Athletes were wearing ankle braces in 10.6% of all sprains. 2 Casts can be useful to enable patients to return to activities more quickly, but may have the disadvantages of muscle atrophy and joint stiffness. Syndesmotic sprains or high ankle sprains are reported to be associated with increasing morbidity and time loss. information about ankle injury, ankle sprain was the the epidemiology studies and thus was not sum- most common injury in 33 sports. Participants: A nationwide convenience sample of US high schools. Of these injuries, the authors found that ankle ligament sprains were among the most common injuries across all sports (14.8%). Ankle injuries are among the most common of all tennis injuries, with inversion ankle sprains predominating. Acute ankle sprains are characterized by the stretching or tearing of the ankle ligaments. [ … This is most likely due to injury risk reduction programs and changing game demands. Return to sport decisions following acute lateral ankle sprain injury are generally time-based. Ankle Sprains, Medial Daniel C. Herman, MD, PhD, FAAPMR, FACSM, CAQSM Giorgio A. Negron, MD BASICS DESCRIPTION Injury to the deltoid ligament complex of the medial ankle occurs when the foot is forced into eversion and external rotation. More than 3 million ankle sprains presented to emergency departments in the United States during a 5-year period ().Nearly half of all ankle sprains reported during this period occurred during athletic activity. Acute ankle injuries are one of the most common problems seen in sports medicine. Lateral ankle sprains are very common with an estimated incidence of 0.2% per year. However, there is a lack of prospective data on the epidemiology and nature of these injuries. Additionally, acute ankle sprains have a high recurrence rate, which is associated with the development of CAI. Sprained Ankle Syndrome: Prevalence and Analysis of 639 Acute Injuries Lawrence Fallat, DPM, Douglas J. Grimm, MS, DPM, and Joseph A. Saracco, DPM The ankle sprain is often thought of as an injury involving only the lateral ankle ligaments. The incidence of ankle sprain is highest in sports populations. The most common ankle injury is ankle sprain and of ankle sprains, lateral ankle sprain is by far the most common, accounting for up 75-80% of ankle sprains 1. About half of lateral ankle sprains are due to sports injuries, and they account many athletic injuries 1-5.. The 4 most common ankle injuries, which accounted for 95% of ankle injuries, were lateral ligament complex tears (65.67%), tibiofibular ligament (high ankle) sprains (10.3%), contusions (10.1%), and medial (deltoid) ligament tears (9.77%). Background: Acute ankle sprains are one of the most common musculoskeletal injuries, with a high incidence among physically active individuals. There were significantly higher foot and ankle injury incidence rates and more missed time in female athletes and women’s sports. The epidemiology of ankle sprains in the United States. Mild sprains typically begin to feel better in a few days to a week and heal by six weeks. A longitudinal, prospective epidemiological database was used to determine the incidence and demographicrisk factors for ankle sprains presenting to emergency departments in the United States. Ankle sprains are the most common acute injuries in adult as well as young basketball players, both in professional players and amateur players. Ankle sprain is one of the most common musculoskeletal injuries, nearly half of all ankle sprains occur during athletic activity. There were 1052 ankle injuries. An ankle sprain is where one or more of the ligaments of the ankle are partially or completely torn. Ankle sprain is a common injury in athletic populations that results in significant time lost to injury. Epidemiology of injuries due to ankle sprain diagnosed in an orthopedic emergency room. Background: Ankle sprain has been studied in athletic cohorts, but little is known of its epidemiology in the general population. Lateral ankle sprains account for 85% of all ankle sprains. Waterman BR, Owens BD, Davey S, et al. exposure to selected sports were all risk factors for ankle sprain. Hypothesis The incidence rates (IRs) of ankle ligament sprains are influenced by gender, height, weight, body mass index (BMI), physical conditioning, level of competition, type of sport, and athlete exposure to sport. Introduction. This increased risk was present in the interscholastic and intercollegiate players. The aim of this study was to critically appraise literature on epidemiology of syndesmotic sprains through systematic review of published literatures. 12 Hockey, in particular, is a collision sport that has recently garnered significant attention among injury epidemiology investigations. In football, around 90% of ankle injuries are sprains. Inversion-type, lateral ligament injuries represent approximately 85% of all ankle sprains. In sports injuries throughout the countries studied, the ankle was the second most common injured body site after the knee, and ankle sprain was the most common type of ankle injury. The incidence of ankle injury and ankle sprain was high in court games and team sports, such as rugby, soccer, volleyball, handball and basketball. Roos KG, Kerr ZY, Mauntel TC, et al. Background: Ankle sprain has been studied in athletic cohorts, but little is known of its epidemiology in the generalpopulation. Fong DT, Hong Y, Chan LK, et al. With a high. Acute lateral ankle ligamentous sprains (ALALS) frequently occur in everyday life and during sports participation. 1 Their management is controversial. Diagnosis can be difficult and clinicians should consider the possibility of syndesmotic injury in athletes with pain or injury around the ankle or lower leg. [Article in English, Portuguese] Debieux P (1) (2), Wajnsztejn A (1) (2), Mansur NSB (1) (2). Patients with ankle sprains (stretching, partial rupture, or complete rupture of at least one ligament) constitute a large percentage of these injuries. The most common injury mechanism was contact with another person (42.4% of all ankle sprains). 1 Acute surgical repair of damaged ligaments has been advocated, but overall there is little good evidence that it is cost effective. The risk of ankle sprains is higher during games than during training and more likely in offense than defense [3, 6, 8, 24, 36–38].Lateral ankle sprains predominate over medial sprains, and some researchers refer to ankle sprain as exclusively … Ankle injuries are common presenting complaints in both emergency departments and family physicians' offices. Frequently other structures are also injured. Compared with the more common lateral ankle sprain, the high ankle sprain causes pain more proximally, just above the ankle joint, and is associated more often with significant morbidity. Medial ankle sprains are less common than their lateral counterpart due to the vast strength of the… The first football epidemiological studies were performed in the early 1980s and reported that the ankle is the most common location of injury (around 30% of total injuries). Both static and dynamic restraints provide lateral ankle stability. Background: Ankle sprains are a common injury in collegiate sports. Thigh muscle injury is the most common injury at top-level with an injury incidence of 1.6/1000 h of exposure, which means that a team can expect 10 such injuries each season. Lateral ankle sprains are referred to as inversion ankle sprains or as supination ankle sprains. 3 Most ankle sprains involve the lateral ligament complex of the ankle joint. Sports Med 2007; 37:73. Overall, females had a 25% greater risk of sustaining a Grade I ankle sprain compared with their male counterparts. Approximately 1 million ankle … A longitudinal, prospective epidemiological database was used to determine the incidence and demographic risk factors for ankle sprains presenting to emergency departments in the United States. Epidemiology [edit | edit source] An ankle sprain is a common injury. The mean time to return to sports patients is 12.9 weeks. Injury to the deltoid ligament complex of the medial ankle occurs when the foot is forced into eversion and external rotation. Medial ankle sprains are less common than their lateral counterpart due to the vast strength of the deltoid ligament: [1, 2, 3] Approximately 70% of basketball players have sprained an ankle, and the likelihood of reinjury is as high as 80%. J Bone Joint Surg Am 2010; 92:2279. Ankle sprains are common injuries that affect both general and athletic populations alike. A systematic review on ankle injury and ankle sprain in sports. While 0.5% of all ankle sprains required surgery, 6.6% of those involving the deltoid ligament required surgery. It was our hypothesis that anklesprain is influenced by sex, race, age, and … The ankle joint is the most commonly injured joint in sports. Ankle Sprains: Epidemiology, Anatomy and Injury Mechanism. Ankle Injuries The most commonly sprained body area in soccer players is the ankle (51% of all sprains).1 Although ankle sprains make up 13% of all injuries, the ankle injury rate actually declined over the course of an 11-year study7. A U.S. Army study found that ankle sprains are the most common foot and ankle injury in active-duty Army personal with a rate of 103 sprains per 1000 persons per year. 2 Ankle sprains can account for up to 45% of sports related injuries in high risk sports such as basketball. While past studies have examined overall injury rates in ice hockey, foot and ankle injuries among collegiate ice hockey players have yet to be analyzed. BACKGROUND: Injuries are common in youth soccer, of which ankle injuries form a significant proportion. Setting: Sports injury data for the 2005/06 to 2010/11 academic years were collected using an Internet-based injury surveillance system, Reporting Information Online. The risk of ankle sprain has been reduced by 50%, probably due to the thorough knowledge in top-level teams about optimal treatment and prevention. 1 In some series, it is the most common injury seen. The weighted marised in this review. Few studies have examined the epidemiology of individual ligament injuries, … The epidemiology of ankle sprain is complex, and attempts at clarification have yielded several potential modifiable and non-modifiable risk factors. More severe ankle sprains could take more than a few weeks or months to fully recover. More recent reports show a decrease of about 50% of ankle injuries. The Epidemiology of Lateral Ligament Complex Ankle Sprains in National Collegiate Athletic Association Sports. Am J Sports Med 2017; 45:201. Thomson A, Whiteley R, Bleakley C. Higher shoe-surface interaction is associated with doubling of lower extremity injury risk in football codes: a systematic review and meta-analysis. Ankle injuries are among the most common injuries presenting to primary care offices and emergency departments [ 1-3 ]. Ankle injuries are very common, with ankle sprain being the most common injury. Most individuals have complete recovery; however, a substantial number have chronic problems that usually lead to modification of physical activity. [ 27] Ivins D. Acute ankle sprain: an update. Introduction. This common injury is most frequently sustained during sporting activity. Design: Descriptive prospective epidemiology study. Objective: Describe ankle injury epidemiology among US high school athletes in 20 sports. No study to date has determined the incidence of ankle sprains on the various surface types in tennis, yet each surface presents unique risk factors. Epidemiology. [] Lateral ankle sprains account for 90% of all ankle injuries, whereas an ankle fracture occurs only approximately 15% of the time. Ankle sprains are one of the most common musculoskeletal injuries in physically active people and have been identified as the most common foot or ankle injury in active-duty Army personnel, with a rate of 103 sprains per 1000 soldiers per year. Severe ankle sprains are associated with both short and long term disability. It is usually a result of a forced plantarflexion/inversion movement, the complex of ligaments on the lateral side of the ankle is torn by varying degrees. Background: Ankle sprain is one of the most common musculoskeletal injuries, yet a contemporary review and meta-analysis of prospective epidemiological studies investigating ankle sprain … Overall, 49.7% of sprains resulted in loss of participation from 1–6 days. Ankle sprain is one of the most common musculoskeletal injuries, nearly half of all ankle sprains occur during athletic activity. The prevalence of foot/ankle injury in a large NCAA Division 1 athletics program was 27% of total musculoskeletal injuries over a 2-year period, with 21% of these injuries resulting in missed time.