文档介绍：The Foot (2001) 11,76±84
ß2001 Harcourt Publishers Ltd
doi: .0675, available online at
ORIGINAL ARTICLE
Chronic lateral ankle instability: review of anatomy,
biomechanics, pathology, diagnosis and treatment
J. Mangwani,* M. A. Hakmi,{ T. W. D. Smith{
*Senior House Officer, e Elliot Hospital, Nuneaton, UK CV10 7DJ;
{Specialist Registrar, Sheffield Children's Hospital, NHS Trust, Sheffield, UK; {Orthopaedic Surgeon,
Orthopaedic Department, Northern General Hospital, Sheffield, UK
SUMMARY. An ankle sprain is the mon injury encountered in athletes. Ten to twenty per cent
develop chronic lateral ankle instability despite adequate non-operative treatment. An accurate diagnosis can
usually be established by a detailed history, thorough physical examination and stress radiographs.
Conservative treatment has a limited role in the management of chronic lateral instability. In the surgical
treatment both anatomic and non-anatomic reconstructive procedures have reported excellent to good short-
term results. However, longterm results favour the restoration of the normal anatomy and biomechanics by
anatomic reconstruction of the lateral ankle ligaments. This review article will consider relevant surgical
anatomy and biomechanics of the ankle joint and also address the pathology, diagnosis and various surgical
options available for chronic lateral instabil