» Articles » PMID: 38787408

[Treatment of Acute Ankle Distortion in Footballers : Are We Doing It Particularly Right or Particularly Wrong?]

Overview
Specialty Orthopedics
Date 2024 May 24
PMID 38787408
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Despite the high incidence of ankle sprains, the ideal treatment is controversial and a significant percentage of patients who have suffered an ankle sprain never fully recover. Even professional athletes are affected by this post-traumatic complication. There is strong evidence that permanent impairment after an ankle injury is often due to an inadequate rehabilitation and training program and too early return to sport.

Therapy And Rehabilitation: Therefore, athletes should start a criteria-based rehabilitation after ankle sprain and gradually progress through the programmed activities, including e.g. cryotherapy, edema reduction, optimal load management, range of motion exercises to improve ankle dorsiflexion and digital guidance, stretching of the triceps surae with isometric exercises and strengthening of the peroneus muscles, balance and proprioception training, and bracing/taping. The fact that this is professional sport does not exempt it from consistent, stage-appropriate treatment and a cautious increase in load. However, there are a number of measures and tools that can be used in the intensive care of athletes to improve treatment and results.

References
1.
van den Bekerom M, Sjer A, Somford M, Bulstra G, Struijs P, Kerkhoffs G . Non-steroidal anti-inflammatory drugs (NSAIDs) for treating acute ankle sprains in adults: benefits outweigh adverse events. Knee Surg Sports Traumatol Arthrosc. 2014; 23(8):2390-2399. DOI: 10.1007/s00167-014-2851-6. View

2.
Cloke D, Spencer S, Hodson A, Deehan D . The epidemiology of ankle injuries occurring in English Football Association academies. Br J Sports Med. 2008; 43(14):1119-25. DOI: 10.1136/bjsm.2008.052050. View

3.
Kofotolis N, Kellis E, Vlachopoulos S . Ankle sprain injuries and risk factors in amateur soccer players during a 2-year period. Am J Sports Med. 2007; 35(3):458-66. DOI: 10.1177/0363546506294857. View

4.
Price R, Hawkins R, Hulse M, Hodson A . The Football Association medical research programme: an audit of injuries in academy youth football. Br J Sports Med. 2004; 38(4):466-71. PMC: 1724880. DOI: 10.1136/bjsm.2003.005165. View

5.
Walden M, Hagglund M, Ekstrand J . Time-trends and circumstances surrounding ankle injuries in men's professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med. 2013; 47(12):748-53. DOI: 10.1136/bjsports-2013-092223. View