![]() ![]() Your doctor will ask you what motion you were performing when your injury took place, assess your symptoms, and conduct a physical exam. This can be frustrating to athletes and coaches, because a high ankle sprain generally does not “look that bad.” For this reason, many people can be unaware of how severely they have injured themselves and may not rest and rehabilitate as necessary for complete healing. High ankle sprains do not typically cause a great degree of swelling or bruising. Pain is often worse with weightbearing or when pivoting on your foot. You will typically feel pain that radiates up your leg from the ankle. What are the symptoms of a high ankle sprain? Adequate sleep and good nutrition are also important for performance and injury prevention. The best way to avoid this injury is continual performance training for strength, balance and performing a dynamic warmup that engages all the major muscle groups prior to practice and competition. Unfortunately, there is no high ankle sprain brace that has been shown to prevent these injuries. In one study of young basketball players, a warm-up reduced the rate of ankle and knee injuries by 35% (SHRed study). Some warm-ups that involve neuromuscular training − movements focused both balance and coordination − may decrease injury rate. They are most common in athletes who play high-impact running sports like football, soccer, basketball and lacrosse. What causes a high ankle sprain?Ī high ankle sprain is caused by an external rotation and/or dorsiflexion (foot bending toward the shin) trauma to the ankle, usually resulting from a sudden twisting, turning or cutting motion while a person is running, jumping or falling. When you run, and especially when you run and quickly change direction, these ligaments of the syndesmosis experience very high forces. The ligaments of the syndesmosis serve as shock absorbers, preventing the tibia and fibula from spreading too far apart. When you bear weight on the leg, the tibia and fibula experience high forces that spread them apart. These account for only about 14% of ankle sprains. They form what is known as the syndesmosis (pronounced "SIN-des-MO-sis"). These ligaments are located above the ankle joint and between the tibia and fibula. What is a high ankle sprain?Ī high ankle sprain involves different ligaments than a common ankle sprain. During the early return to sport period it is often recommended that an athlete wear an ankle brace to help prevent reinjury. Balance and coordination are equally important to prevent reinjury and a rehab program is beneficial to optimize full return to sport and prevent reinjury. Prior to returning to sport, it is important for an athlete to have full range of motion and full strength in the injured ankle. It often takes 6 to 12 weeks for return to full sports participation after an ankle sprain. It is important to be evaluated by a healthcare provider to ensure there is no fracture or more severe injury. The ATFL is one of the primary stabilizers of the ankle and is frequently injured when an athlete internally inverts or “rolls” the ankle with excessive force.Īfter an ankle sprain, athletes will often have swelling and bruising that may spread to the foot. Injury can also involve other tendons or ligaments and can range from a partial tear to a complete tear. The common ankle sprain ranges in severity and usually involves an injury to the anterior talofibular ligament (ATFL). Tendons connect muscle to bone and allow for movement and dynamic stabilization.Īnatomy of the Ankle (courtesy of the Journal of Musculoskeletal Medicine. Ligaments connect bone to bone and help stabilize the ankle. The malleoli on the outside of the ankle are formed by the fibula. The bony prominences on the inside and outside of the ankle are called malleoli. These bones act together to form the ankle joint, which may sustain loads of up to three times a person’s body weight during normal daily activities. The ankle joint is formed by three bones in the lower leg: the tibia (shin bone), the fibula (the bone next to and parallel to the tibia in the outer calf), and the talus (a dome shaped bone in the foot below the tibia). ![]() What is the recovery time for a high ankle sprain?.What is the surgery for a high ankle sprain?.What is the treatment for a high ankle sprain?. ![]()
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