The Ankle-Joint Complex: A Kinesiologic Approach to Lateral Ankle Sprains

• Published in: Journal of athletic training Vol. 54; no. 6; pp. 589 - 602
• Main Authors: Medina McKeon, Jennifer M, Hoch, Matthew C
• Format: Journal Article
• Language: English
• Published: United States National Athletic Trainers Association 01-06-2019
• Subjects: Access to Health Care; Anatomy; Ankle; Arthritis; Biomechanics; Current Concepts; Environmental Influences; Health Care Costs; Injuries; Physical Activities; Scientific Concepts; Self Efficacy; Stakeholders; Work Environment; United States > US; biomechanics; anatomy; joint injury; lower extremity
• ISSN: 1062-6050; 1938-162X
• DOI: 10.4085/1062-6050-472-17

Copious research exists regarding ankle instability, yet lateral ankle sprains (LASs) persist in being among the most common recurrent musculoskeletal injuries. Key anatomical structures of the ankle include a triform articulating structure that includes the inferior tibiofibular, talocrural, and subtalar joints. Functionally, force absorption and propulsion through the ankle complex are necessary for any task that occurs in weight bearing. For optimal ankle performance and avoidance of injury, an intricate balance between stability and mobility is necessary to ensure that appropriate force transfer occurs during sports and activities of daily living. Consideration for the many structures that may be directly or indirectly involved in LASs will likely translate into advancements in clinical care. In this clinical review, we present the structure, function, and relevant pathologic states of the ankle complex to stimulate a better understanding of the prevention, evaluation, and treatment of LASs.