We dissect one of the most common injuries we see in the ER -- ankle sprains

Hosts:
Brian Gilberti, MD
Audrey Bree Tse, MD


https://media.blubrry.com/coreem/content.blubrry.com/coreem/Ankle_Sprains.mp3



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Tags: Orthopedics





Show Notes
Background

Among most common injuries evaluated in ED
A sprain is an injury to 1 or more ligaments about the ankle joint
Highest rate among teenagers and young adults

Higher incidence among women than men


Almost a half are sustained during sports
Greatest risk factor is a history of prior ankle sprain

Anatomy

Bone: Distal tibia and fibula over the talus → constitutes the ankle mortise
Aside from malleoli, ligament complexes hold joint together

Medial deltoid ligament
Lateral ligament complex

Anterior talofibular ligament

Most commonly injured
Weakest
85% of all ankle sprains 


Posterior talofibular ligament
Calcaneofibular ligament


Syndesmosis



Mechanism of Injury