AOSSM Youth to the NFL Sports Medicine Course no CME-Current Concepts in Managing High Ankle Sprain

Video Transcription

Video Summary

In this video, the speaker discusses high ankle sprains and their evaluation and treatment. The speaker begins by explaining the anatomy and structures involved in high ankle sprains, noting their importance in resisting external rotation and providing overall stability to the ankle joint. They then discuss the mechanism of injury for high ankle sprains, which usually involves a foot fixed in a stable position and an external rotation force to the ankle while rotating around it. The speaker emphasizes the need for a thorough clinical evaluation, including examination of ecchymosis and swelling above the ankle joint, performing the squeeze test, assessing for fibula translation and external rotation pain, and evaluating the patient's ability to stand, rotate, and bear weight on a single limb. X-rays and MRI scans are also discussed as important diagnostic tools. The speaker highlights the need for early treatment, as delayed treatment can lead to worse outcomes and longer recovery times. They discuss different treatment options based on the severity of the injury, such as corticosteroid injections for grade 1 injuries, PRP injections and immobilization for grade 2 injuries, and surgical stabilization for more severe grade 3 injuries. The importance of rehabilitation in the recovery process is emphasized, including the use of various modalities to control swelling and restore normal motion. The speaker also discusses the use of objective data, such as GPS tracking, to monitor the progress of rehabilitation and guide the decision for return to play. The importance of communication, consent, compassion, and competency in the decision-making process and the consideration of contractual obligations in professional sports are also mentioned.

Asset Caption

Presented by Norman Waldrop MD

Keywords

high ankle sprains

evaluation

treatment

mechanism of injury

rehabilitation