Recurrent Ankle Instability - Advice for the Generalist

Description

The presentation delivered by Jitendra Mangwani focuses on the topic of ankle instability, highlighting its significance in sports injuries where almost one in three injuries are related to foot and ankle issues. Mangwani begins by engaging the audience and introducing the need to discuss assessment, diagnosis, and treatment of chronic ankle instability, emphasizing the complications associated with untreated unstable ankles, including the risk of developing arthritis. He stresses the importance of accurate diagnosis and timely intervention to improve patient outcomes.



Throughout the lecture, Mangwani outlines various considerations for treating ankle injuries, such as the necessity for early mobilization post-injury to encourage healing and proper functioning. He underscores the necessity to assess joint stability uniquely in each patient, which includes distinguishing between functional and mechanical instability based on subjective and objective measures.



The talk also addresses common pitfalls in diagnoses, such as missing acute osteochondral injuries and delving into tendinous injuries, particularly regarding peroneal tendons. Mangwani stresses the importance of identifying underlying conditions like superficial peroneal nerve neuralgia and how certain fractures can be overlooked in the initial assessments.



Emphasizing the role of imaging for proper diagnosis, he cautions against relying on unnecessary stress X-rays and advocates for thorough assessments using MRI in certain cases. Mangwani’s presentation captures the complexity of managing chronic ankle instability, encourages innovative thinking in treatment approaches, and acknowledges the need for collaboration between surgical and rehabilitation teams to facilitate effective recovery.

DOI: 10.1302/3114-221982

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