Consensus in chronic ankle instability: Aetiology, assessment, surgical indications and place for arthroscopy - 05/12/13

Doi : 10.1016/j.otsr.2013.10.009

S. Guillo ^a, T. Bauer ^b,^⁎ , J.W. Lee ^c, M. Takao ^d, S.W. Kong ^e, J.W. Stone ^f, P.G. Mangone ^g, A. Molloy ^h, A. Perera ⁱ, C.J. Pearce ^j, F. Michels ^k, Y. Tourné ^l, A. Ghorbani ^m, J. Calder ⁿ
^a Clinique du Sport, 33300 Mérignac, France
^b Department of Orthopaedic surgery, Ambroise Paré Hospital, 92100 Boulogne Billancourt, France
^c Yonsei University College of Medicine, Yonsei-ro 50, Seodaemoon-gu, 120-752 Seoul, South Korea
^d Department of Orthopaedic Surgery Teikyo University School of Medicine 2-11-1 Kaga, Itabashi, 173-8605 Tokyo, Japan
^e Foot and Ankle Surgery Specialist in Orthopaedic and Traumatology, Asia Medical Specialists, Asia
^f Medical College of Wisconsin Milwaukee, WI USA
^g Blue Ridge Bone and Joint ClinicAsheville, NC 28801 Director, Foot and Ankle, Orthopaedic Surgery Service Line, Mission Hospital, Asheville, NC 28801
^h University Hospital Aintree, Lower Lane Liverpool L9 7AL UK
ⁱ University Hospital of Wales, Cardiff UK. Spire Cardiff Hospital and London Foot and Ankle Centre
^j Jurong Healthcare, Alexandra Hospital Singapore 159964
^k Orthopaedic Department AZ Groeninge Burg, Vercruysselaan 5, 8500 Kortrijk, Belgium
^l 15, rue de la République, 38000 Grenoble, France
^m Clinique Médipole Garonne, 45, rue de Gironis, 31036 Toulouse, France
ⁿ Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK The Fortius Clinic, 17 Fitzhardinge St, London W1H 6EQ, UK

^⁎Corresponding author.

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Summary

Ankle sprains are the most common injuries sustained during sports activities. Most ankle sprains recover fully with non-operative treatment but 20–30% develop chronic ankle instability. Predicting which patients who sustain an ankle sprain will develop instability is difficult. This paper summarises a consensus on identifying which patients may require surgery, the optimal surgical intervention along with treatment of concomitant pathology given the evidence available today. It also discusses the role of arthroscopic treatment and the anatomical basis for individual procedures.