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Classification of Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Ankle pain caused by a sprain: It is an injury to the ligaments. The anterior talofibular ligament (ATFL) spraining is the most commonly seen. The injury results in pain, swelling, and bruising.
Ankle fractures
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
Oliver Chan, Anthony Sakellariou
The incidence and the development of Charcot arthropathy in the setting of ankle fractures remain unclear. The early recognition and treatment of Charcot has been shown to be instrumental in preventing progressive deformity. If suspected in the context of an ankle fracture (unusual fracture pattern, comminution and abnormal bone quality), advanced imaging should be considered (44).
Sports medicine and sports injuries
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Sprains of the ankle should be treated with analgesia (but not non-steroidal anti-inflammatories because they decrease soft tissue healing) and PRICE (protection, rest, ice, compression and elevation) until the swelling has subsided, and then a physiotherapy programme should be started to reintroduce proprioception to the ankle. If this is not done, repeat injuries are more likely.
Injury, illness, and medication use surveillance during the 2020 COSAFA Women’s championship: a prospective cohort study of football players from Southern Africa
Published in Science and Medicine in Football, 2023
Nonhlanhla S. Mkumbuzi, Senanile B. Dlamini, Fidelis Chibhabha, Fredrick M. Govere
Most injuries (n = 55, 87%) were caused by contact with another player. Further, the majority of the injuries (n = 57; 90%) were a result of acute trauma, four (6.3%) were overuse injuries and two (3.2%) were recorded as both overuse and traumatic injuries. The injuries most commonly involved the lower extremity (n = 43; 68%), followed by injuries of the head and neck (n = 11, 18%), upper limb (n = 7, 11%) and trunk (n = 1, 1.6%). Ligament sprains (n = 26, 41%) were the most frequent type of injury, followed by contusions (n = 21, 33%) and muscle strains (n = 5, 7.9%). The most common diagnosis was an ankle sprain (Table 1). Slightly more than half of the match injuries (n = 24, 56%) were sustained during the second half of the match and 22% (n = 14) were a result of foul play as indicated by the award of a free kick, red, or yellow card.
A case of Escherichia coli and Peptoniphilus species mixed osteomyelitis successfully identified by MALDI TOF-MS with a review of the literature
Published in Acta Clinica Belgica, 2022
Diana Isabela Costescu Strachinaru, Jean-Luc Gallez, Marie-Sophie Paridaens, Sarah Djebara, Olivier Soete, Patrick Soentjens
A 57-year-old male patient was admitted to our Burn Unit for the treatment of a 3rd degree burn wound of approximately 10/5 cm (less than 1% of the total body surface area) on the medial side of his right ankle. The patient had sustained the injury 10 days earlier, after he fell off the motorcycle and his right leg was caught under the vehicle, in direct contact with the hot exhaust pipe for approximately 10 minutes. His past medical history revealed depression treated by trazodone, venlafaxine and levomepromazine, a deep venous thrombosis having occurred after immobilisation 8 years earlier and former alcohol consumption but no peripheral neuropathy. He did not smoke and had no diabetes mellitus, nor peripheral vascular disease. Standard X-ray examination excluded a fracture of the ankle. Five days after admission his wound was excised and a homologous skin graft was performed at the site of the burn wound. Eight days later a vacuum-assisted closure system (VAC) was placed on the wound and then changed 1 week later and again 2 times with 4-days intervals between the changes.
Conservative treatment of Achilles tendon partial tear in a futsal player: A case report
Published in Physiotherapy Theory and Practice, 2021
The patient was a 27-year-old male futsal player for 15 years, who felt an acute pain in the right calf after a side cutting movement during a game. The patient left the game immediately after that event. The patient stated that he had not felt any pain or tenderness in the AT before the injury. Immediately after the injury, the patient sought medical assistance, and an echography was performed. The exam showed an AT partial tear of about 50%. The emergency physician suggested that surgical intervention could be necessary. The patient looked for other opinions, and a magnetic resonance image (MRI) (Figure 1) was carried out in order to establish the magnitude of the injury. Two additional physicians suggested that surgery should be performed. Three days after the injury, the patient attended our clinic with the right ankle immobilized. The patient wanted to determine if there was another treatment option. The patient did not want surgery for two reasons: (1) He had known people that did not recover their total function after an AT repair; and (2) He was not confident about the risks inherent in surgical intervention.