This definitive text pulls together up-to-date research on medical issues related to the unstable ankle and features contributions from an array of leading physicians and rehabilitation professionals. Edited by two orthopedic surgeons who are internationally respected specialists on sport-related and ankle injuries, The Unstable Ankle may be the most comprehensive book available on the subject.
Editors Nyska and Mann present the latest knowledge on ankle instability with emphasis on conservative treatment and preventive measures. The book’s 35 chapters provide valuable information on the causes of ankle instability, evaluation and diagnostic procedures, surgical interventions, rehabilitation, and prevention.
Complete and practical, The Unstable Ankle addresses ankle instability problems in a variety of patient populations, including children and adolescents. Special consideration is given to at-risk individuals in selected sports and occupations.
Physicians and other medical team members who work with ankle problems will gain a better understanding of when conservative treatment is appropriate—which is most of the time—and how to rehabilitate at the lowest possible physical, emotional, and financial cost to patients. When surgical intervention is required, this text will guide professionals on the appropriate application of techniques.
The book thoroughly discusses the role of physical therapists and other allied health professionals in treatment of ankle instability. Appropriate exercises for different degrees of instability with different etiologies are described in detail.
This important text includes the following features:
Three sections dealing with the structure and function of the ankle, prevention of injury, acute ankle sprains, chronic ankle instability, staging, treatment, and evaluation
Liberal illustrations—236 in total—that eliminate ambiguity and add to the clarity of the information presented
Step-by-step procedural descriptions of four operations and extensive discussion of arthroscopic reconstruction
This authoritative text will build the confidence of the entire medical team and help members work together to diagnose, treat, and prevent ankle instability with the patient’s best interests in mind.
Part I. General Considerations
Chapter 1. Epidemiology of Ankle Sprain
Charles Milgrom
Incidence of Ankle Sprains
Affecting Factors
Outcome and Prognosis
Economic and Social Impact
Direction of Future Research
Chapter 2. Anatomy of the Ankle and Talar Joints
Moira O`Brien and Elisha Freund
The Ankle Joint
The Talar Joints
Chapter 3. Biomechanics of the Ankle Joint Complex and the Shoe
Benno M. Nigg and Beat Hinterman
Movement
Movement Transfer Between Foot and Leg
Forces
Shoes
Chapter 4. Biomechanics of Ligaments in Ankle Instability
Beat Hinterman
Morphological Aspects of Ligaments, Ligament Injury, and Ligament Healing
Mechanical Characteristics of the Ankle Ligaments
Conclusions and Clinical Implications
Chapter 5. Proprioception of the Ankle Joint
Rüdiger Reer and Jörg Jerosch
Basic Knowledge
Prophylaxis and Rehabilitation
Diagnostics
Summary
Part II. Primary Evaluation
Chapter 6. Mechanics of Injury, Clinical Presentation, and Staging
Gideon Mann, Meir Nyska, Naama Constantini, Y. Matan, Per Renström, and Scott Lynch
Mechanism of Injury
Clinical Presentation and Staging
Chapter 7. Scoring Systems Evaluating Ankle Function
Gideon Mann, Meir Nyska, and Y. Matan
Function and Desirable Characteristics
Various Scoring Systems
Chapter 8. Diagnostic Aspects of Chronic Ankle Instability
Beat Hinterman
The Problem
Examination
Conclusions
Part III. Diagnostic Approaches to Ankle Sprain
Chapter 9. Radiographic Assessment of Acute Ankle and Hindfoot Injuries
Ehud Rath and Ilan Shelef
Ankle Injuries– Indications and Radiographs Interpretation
Technical Notes
Radiographs of Specific Injuries
Chapter 10. Imaging of Ankle Injuries
Yaakov Applbaum
Techniques
Ligament Injuries
Tendon Injuries
Osseous Lesions
Summary
Chapter 11. The Role of Arthroscopy in Chronic Ankle Sprains
Wolf-Ruediger Dingels
Anatomy and Pathophysiology
Diagnostics
Classification of Sprains
Part IV. Complications of Ankle Sprain
Chapter 12. Chronic Ankle Instability, Mechanical and Functional
Gideon Mann, Meir Nyska, A. Finsterbush, Naama Constantini, and Joseph Lowe
Introduction
Possible Causes of Instability
Diagnosis
Chapter 13. Osteochondral Fractures of the Talus
Chaim Zinman, Meir Nyska, and Gideon Mann
Pathology and Etiology
Clinical Presentation, Diagnosis, and Classification
Treatment
Chapter 14. Sinus Tarsi Syndrome
Meir Nyska, Gideon Mann, and Cobi Lidor
Anatomy
Biomechanics
Histopathology
Diagnosis
Treatment
Chapter 15. Tendon Injuries in Acute Ankle Sprain
Lew C. Schon and Claude D. Anderson
Peroneal Tendons
Posterior Tibial Tendon
Anterior Tibial Tendon
Achilles Tendon
Conclusion
Chapter 16. Posterior Ankle Impingement
C. Niek van Dijk, Otto Stibbe, and R.K. Marti
Anatomy
Etiology
Diagnosis
Therapy
Methods and Results
Conclusion
Chapter 17. Fractures of the Fifth Metatarsal
Frank Spaas and Marc Martens
General Issues
Metatarsal Neck Fractures
Metatarsal Head Fractures
Metatarsal Base Fractures
Chapter 18. The Subtalar Joint
Elisha Freund, Meir Nyska, and Gideon Mann
Anatomy
Motion
Assessment
Causes of Instability
Treatment
Chapter 19. Midfoot Sprain
Meir Nyska and Gideon Mann
Anatomy and Pathophysiology
Incidence
Assessment
Injury of the Lateral Midfoot
Injury to Medial Midfoot
Conclusion
Part V. Conservative Treatment
Chapter 20. Management of Acute Ankle Sprain
Per Renstrom and Scott A. Lynch
Grades of Injury
Conservative Versus Surgical Treatment
Four Basic Phases of Treatment and Rehabilitation
Functional Treatment Protocol
Supportive Treatment Modalities
Surgery
Conclusions
Chapter 21. Rehabilitation of the Acute Lateral Ankle Sprain
Deborah Cozen and Richard Ferkel
The Four-Phase Rehabilitation Program
Keys to Successful Return to Activity
Closed Kinetic Chain Rehabilitation Exercises
Therapeutic Modalities
Case Studies
Chapter 22. Proprioceptive Retraining for Chronic Ankle Instability
David Mencher
Proprioception in Ankle Sprains
Principles of Proprioceptive Retraining
Protocol for Proprioceptive Retraining of Chronic Ankle Instability
Conclusion
Further Thoughts on Proprioceptive Training as a Therapeutic Measure
Chapter 23. Return to Sport After Delayed Reconstruction for Ankle Instability
Steven I. Subotnick
Types of Instability
Rehabilitation and Return to Sport
Postoperative pain
Nontraditional Accessories to Treatment
Chapter 24. Functional Testing As the Basis for Ankle Rehabilitation Progression
George J. Davies, J.W. Matheson, and Steven Subotnick
Rationale and Definition
History and Subjective Examination
Summary
Part VI. Surgical Treatment
Chapter 25. Overview of the Operative Treatment of Ankle Instability
Meir Nyska and Gideon Mann
Indications for Operative Treatment
Anatomic and Nonanatomic Surgical Procedures
Summary and Conclusions
Chapter 26. Watson Jones Operation for Ankle Instability
Moshe (Perry) Pritsch and M. Salai
Surgical Technique
Personal Experience
Complications
Chapter 27. Lateral Chronic Instability of the Ankle: Christman-Snook Technique
Alberto Macklin Vadell
Surgical Anatomy and Biomechanics
Diagnosis
Treatment
Conclusions
Chapter 28. Ankle Ligament Reconstruction: The Broström Procedure
Roger A. Mann and Jeffrey A. Mann
Decision Making
Modified Broström Procedure for Ankle Ligament Reconstruction
Complications
Chapter 29. The Williams Procedure
Gideon Mann, E. London, and Meir Nyska
Operative Technique
Post Operative Management
Clinical Follow-Up
Chapter 30. Arthroscopic Reconstruction of the Unstable Ankle
Charles Southerland
Role of Arthroscopy
Practical Applications of Ankle Anatomy
Mechanism of Injury
Operating Room Set-Up and Surgical Technique
Postoperative Treatment
Experience and Follow-Up
Summary
Chapter 31. Arthroscopy and the Injured Ankle
Wolf-Ruediger Dingels
Acute Arthroscopy
Arthroscopy for Complications of Chronic Ankle Sprain
Part VII. Additional Issues
Chapter 32. Ankle Sprain in Children and Adolescents
Eliezer Trepman, A. Ross Outerbridge, and Lyle J. Micheli
Pediatric Differences
Mechanisms of Injury
Evaluation
Specific Conditions
Chapter 33. Prevention of Acute Ankle Ligament Sprains in Sport
Martin P. Schwellnus
Extrinsic Risk Factors for Ankle Sprains In Sport
Intrinsic Risk Factors
Summary and Practical Application
Chapter 34. Preventing Ankle Injuries in Parachuting
John B. Ryan
Parachuting Apparatus and Technique
Incidence and Mechanism of Injuries
Prevention of Ankle Injuries
Chapter 35. Preventive Effects of an On-Shoe Brace on Ankle Sprains in Infantry
Gideon Mann, G. Kahn, M. Suderer, A. Zeer, N. Constantini, and Meir Nyska
Materials and Methods
Statistical Analysis
Results
Discussion
Conclusions
Reference for sports medicine specialists, orthopedic surgeons, podiatrists, physiatrists, and sports chiropractors.
Meir Nyska, MD, has been a senior member in the department of orthopedic surgery at Hadassah University Medical Center in Jerusalem since 1992. He has lectured in medical schools since 1983. He earned his medical degree from the Hebrew University Hadassah Medical School. Dr. Nyska is a member of the Israeli Association of Orthopedic Surgery. He is a well-respected authority in the field and has been widely published. He was a founder and former president of the Israel Foot and Ankle Society, and he currently chairs the department of orthopedic surgery at a major public hospital
Gideon Mann, MD, is the director of the Sports Injuries Unit at Meir Hospital, Kfar Saba, Israel. He has been a senior orthopedic surgeon at Wingate Institute and Hadassah University Hospital since 1990. He has lectured on arthroscopy, sport injuries, and related topics. Dr. Mann has published articles in international journals for more than 25 years. He earned his medical degree from Hebrew University Hadassah Medical School in Jerusalem in 1974. He is a former chair of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Committee, a former member of its board of directors, and president of the Israel Society of Sport Medicine from 1989 to 1999.
Subscribe to feed
