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Searching for conse...
Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert
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Michels, F. (author)
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Pereira, H. (author)
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Calder, J. (author)
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show more...
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Matricali, G. (author)
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Glazebrook, M. (author)
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Guillo, S. (author)
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- Karlsson, Jón, 1953 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Acevedo, J. (author)
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Batista, J. (author)
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Bauer, T. (author)
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Calder, J. (author)
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Carreira, D. (author)
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Choi, W. (author)
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Corte-real, N. (author)
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Glazebrook, M. (author)
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Ghorbani, A. (author)
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Giza, E. (author)
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Guillo, S. (author)
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Hunt, K. (author)
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Karlsson, J. (author)
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Kong, S. W. (author)
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Lee, J. W. (author)
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Michels, F. (author)
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Molloy, A. (author)
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Mangone, P. (author)
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Matsui, K. (author)
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Nery, C. (author)
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Ozeki, S. (author)
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Pearce, C. (author)
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Pereira, H. (author)
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Perera, A. (author)
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Pijnenburg, B. (author)
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Raduan, F. (author)
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Stone, J. (author)
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Takao, M. (author)
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Tourne, Y. (author)
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Vega, J. (author)
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(creator_code:org_t)
- 2017-04-25
- 2018
- English.
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In: Knee Surgery Sports Traumatology Arthroscopy. - : Springer Science and Business Media LLC. - 0942-2056 .- 1433-7347. ; 26:7, s. 2095-2102
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Abstract
Subject headings
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- The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. Thirty of the 32 invited surgeons (94%) responded. Consensus was found on several aspects of treatment. Preoperative MRI was routinely recommended. Surgery was considered in patients with functional ankle instability after 3-6 months of non-surgical treatment. Ligament repair is still the treatment of choice in patients with mechanical instability; however, in patients with generalized laxity or poor ligament quality, lateral ligament reconstruction (with grafting) of both the ATFL and CFL should be considered. Most surgeons request an MRI during the preoperative planning. There is a trend towards earlier surgical treatment (after failure of non-surgical treatment) in patients with mechanical ligament laxity (compared with functional instability) and in high-level athletes. This study proposes an assessment and a treatment algorithm that may be used as a recommendation in the treatment of patients with CAI.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- Ankle ligament
- Joint instability
- Ankle instability
- Ligament repair
- Ligament reconstruction
- Lateral instability of the ankle
- Subtalar instability
- Anterior talofibular ligament
- Calcaneofibular ligament
- Survey
- Algorithm
- Recommendations
- anterior talofibular ligament
- arthroscopic findings
- subtalar
- instability
- stress radiography
- surgical-treatment
- repair
- reconstruction
- injury
- diagnosis
- athlete
- Orthopedics
- Sport Sciences
- Surgery
- ga i
- 1993
- american journal of sports medicine
- v21
- p120
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
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Michels, F.
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Pereira, H.
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Calder, J.
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Matricali, G.
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Glazebrook, M.
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Guillo, S.
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show more...
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Karlsson, Jón, 1 ...
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Acevedo, J.
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Batista, J.
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Bauer, T.
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Carreira, D.
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Choi, W.
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Corte-real, N.
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Ghorbani, A.
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Giza, E.
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Hunt, K.
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Karlsson, J.
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Kong, S. W.
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Lee, J. W.
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Molloy, A.
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Mangone, P.
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Matsui, K.
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Nery, C.
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Ozeki, S.
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Pearce, C.
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Perera, A.
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Pijnenburg, B.
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Raduan, F.
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Stone, J.
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Takao, M.
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Tourne, Y.
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Vega, J.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
- Articles in the publication
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Knee Surgery Spo ...
- By the university
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University of Gothenburg