The Orthobullets Podcast Foot & Ankle | Ankle Sprain
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Sep 11, 2025 Explore the anatomy and risk factors behind ankle sprains, especially in athletes. Discover the importance of accurate diagnosis and treatment through compelling case studies. Learn about the debate between functional management and immobilization for acute injuries. Understand the phases of rehabilitation and how to prevent recurring sprains. This discussion unpacks key insights that are not only fascinating but also crucial for anyone dealing with foot and ankle injuries.
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Ankle Sprains Drive Missed Play
- Ankle sprains are the leading cause of missed athletic participation worldwide.
- Diagnosis relies mainly on clinical exam with radiographs guided by Ottawa ankle rules.
Ligament Mechanisms And Exam Clues
- The ATFL is injured with plantarflexion-inversion and shows laxity in plantarflexion.
- The CFL is injured with dorsiflexion-inversion and shows laxity in dorsiflexion; PTFL is rare.
Use Ottawa Rules And Reserve MRI
- Obtain ankle radiographs only when Ottawa ankle rules are met to rule out fractures.
- Consider MRI if pain persists for 6–8 weeks to evaluate for tendon, osteochondral, or syndesmotic injuries.