• Title, Summary, Keyword: Acute ankle sprain

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Diagnosis and Treatment of Acute Ankle Sprain (족관절 급성 염좌의 진단과 치료)

  • Byun, Chu-Hwan;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.81-85
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    • 2015
  • Acute sprain of the ankle requires comprehensive history taking and physical examination in diagnosing the type of severity and deciding on the plan of treatment. Literature supports functional treatment as the treatment of choice for grade I and II injuries. During the acute phase, the goal of treatment focuses on controlling pain and swelling. PRICE (protection, rest, ice, compression, and elevation) is a well-established protocol at this phase. There is some evidence that application of ice and use of nonsteroidal anti-inflammatory drugs improves healing and speeds recovery. Then the functional treatment (motion restoration and strengthening exercises) is administered to progress the rehabilitation appropriately in order to facilitate healing and restore the mechanical strength and proprioception. Early mobilization has been shown to result in more rapid return to work and daily activities than immobilization. Grade III injuries still generate controversy in terms of the best management available, and more studies on early mobilization, cast immobilization, or surgery are needed. Even the Cochrane reviews published to date are not conclusive.

Acute Anterior Talofibular Ligament Open Type Avulsion Fracture: A Case Report (전거비 인대의 개방성 견인 골절: 증례 보고)

  • Kang, Chan;Lee, Gi-Soo;Lee, Jung-Kil
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.170-172
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    • 2018
  • An ankle sprain is a relatively common sports-related injury but a severe open ankle sprain (SOAS) is very rare. A 27-year-old female athlete was injured during running and was hospitalized because of an inversed ankle injury with an open wound. She was diagnosed initially with an open-avulsion fracture at the tip of the fibula with an anterior talofibular ligament tear. The patient was finally diagnosed with SOAS from the surgical findings and literature review. SOAS should also be considered if there is a transverse open wound at the time of an ankle injury.

A Clinical Study on Effectiveness of Acupuncture Treatment of Acute Ankle Sprain Combined with Positional Release Therapy (자세이완치료를 병용한 침구치료가 급성기 족관절 염좌의 치료에 미치는 영향에 대한 임상적 연구)

  • Jeong, Da-Un;Yeo, Kyeong-Chan;Yoon, In-Ae;Moon, Sung-Il
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.4 no.1
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    • pp.19-29
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    • 2009
  • Objectives: The purpose of this study is to evaluate the therapeutic effect of acupuncture treatment of acute ankle sprain combined with positional release therapy. Methods: A prospective randomized single blind study between positional release group and knee flexed supine position group was conducted. Patients with ankle sprain within 48 hours were evaluated by Ankle injury grade chart(AIGC). In group A, positional release therapy was combined with acupuncture, whereas in group B, acupuncture was conducted in knee flexed supine position. The treatment was planned for a duration of 1 week, 3times a week. In AIGC scores, VAS, weight bearing time and weight bearing time in blind were followed up and compared. Results and Conclusion: The VAS score decreased in both group. Weight bearing time increased in group B, weight bearing time in blind increased in group A. Comparing the therapeutic effect of each group, group A had significant effectiveness in weight bearing time in blind. So we may conclude that Acupuncture treatment combined with positional release therapy is effective and recommandable at early stage of ankle sprain.

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A Study of Antinociception of Electroacupuncture to SI6 on the Acute Ankle Sprained Rats (흰쥐의 족과 염좌(捻挫) 통증(痛症)에 대한 양노(養老)(SI6) 전침(電鍼)의 진통(鎭痛) 기전에 대한 연구(硏究))

  • Yang, Bum-Sik;Kim, Jae-Hyo;Jang, Jae-Hun;Ahn, Sung-Hun;Kim, Kyoung-Sik;Sohn, In-Chul
    • Korean Journal of Acupuncture
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    • v.25 no.3
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    • pp.81-96
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    • 2008
  • Objectives : The purpose of the present study is to determine the effective analgesic parameters of manual acupuncture (MA) and/or electroacupuncture (EA), thus how MA & EA of specific acupoint works after acute ankle sprain in rats. Thus, one series of experiments was designed to analyze the analgesic effects of acupuncture in either the normal or sprained rat, by comparing the behavioral features before and after MA or EA at several acupoints. Methods : Ankle sprain was induced manually by hyper-extension of ligaments of the right ankle in rat. Either MA or EA was applied to the LI4, TE17, 足三里 and SI-6 acupoints at an intensity of 2 mA (1 ms pulse duration) with a frequency of 10 Hz for 30 minutes. Results : Behaviorally, manual acupuncture or electroacupuncture produced potent analgesic effects on acute ankle sprained animals as measured by weight bearing capacity of the affected limb. Furthermore, antinociceptive effect of EA was suppressed by alpha adrenoceptor antagonist phentolamine (5 mg/kg, i.p.) but not by opioid antagonist naltrexone (10 mg/kg, i.p.). Conclusions : It is suggested that acupuncture-induced antinociception may involve the descending inhibition of ${\alpha}2$-adrenoceptor.

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Comparative Study of General Oriental Medical Treatment with or without Ankle Joint Chuna Therapy on Ankle Sprain (족관절 추나요법을 병행한 족관절 염좌 환자의 호전 비교)

  • Choi, You-Jin;Kim, Jung-Hyun;Yoon, Kyung-Jin;Yeo, In-Ho;Lee, Cham-Kyul;Lee, Eun-Yong;Roh, Jeong-Du
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.7 no.2
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    • pp.109-117
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    • 2012
  • Objectives : The purpose of this study is to compare with the effect of general oriental medical treatment with or without ankle joint Chuna Manual Therapy for acute ankle sprain. Methods : We investigated 36cases of ankle sprain patients, and devided patients into two groups: One was treated general oriental medical treatment(Control Group) and the other was treated ankle joint Chuna Manual Therapy with general oriental medical treatment(Experimental Group). Results : 1. Each Group had significantly decrease in Visual Analogue Scale(VAS) and significantly increase in Ankle-Hind-foot Scale(AHS) after treatment. 2. Experimental Group was significant differences in Visual Analogue Scale(VAS) and Ankle-Hind-foot Scale(AHS) compare to Control Group. Conclusions : In this clinical study, general oriental medical treatment with ankle joint Chuna Manual Therapy was more effective in reduce ankle sprain pain and improve ankle joint function.

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Indications of Lateral Ankle Ligament Reconstruction with a Free Tendon and Associated Evidence (유리건을 이용한 족관절 외측 인대 재건술의 적응증과 근거)

  • Kang, Hwa-Jun;Jung, Hong-Geun
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.91-94
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    • 2018
  • Ankle sprain is one of the most common musculoskeletal injuries. Although most ankle sprains respond well to conservative measures, chronic instability following an acute sprain has been reported to occur in 20% to 40% of patients. Some individuals are eventually indicated for a lateral ankle ligament reconstruction due to persistent ankle instability. More than 80 surgical procedures have been described to address lateral ankle stability. These range from direct repair of the anterior talofibular ligament (ATFL) and of the calcaneofibular ligament (CFL) to reconstructions based on the use of autograft or allograft tissues. However, the best surgical option remains debatable. The modified $Brostr{\ddot{o}}m$ procedure is most widely used for direct ligament repair, but not always possible because of the poor ATFL or CFL quality or deficiency of these ligaments, which prevents effective shortening imbrication. Furthermore, the importance of a CFL reconstruction has been emphasized recently. On the other hand, it is difficult to achieve an efficient CFL reconstruction during the $Brostr{\ddot{o}}m$ procedure. Others have reported that an anatomic reconstruction of injured ligaments restores the normal resistance to anterior translation and inversion without restricting subtalar or ankle motion, and as a result, anatomic reconstructions for lateral ankle instability utilizing an autograft or allograft tendon have gained popularity.

The Comparative Study on the Acupuncture at Affected Limb and Unaffected Limb on Treating Ankle Sprain of Acute Stage (급성기 족관절 염좌 환자에 대한 환측취혈(患側取穴)과 건측취혈(健側取穴)의 치료 효과 비교 연구)

  • Jung, Hyo-Keun;Jeong, Yeong-Pyo;Chiang, Suo-Yue;Lee, Ji-Eun;Wi, Jun;Im, Jeong-A;Gim, Jae-Hong;Ryu, Chung-Yeol;Cho, Myeong-Rae;Yun, Yeo-Chung
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.107-113
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    • 2008
  • Objectives : The purpose of this study is to compare the effects of the acupuncture at affected limb and unaffected limb on treating ankle sprain of acute stage. Methods : From October 1st, 2007 to March 23rd, 2008, the 60 patients who had visited Dongshin mokdong oriental medical hospital and Gwangju oriental medical hospital, Dongshin university with acute ankle sprain were divided into 2 groups ; one group took acupuncture at affected limb, and the other group took acupuncture at unaffected limb. To evaluating the efficiency of each treatment, Visual Analog Scale(VAS) and Ankle-Hindfoot Scale(AHS) were applied before treatment and after 3rd treatment. Results : As a result of evaluating by using VAS, the score of acupuncture at unaffected limb was marked lower than the score of acupuncture at affected limb. As a result of evaluating by using AHS, the score comparison between the two groups had no significance after treatment. Conclusions : Acupuncture at unaffected limb is more effective than acupuncture at affected limb on treating ankle sprain of acute stage.

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Diagnosis and Comorbidity of Chronic Ankle Instability (만성 족관절 불안정성의 진단 및 동반 질환)

  • Ha, Dongjun;Kim, Duckhee;Gwak, Heuichul
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.2
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    • pp.49-54
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    • 2018
  • Ankle sprains are among the most common injuries sustained during athletic activities and daily life. Acute ankle sprain is usually managed conservatively with functional rehabilitation but the failure of conservative treatment leads to the development of chronic ankle instability. The development of repetitive ankle sprains and persistent symptoms after injury has been termed chronic ankle instability. Acute ankle sprains and chronic ankle instability require a careful evaluation to detect other comorbidities, such as subtalar instability, osteochondral defect, peroneal tendinopathy, tarsal coalition, os trigonum, flexor hallucis longus tendinitis, calcaneus anterior process fracture, and neural injuries. For the successful treatment of acute ankle sprains and chronic ankle instability, the treatment of comorbidity lesions should be performed first.

Study of the Effect of Blood-letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial (급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험)

  • Hwang, Jong-soon;Lim, Dae-jung;Hwang, Ji-hye;Cho, Hyun-seok;Kim, Kyung-ho
    • Journal of Acupuncture Research
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    • v.22 no.3
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    • pp.243-252
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    • 2005
  • Objective : This study was performed to investigate the effect of blood-letting cupping treatment for acute ankle sprain because there are few studies with evidence-based approach. Method : Twenty-nine patients, who had no fracture and had injured by external force and had less than 1 week passed since onset and had not been treated, were randomly divided into control or treatment group by tossing a coin. The treatment group received blood-letting cupping. After 3rd treatment, the outcomes were assessed using Ankle-Hindfoot Scale (AHS) and Numeric Rating Scale (NRS). Result : Nineteen out of 29 patients were finally assessed. The treatment group (n=11) was significantly different from the control group (n=8) in AHS and NRS (p=0.041, 0.026, respectively). Conclusion : The blood-letting cupping has an objective effect on reduing pain for acute ankle sprain.

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Ligament Repair in Chronic Lateral Ankle Instability: Efficacy and Technique of Broström Procedures (족관절 불안정성의 인대 봉합술: Broström 술식의 효과 및 술기)

  • Jeong, Bi O;Hwang, Yeok Gu
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.83-90
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    • 2018
  • Chronic lateral ankle instability occurs in 10% to 20% of individuals after acute ankle sprain. The management of chronic lateral ankle instability is traditionally conservative treatment in the acute phase. On the other hand, surgical intervention is considered if conservative treatment fails and the symptoms are ongoing. This review focuses on the surgical approaches to treatment of chronic lateral ankle instability, including $Brostr{\ddot{o}}m$ surgical techniques, with a review of the traditional procedure and newer techniques.