High Ankle Sprain


Overview

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Review Sections

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High Ankle Sprain Icon    High Ankle Sprain

A collective term for muscle and ligament injuries without dislocation or fracture. A sprain is a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature.

Clinical Reviews

High Ankle Sprain: Prevention



The high ankle sprain (HAS) is also known as an ankle syndesmosis injury. Some authors consider it a relatively rare occurrence, representing only 1% or less of all ankle sprains. Others consider it a much more common injury, especially in athletes. No studies were located that discuss prevention strategies or risk factors. However the mechanism of injury may provide some insight into risk factors.

High Ankle Sprain: Diagnosis



The paucity of material on high ankle sprains (HAS) is reflected in the lack significant data relating to diagnostic testing. Only a handful of clinical tests were located that are used in HAS and none of the studies provide sensitivity or specificity information. The primary concern to the physician is to rule out fracture, which is relatively common and frank diastasis of the syndesmosis.

High Ankle Sprain: Therapy



Treatment of the high ankle sprain (HAS) is based wholly on observational studies and expert opinion. No RCT's or cohort studies have been performed to determine efficacy. In reading treatment studies it appears the protocols for lateral ankle sprain (LAS) have been adopted for the treatment of HAS. Included in this monograph are sections taken from the LAS review as the information may prove beneficial to the treating physician. The primary difference in the protocols is the phases of treatment tend to last longer in the HAS as the injury tends to have a longer recovery time. Hopkinson et al found a LAS requires on average 28 days to heal while the HAS requires 55 days. Confirming this finding was another study which reported the average missed time for National Hockey League players with HAS was 38 days while it was only 1.4 days with lateral ankle sprain.

Medical Subject Heading (MeSH) Information

MeSH Term: Sprains and Strains

Scope Note: A collective term for muscle and ligament injuries without dislocation or fracture. A sprain is a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature.

MeSH Synonyms:
  • Sprains and Strains
  • Strains and Sprains
  • Sprains
  • Sprain
  • Strains
  • Strain
Applicable MeSH Subheadings:
  • adverse effects
  • analysis
  • anatomy and histology
  • blood
  • chemically induced
  • classification
  • complications
  • congenital
  • diagnosis
  • diagnostic imaging
  • drug therapy
  • economics
  • embryology
  • enzymology
  • epidemiology
  • ethnology
  • etiology
  • genetics
  • history
  • immunology
  • metabolism
  • microbiology
  • mortality
  • nursing
  • organization and administration
  • parasitology
  • pathology
  • pharmacology
  • physiology
  • physiopathology
  • prevention and control
  • psychology
  • radiotherapy
  • rehabilitation
  • statistics and numerical data
  • surgery
  • therapy
  • toxicity
  • veterinary
  • virology
MeSH Term: Ankle

Scope Note: The region of the lower limb between the FOOT and the LEG.

MeSH Synonyms:
  • Ankle
  • Ankles
  • Regio tarsalis
  • Tarsus
Applicable MeSH Subheadings:
  • abnormalities
  • analysis
  • anatomy and histology
  • blood supply
  • diagnosis
  • diagnostic imaging
  • drug effects
  • embryology
  • etiology
  • growth and development
  • innervation
  • metabolism
  • microbiology
  • parasitology
  • pathology
  • physiology
  • physiopathology
  • radiation effects
  • surgery
  • therapy
  • virology
See Related MeSH Terms:

Informative Links

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MayoClinic.com Sprained Ankle Information



Mayo Clinic Health Solutions' award-winning consumer Web site offers health information and self-improvement tools. MayoClinic.com's medical experts and editorial professionals bring you access to the knowledge and experience of Mayo Clinic for all your consumer health information needs, from cancer, diabetes and heart disease to nutrition, exercise and pregnancy.
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MedlinePlus: Sprains and Strains



MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations.

Current Clinical Trials Relating to  Ankle AND Sprains and Strains

ClinicalTrials.gov: Provides patients, family members, and members of the public easy and free access to information on clinical studies for a wide range of diseases and conditions.

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Effect of Kinesiotaping on Ankle Stability


(Status: Unknown status)

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Lateral Ankle Sprain Study


(Status: Terminated)

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Firefly ANKLE Sprain Study


(Status: Completed)

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The Spraino Pilot Trial


(Status: Recruiting)

66 Clinical Trials Returned