions for patients with a lateral ankle sprain injury. Return to sport decisions post-obit astute lateral talocrural joint sprain injury are generally time-based.^[34] Mild sprains typically brainstorm to experience better in a few days to a week and heal past six weeks. More severe talocrural joint sprains could take more than than a few weeks or months to fully recover. The mean time to return to sports patients is 12.9 weeks. Boilerplate time to return to work later injury range from less than one week to ii months.^[35]

Epidemiology [edit]

Adolescents vs general population ankle sprain instances

Ankle Sprain Epidemiology- U.S. Military machine vs General Population

Ankle sprains can occur through either sports or activities of daily living, and individuals can be at higher or lower risk depending on a diversity of circumstances including their homeland, race, age, sex activity, or profession.^[36] In add-on, there are different types of ankle sprains such as eversion ankle sprains and inversion ankle sprains. Overall, the near common type of ankle sprain to occur is an inversion ankle sprain, where excessive plantar flexion and supination cause the anterior talofibular ligament to be affected. A study showed that for a population of Scandinavians, inversion ankle sprains accounted for 85% of all ankle sprains.^[31] Most ankle sprains occur in more active people, such every bit athletes and regular exercisers.

Previous ankle sprains [edit]

When an ankle sprain occurs, subsequent ankle sprains are much more probable to follow.^[37] The rate of recurrence is peculiarly high for athletes in high-take chances sports.^[38] The most widely recommended preventative measures for recurring sprains are wearing ankle-protective gear^[39] (tape, or ankle brace) and implementing exercises designed to strengthen the ankle and improve one'southward residual (eastward.g., rest ball exercises). In a review commodity of talocrural joint sprain prevention enquiry, the authors reference a season-long report on a grouping of soccer players. lx players wore talocrural joint-protective (tape or talocrural joint-braces) throughout the soccer flavour, and another 171 players were enrolled in the control grouping, every bit they wore no ankle protective gear. At the terminate of the flavor, 17% of the players who did not wear ankle braces/record sprained their ankles, while but 3% of the players who wore protection incurred the aforementioned injury. Amongst the players who sprained their ankles and did not wear talocrural joint-protective gear, 25% had a history of previous talocrural joint sprains.^[forty] Some other peer-reviewed article references a written report which concluded that ankle exercising could decrease the risk of recurring sprains past 11%.^[41]

Age [edit]

In a study comparison the prevalence of ankle sprains between age, race, and sexual practice, individuals who were anile 10–19 years old had highest instances of ankle sprains.^[42] It tin can be suggested that adolescents are more physically active, which leads to higher chances of ankle sprains. Since sports bargain with high utilization of the ankle, over 50% of ankle sprains are due to sport-related injuries.^[43]

Talocrural joint sprain incident rates of average males to females

U.South. armed services [edit]

Moreover, average ankle sprains for the general U.S. population are estimated at 5–7 ankle sprains for every g person-years; however, a study showed that for military cadets, instances for talocrural joint sprains were almost ten times those of the general population ^[44]

Male vs. female [edit]

Another report comparing sex influences on talocrural joint sprains institute that male person and female counterparts had similar incidence rates of talocrural joint sprains. However, at a specific historic period range of xix–25 years one-time, males were found to have a substantially greater charge per unit of ankle sprains than females. Furthermore, at ages xxx and over, females showed a higher incidence of talocrural joint sprains than males.^[36] From this, information technology can exist said that historic period and activeness levels are better indicators of ankle sprain risks than gender.^{[ citation needed ]}

References [edit]

^ Talocrural joint Sprains Symptoms -eMedicineHealth.com, Retrieved on 22 January 2010.
^ Sprained Ankle – American Academy of Orthopedic Surgeons, Retrieved on 22 January 2010.
^ Wikstrom EA, Wikstrom AM, Hubbard-Turner T (2012). "Talocrural joint sprains: treating to prevent the long-term consequences". JAAPA. 25 (10): forty–ii, 44–five. doi:ten.1097/01720610-201210000-00009. PMID 23115869.
^ Gehring D, Wissler S, Mornieux G, Gollhofer A (2013). "How to sprain your ankle — a biomechanical example written report of an inversion trauma". J Biomech. 46 (1): 175–viii. doi:10.1016/j.jbiomech.2012.09.016. PMID 23078945.
^ Bachmann LM, Kolb Due east, Koller MT, Steurer J, ter Riet K (February 2003). "Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review". BMJ. 326 (7386): 417. doi:10.1136/bmj.326.7386.417. PMC149439. PMID 12595378.
^ Moreira V, Antunes F (2008). "[Ankle sprains: from diagnosis to management. the physiatric view]". Acta Med Port (in Portuguese). 21 (3): 285–92. PMID 18674420.
^ "Sprained Ankle". American Academy of Orthopedic Surgeons. Retrieved 2 November 2011.
^ Stanley, James. "Sprained Ankle". Due north Yorkshire Orthopaedic Specialists. Retrieved ii November 2012.
^ ^a ^b Akbari, Mohammed; Karimi, Hossein; Farahini, Hossein; Fahgihzadeh, Soghrat (November–December 2006). "Balance problems after unilateral ankle sprains". The Journal of Rehabilitation Research and Development. 43 (7): 819–824. doi:ten.1682/JRRD.2006.01.0001. PMID 17436168.
^ ^a ^b Wolfe MW, Uhl TL, Mattacola CG, McCluskey LC (2001). > "Direction of ankle sprains". Am Fam Physician. 63 (1): 93–104. PMID 11195774.
^ van den Bekerom MP, Struijs PA, Blankevoort Fifty, Welling Fifty, van Dijk CN, Kerkhoffs GM (2012). "What is the prove for rest, ice, compression, and meridian therapy in the treatment of ankle sprains in adults?". Journal of Athletic Grooming. 47 (iv): 435–43. doi:10.4085/1062-6050-47.four.14. PMC3396304. PMID 22889660.
^ Kaminski, Thomas West.; Hertel, Jay; Amendola, Ned; Docherty, Carrie L.; Dolan, Michael G.; Hopkins, J. Ty; Nussbaum, Eric; Poppy, Wendy; Richie, Doug (July–August 2013). "National Athletic Trainers' Association Position Argument: Conservative Direction and Prevention of Talocrural joint Sprains in Athletes" (PDF). Journal of Athletic Training. 48 (4): 528–545. doi:10.4085/1062-6050-48.four.02. PMC3718356. PMID 23855363.
^ Lifestyle and home remedies, MayoClinic.com. Retrieved 3 May 2010.
^ Byrne, Sue (2015). "Why You Should Avoid Water ice for a Sprained Talocrural joint". Consumer Reports.
^ Han, Andrew (5 March 2019). "Why icing a sprain doesn't help, and could slow recovery". The Washington Post . Retrieved 2 March 2021.
^ Hall, Harriet. "Don't Water ice Sprains". Skeptical Inquirer. Heart for Inquiry. Retrieved ii March 2021.
^ Aronen JG, Garrick JG (2009). "Acute Ankle Injuries, Role 1: Part Evaluation and Management". Consultant. 49: 413–421.
Aronen JG, Garrick JG (2009). "Acute Ankle Injuries, Part 2: Handling of Uncomplicated Lateral Talocrural joint Sprains". Consultant. 49: 734–740.
^ ^a ^b Nunes, Guilherme S.; Feldkircher, Jonatan Thousand.; Tessarin, Bruna Mariana; Bender, Paula Urio; da Luz, Clarissa Medeiros; de Noronha, Marcos (February 2021). "Kinesio taping does not ameliorate ankle functional or performance in people with or without talocrural joint injuries: Systematic review and meta-analysis". Clinical Rehabilitation. 35 (2): 182–199. doi:10.1177/0269215520963846. ISSN 1477-0873. PMID 33081510.
^ Coté DJ, Prentice We, Hooker DN, Shields EW (1988). "Comparison of 3 treatment procedures for minimizing talocrural joint sprain swelling". Phys Ther. 68 (7): 1072–six. doi:10.1093/ptj/68.7.1072. PMID 3133668.
^ Mattacola CG, Dwyer MK (2002). "Rehabilitation of the Ankle After Acute Sprain or Chronic Instability". J Athl Train. 37 (four): 413–429. PMC164373. PMID 12937563.
^ Zöch C, Fialka-Moser V, Quittan Chiliad (2003). "Rehabilitation of ligamentous ankle injuries: a review of recent studies". Br J Sports Med. 37 (4): 291–5. doi:10.1136/bjsm.37.four.291. PMC1724658. PMID 12893710.
^ Sprained Ankle Overview – Webmd.com, Retrieved on 22 Jan 2010.
^ Lamb SE, Marsh JL, Hutton JL, Nakash R, Cooke MW (February 2009). "Mechanical supports for acute, severe talocrural joint sprain: a businesslike, multicentre, randomised controlled trial". Lancet. 373 (9663): 575–81. doi:10.1016/S0140-6736(09)60206-3. PMID 19217992.
^ ^a ^b Bleakley CM, O'Connor SR, Tully MA, et al. (2010). "Effect of accelerated rehabilitation on role afterwards ankle sprain: randomised controlled trial". BMJ. 340: c1964. doi:10.1136/bmj.c1964. PMID 20457737.
^ Tee, Eugene; Melbourne, Jack; Sattler, Larissa; Hing, Wayne (30 December 2022). "Evidence for Rehabilitation Interventions After Acute Lateral Ankle Sprains in Athletes: A Scoping Review". Journal of Sport Rehabilitation: one–8. doi:x.1123/jsr.2021-0244. ISSN 1543-3072. PMID 34969012.
^ Talocrural joint Sprains: Healing and Preventing Injury – Family doctor.org, Retrieved on 22 January 2010.
^ Loudon JK, Reiman MP, Sylvain J (2013). "The efficacy of manual joint mobilisation/manipulation in treatment of lateral talocrural joint sprains: a systematic review". Br J Sports Med. 48 (5): 365–70. doi:x.1136/bjsports-2013-092763. PMID 23980032.
^ Arnold BL, Linens SW, de la Motte SJ, Ross SE (November–December 2009). "Concentric evertor strength differences and functional ankle instability: A meta-assay". Journal of Athletic Preparation. 44 (half-dozen): 653–662. doi:ten.4085/1062-6050-44.6.653. PMC2775368. PMID 19911093.
^ Sprained Ankle: Treatment and Drugs – Mayo clinic.com, Retrieved on 22 January 2010.
^ http://www.livestrong.com/article/470163-ankle-towel-stretch// towel stretch
^ ^a ^b Wester JU, Jespersen SM, Nielsen KD, Neumann 50 (1996). "Wobble board preparation after fractional sprains of the lateral ligaments of the ankle: a prospective randomized study". J Orthop Sports Phys Ther. 23 (five): 332–6. doi:ten.2519/jospt.1996.23.5.332. PMID 8728532.
^ Bellows, R.; Wong, C. One thousand. (2018). "The Effect of Bracing and Balance Preparation on Ankle Sprain Incidence Among Athletes: A Systematic Review with Meta-Analysis". International Periodical of Sports Concrete Therapy. thirteen (three): 379–388. doi:10.26603/ijspt20180379. PMC6044595. PMID 30038824.
^ Margo KL (December 2008). "Review: many adults nonetheless have pain and subjective instability at 1 year afterward astute lateral ankle sprain". Evid-Based Med. 13 (half dozen): 187. doi:10.1136/ebm.13.half dozen.187. PMID 19043045.
^ Tassignon, Bruno; Verschueren, Jo; Delahunt, Eamonn; Smith, Michelle; Vicenzino, Bill; Verhagen, Evert; Meeusen, Romain (1 April 2019). "Criteria-Based Render to Sport Decision-making Post-obit Lateral Ankle Sprain Injury: a Systematic Review and Narrative Synthesis". Sports Medicine. 49 (4): 601–619. doi:10.1007/s40279-019-01071-3. ISSN 1179-2035. PMID 30747379.
^ Anandacoomarasamy, A.; Barnsley, Fifty. (one March 2005). "Long term outcomes of inversion talocrural joint injuries". British Periodical of Sports Medicine. 39 (3): e14. doi:10.1136/bjsm.2004.011676. ISSN 0306-3674. PMC1725165. PMID 15728682.
^ ^a ^b Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ (2010). "The epidemiology of talocrural joint sprains in the United states of america". J Bone Joint Surg Am. 92 (13): 2279–84. doi:ten.2106/JBJS.I.01537. PMID 20926721.
^ "Chronic Ankle Instability". world wide web.foothealthfacts.org. Pes Wellness Facts. Retrieved 4 Apr 2018.
^ Gribble PA, Delahunt E, Bleakley CM, Caulfield B, Docherty CL, Fong DT, Fourchet F, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, van der Wees P, Vicenzino Westward, Wikstrom EA (2014). "Selection criteria for patients with chronic talocrural joint instability in controlled research: a position statement of the International Ankle Consortium". Periodical of Athletic Grooming (Review). 49 (1): 121–7. doi:10.4085/1062-6050-49.ane.14. PMC3917288. PMID 24377963.
^ Stoimenov, Vassil (17 March 2018). "How to Prevent The Injuries About Likely to Happen to You". PositiveMed. USA: PositiveMed. Retrieved 4 April 2018.
^ Gross Grand, Liu H (2003). "The Role of Ankle Bracing for Prevention of Ankle Sprain Injuries". J Orthop Sports Phys Ther. 33 (ten): 572–577. doi:10.2519/jospt.2003.33.10.572. PMID 14620786.
^ Hayman J, Prasad S, Stulberg D, Hickner J (2010). "Help patients prevent repeat ankle injury". J Fam Pract. 59 (one): 32–4. PMC3183932. PMID 20074499.
^ Bridgman SA, Cloudless D, Downing A, Walley 1000, Phair I, Maffulli North (2003). "Population based epidemiology of ankle sprains attention accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains". Emerg Med J. 20 (vi): 508–10. doi:10.1136/emj.20.6.508. PMC1726220. PMID 14623833.
^ Yeung MS, Chan G, And then CH, Yuan WY (1994). "An epidemiological survey on ankle sprain". Journal of Sports Medicine. 28 (2): 112–6. doi:ten.1136/bjsm.28.2.112. PMC1332043. PMID 7921910.
^ Waterman BR, Belmont PJ, Cameron KL, Deberardino TM, Owens BD (2010). "Epidemiology of ankle sprain at the United States Military University". Am J Sports Med. 38 (4): 797–803. doi:x.1177/0363546509350757. PMID 20145281.

External links [edit]

adamsmagning00.blogspot.com

Source: https://en.wikipedia.org/wiki/Sprained_ankle