Dr. Samuel Ling - Orthopaedic Surgeon
Translation: Stacey Yeung - Dance Science Researcher
05 February 2020
Ankle injuries are extremely common with >90% dancers claiming to have sustained an ankle sprain before. However, the problem is, half of the dancers ignored the injury and carried on dancing. >1/3 actually go on to develop chronic ankle instability; characterized by repeated sprains, giving way, chronic pain, and swelling. Additionally, torn outer ankle ligaments lead to destabilization of the joint, but can have good results following proper care.
For background context; the ankle (in contrast to the knee and hips) should be very resilient against arthritis and degeneration. This is reflected by the (mostly middle-aged) ankle osteoarthritis patients we see in the clinic, they often have a common medical history: a previously neglected ankle injury.
Treatment of ankle osteoarthritis is much more complex than the treatment of an ankle ligament tear, while end-stage arthritis often needs a metallic ankle replacement or surgical fusion of the entire joint. In contrast, acute ligament injuries often only need a short period of rest and protection followed by focused training to regain range-of-motion and strength.
Last but not least, a few weeks of proper treatment now may prevent years of trouble later.
作者：凌家健醫生 - 骨科醫生
中文翻譯：楊子慧 - 舞蹈科學研究員
1. Li Q, Tu Y, Chen J, Shan J, Yung PS-H, Ling SK-K, et al. Reverse anterolateral drawer test is more sensitive and accurate for diagnosing
chronic anterior talofibular ligament injury. Knee Surg Sports Traumatol Arthrosc. 2019 Sep 26;
2. Vuurberg G, Hoorntje A, Wink LM, van der Doelen BFW, van den Bekerom MP, Dekker R, et al. Diagnosis, treatment and prevention of
ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med. 2018 Aug;52(15):956.
3. Guillo S, Bauer T, Lee JW, Takao M, Kong SW, Stone JW, et al. Consensus in chronic ankle instability: etiology, assessment, surgical
indications and place for arthroscopy. Orthop Traumatol Surg Res. 2013 Dec;99(8 Suppl): S411-419.
This article was accomplished by the author in his/her personal capacity. The opinions expressed in this article do not reflect the view of the official statement of CUHK and HKADMS. It is intended for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with an appropriate professional for specific advice related to your situation.
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Primary Source: DANCE Magazine