Title: Syndesmotic sprain aka a "high ankle sprain"<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
Syndesmotic sprain aka a “high ankle sprain”</p>
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Ankle injuries make up almost 30% of the injuries in professional football</p>
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High ankle injuries make up between 16 and 25% of these injuries in the NFL (lateral most common)</p>
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10% in general population</p>
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In comparison to lateral ankle sprains, high ankle sprains result in significantly more missed games, missed practices and required a longer duration of treatment</p>
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Anatomy: The syndesmosis comprises several ligaments and the interosseous membrane</p>
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Mechanism: External foot rotation with simultaneous rotation of the tibia and fibula.</p>
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Can lead to a Maisonneuve fracture</p>
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Injuries 4x more likely in game setting than practice</p>
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A positive proximal squeeze test significantly predicts missed games and practices compared to those without.</p>
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<a href="https://www.youtube.com/watch?v=ThiW_9m7cFM">https://www.youtube.com/watch?v=ThiW_9m7cFM</a></p>
<fieldset><legend>References</legend>
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Conservative management for the stable high ankle injuries in professional football players. Knapik et al. Sports Health 2018</p>
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