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It has been reported that 10-30% of all ankle sprains result in chronic ankle pain
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Ankle instability is one of the most common problems seen in athletes
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Ankle instability is often classified as either mechanical or functional
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Anterior talofibular is most commonly affected
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Functional instability is the least understood because of the subjective nature of this condition. Individuals have the sense that their ankles are weak and will give way if the conditions are satisfactory.
Functional instability has more to do with the loss or diminished proprioception of the ankle.
This type of ankle instability is without a doubt the most difficult to diagnose and often frustrating to treat.
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Mechanical instability is far easier to diagnose and to treat having a measurable degree of laxity. The ligaments are no-longer are able to support the ankle joint leading to repeated sprains and instability with everyday activites.
Individuals will have a long and memorable history of ankle injuries. These individuals are often excellent historians. They are well-aware of their symptoms and will avoid any and all potential hazards.
Chronic instability is often associated with long-standing symptoms, often leading to multiple problems and types of pain.
Treatment for mechanical ankle instability is more often surgical in nature. Conservative options are unable to strengthen an attenuated or most cases a non-existent ligament.
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ATF - Anterior talofibular ligament
CF - Calcaneofibular ligament
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