The Unstable Ankle

Meir Nyska, MD, has been a senior member in the department of orthopedic surgery at Hadassah University Medical Center in Jerusalem since 1992. He has lectured in medical schools since 1983. He earned his medical degree from the Hebrew University Hadassah Medical School. Dr. Nyska is a member of the Israeli Association of Orthopedic Surgery. He is a well-respected authority in the field and has been widely published. He was a founder and former president of the Israel Foot and Ankle Society, and he currently chairs the department of orthopedic surgery at a major public hospital Gideon Mann, MD, is the director of the Sports Injuries Unit at Meir Hospital, Kfar Saba, Israel. He has been a senior orthopedic surgeon at Wingate Institute and Hadassah University Hospital since 1990. He has lectured on arthroscopy, sport injuries, and related topics. Dr. Mann has published articles in international journals for more than 25 years. He earned his medical degree from Hebrew University Hadassah Medical School in Jerusalem in 1974. He is a former chair of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Committee, a former member of its board of directors, and president of the Israel Society of Sport Medicine from 1989 to 1999.

Part 1 General considerations: epidemiology of ankle sprain; anatomy of the ankle joint; biomechanics of the ankle joint; biomechanics of ligaments in ankle instability; proprioception of the ankle joint. Part 2 Primary evaluation: mechanics of injury, clinical presentations and staging; scoring systems evaluating ankle function; diagnostic aspects of chronic ankle instability. Part 3 Diagnostic approaches to ankle sprain: radiographic assessment of acute ankle and hindfoot injuries; imaging of ankle injuries; the role of arthroscopy and chronic ankle sprains. Part 4 Complications of ankle sprain: chronic instability, mechanical and functional; osteochondral fractures of the talus; sinus tarsi syndrome inclusive of nerve injuries; tendon injuries in acute ankle sprain; posterior ankle impingement; fracture of the fifth metatarsal; the subtalar joint; midfoot sprain. Part 5 Conservative treatment: the management of acute ankle sprain; rehabilitation of the acute sprain; proprioceptive retraining of chronic ankle instability; return to sports after delayed surgical reconstruction for ankle instability; ankle rehabilitation. Part 6 Surgical treatment: overview of the operative treatment of ankle instability; Watson Jones operation for ankle instability; lateral chronic instability of the ankle - Christman-Snook's technique; ankle ligament reconstruction - the Brostrom procedure; Williams procedure; arthroscopic reconstruction of the unstable ankle; arthroscopic treatments for acute and chronic conditions. Part 7 Additional issues: ankle sprain in children and adolescents; prevention of ankle ligaments acute sprain in sport; preventing ankle injuring in parachuting; preventive effects of an on-shoe brace on ankle sprains in infantry.