Senior Case Presentation: Brostrom Ankle Reconstruction on Chronic Ankle Injury
Prof. Margaret Frens
Lateral ankle injuries are one of the most common injuries in sports today. These injuries commonly occur in sports due to “rolling of the ankle” or inversion. The Brostrom ankle surgery is a reconstruction of the lateral ankle ligaments after the ankle has developed chronic instability. This condition can be painful, debilitating and could lead to further trauma to the ankle structure or lower extremity. This surgery option will only be used after conservative treatments have not properly strengthened the ligaments and overall lateral ankle complex. The main ligaments of the lateral complex consist of the anterior talofibular, calcaneofibular, and the posterior talofibular ligaments. The specific clinical ligamentous stress tests to determine damage to these ligaments include the Anterior Drawer test, Kleigers test, and the Talar Tilt test. If these tests are positive or complaints of dysfunction are reoccurring, the Brostrom surgery is performed. An MRI is the gold standard for identifying structural damage and determining severity of the ankle trauma. Rehabilitation will be used as a conservative treatment before surgery is prescribed. The rehabilitation will also continue after the surgery in order to restore the strength, range of motion, and mobility. A case study of a collegiate men’s basketball player will be reviewed in regards to chronic ankle instability and surgical repair.
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