Skip to main content
SpringerLink
Log in

Lateral Ankle Instability: The Modified Brostrom

  • Chapter
  • First Online:
Ligamentous Injuries of the Foot and Ankle

  • 1125 Accesses

Abstract

Lateral ankle sprains are a common injury that affect the general and elite athlete populations. If not properly addressed, long-term consequences may result for patients such as recurrent ankle sprains or chronic ankle instability. The focus of this chapter is to provide information regarding lateral ankle instability diagnosis, management, and rehabilitation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in United States Emergency Departments. Sports Health. 2016;8(6):547–52. https://doi.org/10.1177/1941738116659639.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association Sports. Am J Sports Med. 2017;45(1):201–9. https://doi.org/10.1177/0363546516660980.

    Article  PubMed  Google Scholar 

  3. Dias LS. The lateral ankle sprain: an experimental study. J Trauma. 1979;19(4):266–9. https://doi.org/10.1097/00005373-197904000-00009.

    Article  CAS  PubMed  Google Scholar 

  4. Chan KW, Ding BC, Mroczek KJ. Acute and chronic lateral ankle instability in the athlete. Bull NYU Hosp Jt Dis. 2011;69(1):17–26.

    PubMed  Google Scholar 

  5. Hertel J, Corbett RO. An updated model of chronic ankle instability. J Athl Train. 2019;54(6):572–88. https://doi.org/10.4085/1062-6050-344-18.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Czajka CM, Tran E, Cai AN, DiPreta JA. Ankle sprains and instability. Med Clin North Am. 2014;98(2):313–29. https://doi.org/10.1016/j.mcna.2013.11.003.

    Article  PubMed  Google Scholar 

  7. Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326(7386):417. https://doi.org/10.1136/bmj.326.7386.417.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Gribble PA. Evaluating and differentiating ankle instability. J Athl Train. 2019;54(6):617–27. https://doi.org/10.4085/1062-6050-484-17.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Stephenson D, Charlton T, Thordarson D. Ankle instability. In: Saxena A, editor. International advances in foot and ankle surgery. London: Springer London; 2012. p. 169–78.

    Chapter  Google Scholar 

  10. Beynnon BD, Renström PA, Haugh L, Uh BS, Barker H. A prospective, randomized clinical investigation of the treatment of first-time ankle sprains. Am J Sports Med. 2006;34(9):1401–12. https://doi.org/10.1177/0363546506288676.

    Article  PubMed  Google Scholar 

  11. Petersen W, Rembitzki IV, Koppenburg AG, Ellermann A, Liebau C, Brüggemann GP, et al. Treatment of acute ankle ligament injuries: a systematic review. Arch Orthop Trauma Surg. 2013;133(8):1129–41. https://doi.org/10.1007/s00402-013-1742-5.

    Article  PubMed  PubMed Central  Google Scholar 

  12. van den Bekerom MP, Kerkhoffs GM, McCollum GA, Calder JD, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1390–5. https://doi.org/10.1007/s00167-012-2252-7.

    Article  PubMed  Google Scholar 

  13. Nilsonne H. Making a new ligament in ankle sprain. J Bone Joint Surg. 1932;14(2):380–1.

    Google Scholar 

  14. Watson-Jones R. Fractures and other bone and joint injuries. 2nd ed. Baltimore: Williams & Wilkins; 1941.

    Google Scholar 

  15. Evans D. Recurrent instability of the ankle; a method of surgical treatment. Proc R Soc Med. 1953;46(5):343–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Chrisman OD, Snook GA. Reconstruction of lateral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure. J Bone Joint Surg Am. 1969;51(5):904–12.

    Article  CAS  Google Scholar 

  17. Sugimoto K, Takakura Y, Akiyama K, Kamei S, Kitada C, Kumai T. Long-term results of Watson-Jones tenodesis of the ankle. Clinical and radiographic findings after ten to eighteen years of follow-up. J Bone Joint Surg Am. 1998;80(11):1587–96. https://doi.org/10.2106/00004623-199811000-00004.

    Article  CAS  PubMed  Google Scholar 

  18. van der Rijt AJ, Evans GA. The long-term results of Watson-Jones tenodesis. J Bone Joint Surg Br. 1984;66(3):371–5. https://doi.org/10.1302/0301-620X.66B3.6725348.

    Article  PubMed  Google Scholar 

  19. Karlsson J, Bergsten T, Lansinger O, Peterson L. Lateral instability of the ankle treated by the Evans procedure. A long-term clinical and radiological follow-up. J Bone Joint Surg Br. 1988;70(3):476–80. https://doi.org/10.1302/0301-620X.70B3.3372575.

    Article  CAS  PubMed  Google Scholar 

  20. Kaikkonen A, Lehtonen H, Kannus P, Järvinen M. Long-term functional outcome after surgery of chronic ankle instability. A 5-year follow-up study of the modified Evans procedure. Scand J Med Sci Sports. 1999;9(4):239–44. https://doi.org/10.1111/j.1600-0838.1999.tb00240.x.

    Article  CAS  PubMed  Google Scholar 

  21. Snook GA, Chrisman OD, Wilson TC. Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle. J Bone Joint Surg Am. 1985;67(1):1–7.

    Article  CAS  Google Scholar 

  22. Broström L, Sprained ankles. VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand. 1966;132(5):551–65.

    PubMed  Google Scholar 

  23. Gould N, Seligson D, Gassman J. Early and late repair of lateral ligament of the ankle. Foot Ankle. 1980;1(2):84–9. https://doi.org/10.1177/107110078000100206.

    Article  CAS  PubMed  Google Scholar 

  24. Hattori S, Alvarez CAD, Canton S, Hogan MV, Onishi K. Ultrasound-guided ankle lateral ligament stabilization. Curr Rev Musculoskelet Med. 2019;12(4):497–508. https://doi.org/10.1007/s12178-019-09592-0.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Bell SJ, Mologne TS, Sitler DF, Cox JS. Twenty-six-year results after Broström procedure for chronic lateral ankle instability. Am J Sports Med. 2006;34(6):975–8. https://doi.org/10.1177/0363546505282616.

    Article  PubMed  Google Scholar 

  26. Broström L, Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand. 1966;132(5):537–50.

    PubMed  Google Scholar 

  27. Bleakley CM, O'Connor SR, Tully MA, Rocke LG, Macauley DC, Bradbury I, et al. Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ. 2010;340:c1964. https://doi.org/10.1136/bmj.c1964.

    Article  PubMed  Google Scholar 

  28. Lee KY, Lee HJ, Kim SE, Choi PB, Song SH, Jee YS. Short term rehabilitation and ankle instability. Int J Sports Med. 2012;33(6):485–96. https://doi.org/10.1055/s-0032-1301933.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Lorraine Boakye, Cortez Brown, Nia James & MaCalus V. Hogan

  2. Florida State University College of Medicine, Tallahassee, FL, USA

    Cortez Brown

  3. The Foot and Ankle Injury Research [F.A.I.R.] Group, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    MaCalus V. Hogan

Authors
  1. Lorraine Boakye
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cortez Brown
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nia James
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. MaCalus V. Hogan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to MaCalus V. Hogan .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar

    Pieter D’Hooghe

  2. Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Kenneth J. Hunt

  3. Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Jeremy J. McCormick

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Boakye, L., Brown, C., James, N., Hogan, M.V. (2022). Lateral Ankle Instability: The Modified Brostrom. In: D’Hooghe, P., Hunt, K.J., McCormick, J.J. (eds) Ligamentous Injuries of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-08682-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08682-3_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08681-6

  • Online ISBN: 978-3-031-08682-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation