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Common Athletic Injuries of the Ankle

Common Athletic Injuries of the Ankle. Common Injuries of the Ankle in Athletes. Ankle Sprains Chronic Lateral Ankle Instability Peroneal Tendon Injuries Achilles Tendon Tears. Ankle Sprains. What’s an Ankle Sprain?. An injury to one or more ligaments in the ankle Ligaments.

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Common Athletic Injuries of the Ankle

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  1. Common Athletic Injuries of the Ankle

  2. Common Injuries of the Ankle in Athletes • Ankle Sprains • Chronic Lateral Ankle Instability • Peroneal Tendon Injuries • Achilles Tendon Tears

  3. Ankle Sprains

  4. What’s an Ankle Sprain? • An injury to one or more ligaments in the ankle • Ligaments • Connect two bones and hold a joint together • 3 lateral ligaments in the ankle give you stability • Medial ligaments also help stabilize the ankle • In an ankle sprain, ligament(s) are either stretched or torn

  5. Some Sprains Are Worse Than Others Less Severe More Severe Stretched Partially Torn Completely Torn More Ligaments Injured or Fractured

  6. Symptoms of a Sprained Ankle • Pain or soreness • Swelling • Bruising • Difficulty walking • Stiffness in the joint

  7. What Should You Do? • Seek prompt medical attention • Follow-up with a specialist—a foot and ankle surgeon • Ice, elevate and rest!

  8. Treatment for Ankle Sprains • Splinting or casting • Rest, ice, compression • Medication • Physical therapy • More severe cases may require surgery to repair the ligament(s).

  9. Chronic Lateral Ankle Instability

  10. What’s Chronic Ankle Instability? • A “giving way” of the outer side of the ankle • This “giving way” can lead to an ankle sprain • Often caused by having previous sprains

  11. Proper Rehabilitation Can Help Prevent This Condition . . . and Future Sprains • Proper rehabilitation (physical therapy): • Strengthens foot and ankle muscles • “Retrains” the ankle for better balance

  12. Signs and Symptoms of Chronic Ankle Instability • Ankle feels wobbly • A repeated turning of the ankle • Chronic swelling and discomfort • Pain or tenderness

  13. Treatment for Chronic Ankle Instability • Non-surgical treatment • Physical therapy • Bracing • Medications • Surgery • Repair or reconstruction of damaged ligament(s)

  14. Treatment for Chronic Ankle Instability Treatment for Chronic Ankle Instability Peroneal Tendon Injuries • Non-surgical treatment • Non-surgical treatment • Physical therapy • Bracing • Medications • Acute (sudden) tears • Subluxation • Physical therapy • Bracing • Medications • Surgery • Surgery • Repair or reconstruction damaged ligament(s) • Repair or reconstruction damaged ligament(s)

  15. The Peroneal Tendons • Two tendons behind the outer ankle bone • Stabilize the foot • Protect against sprains

  16. The Symptoms of a Peroneal Tendon Tear • Pain • Swelling • Weakness of the foot and ankle • With time, the foot shape may change

  17. Subluxation of the Peroneal Tendon(s) • One or both tendons slip out of position • Can occur after trauma, such as a sprained ankle • Early treatment is a must!

  18. Symptoms of a Peroneal Tendon Subluxation • A snapping feeling of the tendon around the ankle bone • Sporadic pain behind the outside ankle bone • Ankle instability or weakness!

  19. Treatment for Peroneal Tendon Injuries • Splinting or casting • Oral or injected medications • Physical therapy • Bracing • In some cases, surgery is necessary

  20. Achilles Tendon Tears

  21. The Achilles Tendon: The “Heel Cord” • Runs down the back of the low leg • Connects the calf muscle to the heel bone • Helps to raise the heel off the ground

  22. What Causes an Achilles Tendon Tear? • Can be a complete tear or partial tear • Occurs when the tendon is stretched too much • Can occur with jumping, pivoting, sudden accelerations in running • Common among “weekend warriors”

  23. Symptoms of an Achilles Tendon Tear • Sudden pain • Pain may then subside to a dull ache • Popping or snapping sensation • Swelling • Difficult to walk (especially upstairs or uphill) and difficult to rise on toes

  24. Treatment Options for an Achilles Tendon Tear • Non-surgical treatment • Higher likelihood of re-tearing the tendon • Wearing a cast, walking boot, or brace • Surgery • Lower likelihood of re-tearing the tendon • May increase push-off strength • May improve muscle function and ankle movement

  25. For Ankle Injuries, Seek Prompt Medical Attention • New England Podiatry Associates • 2 locations: • 1244 Boylston St., Suite 101 • Chestnut Hill, MA 02467 • phone: 617-232 1752 • Newton Wellesley Hospital • 2000 Washington St. • Green Building, Suite 470 • Newton, MA 02462 • phone: 617 630 8280

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