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Nailed It Ortho

OITE/ Boards Review: F&A 05 - Ankle Ligaments + Anatomy

Sep 1, 2022
Dr. Cole, a seasoned professional in orthopaedics, joins expert Dr. Woolwine to dive deep into ankle anatomy and injury management. They discuss the nuances of ankle sprains, focusing on the anterior talofibular ligament and rehabilitation strategies. The complexities of ankle arthroscopy are examined, particularly potential complications and their prevention. They also shed light on diagnosing and treating ankle impingement, especially in young dancers, and explore advanced surgical techniques for optimal outcomes.
21:23

Podcast summary created with Snipd AI

Quick takeaways

  • Ankle sprains often require the RICE method, but persistent instability may necessitate further diagnostics and advanced treatment options.
  • Awareness of anatomical risks during ankle arthroscopy is essential to avoid complications like nerve injuries and ensure patient safety.

Deep dives

Common Ankle Injuries and Treatments

The anterior talofibular ligament (ATFL) is the most commonly injured ligament in ankle sprains, which typically require treatment using the RICE method: rest, ice, compression, and elevation. While many sprains heal with basic care, persistent issues may indicate more serious problems such as ankle instability or syndesmotic injuries. In cases where a patient continues to experience instability after three months, further diagnostics like stress radiographs are necessary to assess potential syndesmosis widening or other issues. Depending on the findings, treatment options may include either anatomic repairs like modified Broström lateral ligament reconstruction or non-anatomic approaches that utilize peroneal tendons for stabilization.

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