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Ankle sprain

What is an ankle sprain?   |  The ankle ligaments injured by an ankle sprain  |  What else can be injured?   |  What symptoms might I have with an ankle sprain?   |  How common is a sprained ankle?  |   What is the difference between an ankle sprain and an ankle ligament rupture?   |  What treatments are available for a sprained ankle?   |  Which is the best treatment for an ankle sprain?   |   What sort of ankle brace to use for an ankle sprain?   |  Functional rehabilitation after ankle sprain   |  What is the expected natural history after an ankle sprain?  what if it doesn't get better?  When would an operation be appropriate?   |  What operations are available to stabilise the ankle?   |   Does the ankle ever "give" the other way (the foot facing outwards, rather than inwards)

 

What is an ankle sprain?

An ankle sprain (also known as a lateral ankle ligament sprain) is the most commonly occurring injury to the ankle. During weight bearing activity (walking, running or jumping) the ankle and foot move inwards, towards the mid-line of the body, more than the stabilising structures allow, thus resulting in injuries to these structures. Most commonly it is the lateral ankle ligaments and the lateral ankle joint capsule which are torn. The normal ankle joint is not simply a hinge joint, there is also rotation which occurs during up and down movement of the ankle. The same type of forces which “lever the ankle inwards” during an ankle sprain can also lead to fractures of the lower fibula (the outer bone of the ankle), most commonly when rotational force is also involved. Because of this any inability to bear weight comfortably after an ankle sprain or any tenderness of the bones around the ankle after a supposed ankle sprain requires a plain x-ray to exclude the presence of an ankle fracture.

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