Instability - recurrent ankle sprains - may develop in 10% of ankle sprains. As a result of the damage that occurs when the ankle is first sprained, the external lateral ligaments of the ankle are damaged. Ankle instability may occur after multiple ligament injuries, as a result of insufficient treatment of the first sprain, or due to proprioception (the ability of the foot to perceive the location) disorders.
This situation is genetically caused by the foot developing due to excessive elasticity of the ligaments in the body (hyper-elasticity syndrome). It must be distinguished from ankle sprains. In hyperelasticity syndrome, the problem is usually bilateral. There is no specific trauma in the patient's history that caused the sprains. The ankle can be easily sprained even when the patient is walking on the road. In true ankle instability, the problem is usually unilateral. At the beginning of the event there is trauma (usually sports injuries). Sprains usually recur and occur during sports.
The main principles of treatment in ankle instability:
- Full anatomical evaluation of the damaged ligament structures in the ankle
- Performing the necessary radiological examinations
- Examining the presence of accompanying cartilage and bone problems
- After these, medical and surgical treatment is planned according to the patient's sports expectations.
- Over 50 years of age. Physical therapy and rehabilitation are at the forefront of treatment for people who do not have an active sports life.
- For people between the ages of 20 and 50 who expect active sports, the treatment is surgical treatment consisting of repair of ligament structures.
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