The Athlete’s Ankle-James R Toussaint - In-Season Management of Ankle Injuries

Video Transcription
Video Summary
In this webinar, James Toussaint, Division Chief of Fit and Ankle at the University of Florida, discusses the in-season management of ankle injuries. He begins by introducing himself and his background, noting that he has no conflicts or relevant disclosures. Toussaint then presents the agenda, which includes discussions on low lateral ankle sprains, medial low ankle sprains, high ankle sprains, and ankle fractures.<br /><br />He explains that lateral ankle sprains are the most common reason for missed athletic activity, with approximately 30,000 ankle sprains per year in the United States, 40% of which occur in athletes. He discusses the associated conditions and physical examination for low lateral ankle sprains and emphasizes the importance of imaging, including x-rays and MRI, to evaluate the extent of the injury. Treatment options for these sprains range from non-operative management with ankle bracing to surgical repair in cases of chronic instability.<br /><br />Toussaint then moves on to discuss low medial ankle sprains, which are less common but require a longer recovery time compared to lateral ankle sprains. He explains the associated conditions and physical examination techniques for diagnosing this type of sprain. Imaging, including x-rays and MRI, is similarly important in assessing the severity of the injury. Treatment involves a period of immobilization followed by rehabilitation and proprioceptive training.<br /><br />Next, Toussaint focuses on high ankle sprains, which are less common than both low lateral and medial ankle sprains. He covers the associated conditions, physical examination techniques, and imaging modalities relevant to diagnosing and assessing high ankle sprains. Treatment options include non-operative management and surgical fixation, depending on the stability of the syndesmosis. Postoperative protocols and complications associated with surgery are also discussed.<br /><br />Finally, Toussaint addresses ankle fractures, noting that they are less common than ankle sprains but result in more missed athletic activity and longer recovery times. He explains the mechanism, associated conditions, physical examination techniques, and imaging methods used to diagnose ankle fractures. Treatment options include non-operative management and surgical fixation, with the postoperative protocol varying depending on the severity of the fracture. He also highlights potential complications associated with ankle fractures, such as nonunion and failure of fixation.<br /><br />In concluding the webinar, Toussaint offers some key points regarding in-season management of ankle injuries. He emphasizes the importance of appropriate imaging, tailored treatment plans, and close collaboration between the athlete, athletic trainer, physical therapist, and surgeon to ensure a safe and effective return to play.<br /><br />(Word count: 633)
Keywords
ankle injuries
lateral ankle sprains
medial ankle sprains
high ankle sprains
ankle fractures
in-season management