Chronic Lateral Ankle Instability

In the context of chronic lateral ankle instability (CLAI), which of the following biomechanical etiologies is MOST likely to lead to recalcitrant instability despite appropriate initial management?

A 28-year-old professional ballet dancer presents with chronic lateral ankle instability. What is the MOST critical aspect to assess during the physical examination to determine the optimal surgical approach?

A patient with chronic lateral ankle instability reports persistent symptoms despite undergoing a Broström-Gould procedure six months prior. During revisional surgery, which of the following findings would be MOST indicative of a failed initial repair?

In managing chronic lateral ankle instability (CLAI) with concomitant subtalar joint (STJ) instability, which surgical strategy demonstrates the MOST biomechanical rationale for long-term stability and functional outcomes?

When comparing tenodesis procedures (e.g., Watson-Jones) to anatomic repairs (e.g., Broström-Gould) for chronic lateral ankle instability, which statement BEST reflects the biomechanical consequences of tenodesis procedures?

Which of the following statements BEST describes the rationale for utilizing an autograft or allograft augmentation in a Broström procedure for chronic lateral ankle instability?

A 35-year-old patient with chronic lateral ankle instability and a history of multiple ankle sprains exhibits a subtle cavus foot type. Preoperatively, which imaging modality would provide the MOST valuable information for surgical planning?

Compared to the anatomical Broström-Gould procedure, what is the MOST significant long-term disadvantage of the non-anatomical Chrisman-Snook procedure in the treatment of chronic ankle instability?

What is the PRIMARY biomechanical advantage of incorporating the inferior extensor retinaculum (IER) during a modified Broström-Gould procedure for chronic lateral ankle instability?

Which of the following best encapsulates the role of peroneal tendon pathology in the development and perpetuation of chronic lateral ankle instability (CLAI)?

A 40-year-old patient presents with persistent ankle pain and instability following a lateral ankle sprain six months ago. Radiographic evaluation, including stress views, are normal. However, the patient reports a consistent sensation of "giving way" during weight-bearing activities. Which of the following is the MOST likely diagnosis?

What is the significance of assessing proprioception in patients with chronic ankle instability, and how does it influence treatment strategies?

A patient presents with limitations in ankle dorsiflexion ROM due to what the physical therapist suspects to be anterior impingement. Where would the therapist MOST likely palpate for tenderness?

Which of the following is the MOST ACCURATE statement regarding the role of bracing in the conservative management of chronic lateral ankle instability?

What key difference distinguishes functional ankle instability from mechanical ankle instability, shaping their respective management approaches?

In which scenario would a surgeon MOST likely consider a lateralizing calcaneal osteotomy as an adjunct procedure during reconstruction for chronic lateral ankle instability?

What are the PRIMARY goals of plyometric exercises in the rehabilitation protocol for chronic lateral ankle instability?

What are the contraindications to a Brostrom Procedure?

What criteria is used to diagnose STJ Instability?

What percentage of patients will still have some feeling of instability at 1 year after an ankle sprain?

In the context of a Broström-Gould procedure for chronic lateral ankle instability, which of the following statements BEST articulates the theoretical biomechanical advantage conferred by incorporating the inferior extensor retinaculum (IER)?

What is the MOST critical limitation of relying solely on radiographic stress views to evaluate suspected chronic lateral ankle instability (CLAI)?

In a revision Broström procedure for chronic lateral ankle instability (CLAI), what finding during surgical exploration would MOST strongly suggest the presence of underlying undiagnosed syndesmotic instability?

A 25-year-old patient with a history of chronic lateral ankle instability presents with persistent pain and subjective instability despite a well-executed Broström-Gould procedure one year prior. Advanced imaging reveals no evidence of ligamentous re-laxity. Which of the following is the MOST appropriate next step in management?

Which of the following represents the MOST significant biomechanical concern when performing a non-anatomic tenodesis procedure, such as the Chrisman-Snook, for chronic lateral ankle instability?

A high-level athlete is diagnosed with functional ankle instability. What intervention should be prioritized FIRST to address the underlying sensorimotor deficits?

In the management of chronic lateral ankle instability associated with a cavus foot deformity, which surgical intervention is MOST likely to address both the instability and the underlying biomechanical cause?

What is the MOST appropriate rehabilitation strategy immediately following a modified Broström-Gould procedure augmented with an internal brace for chronic lateral ankle instability?

Which of the following statements BEST summarizes the long-term impact of untreated chronic lateral ankle instability (CLAI) on the tibiotalar joint?

A 30-year-old patient with documented chronic lateral ankle instability has failed conservative treatment. Examination reveals a talar tilt of 12 degrees on stress radiographs, but no other significant findings. Which of the following surgical interventions would be MOST appropriate?

What is the PRIMARY indication for performing a calcaneal osteotomy in conjunction with a lateral ankle ligament reconstruction for chronic instability?

A patient presenting with chronic ankle instability also exhibits signs of generalized ligamentous laxity. What is the MOST appropriate surgical approach?

What is the MOST important factor in determining the success of non-operative management of acute ankle sprains designed to prevent chronic lateral ankle instability?

Which diagnostic modality provides the MOST comprehensive assessment of concomitant intra-articular pathologies associated with chronic lateral ankle instability (CLAI)?

What long-term complication is MOST likely to arise from routine harvesting of the peroneus brevis tendon for use in lateral ankle ligament reconstruction?

What is the PRIMARY goal of incorporating plyometric exercises in the later stages of rehabilitation following surgical reconstruction for chronic lateral ankle instability?

Which statement accurately reflects the role of ankle bracing in the long-term management of chronic ankle instability?

What is a definitive contraindication to performing a Broström procedure for chronic lateral ankle instability?

In the setting of chronic lateral ankle instability, which of the following findings on physical examination would MOST strongly indicate the need for further evaluation of subtalar joint instability?

According to the provided content, approximately what percentage of patients with an ankle sprain will continue to experience some feeling of instability one year post-injury?

What percentage of patients may still experience some feeling of instability in the ankle one year after an ankle sprain?

What is a key characteristic of functional ankle instability?

Which of the following best describes a symptom commonly associated with chronic ankle instability?

When evaluating a patient for chronic ankle instability, what is the purpose of assessing strength of the peroneal tendons?

Which of the following is considered a biomechanical and structural etiology of chronic ankle instability?

According to Broström's diagnostic criteria for subtalar joint instability, what degree of talocalcaneal tilt is indicative of instability?

Which of the following is least likely to be visualized with MRI when evaluating chronic lateral ankle instability?

What is the primary purpose of using semirigid braces with a stirrup design in the conservative treatment of chronic ankle instability?

In the context of surgical intervention for chronic ankle instability, what is a primary indication for considering surgical management?

Which surgical approach aims to restore the native anatomy of the ankle ligaments?

Which of the following is a recognized limitation of relying solely on clinical stress examination for chronic ankle instability?

What is the primary goal of incorporating proprioception exercises into the rehabilitation program for chronic ankle instability?

An athlete with chronic ankle instability reports feeling unstable despite having normal stress radiographs. What should be considered?

Which of the following is a primary goal of performing a Broström-Gould procedure?

When considering surgical intervention for chronic lateral ankle instability, which of the following findings on physical examination would MOST strongly indicate the need for further evaluation of subtalar joint instability?

Which statement BEST encapsulates the influence of conservative treatments, like bracing, on ankle sprains?

Which of the following is a primary disadvantage of utilizing a non-anatomic tenodesis procedure for chronic lateral ankle instability?

What is the significance of ankle injuries and their frequency in the general population?

What long-term complication has been associated with harvesting the peroneus brevis tendon for lateral ankle ligament reconstruction?

A patient has failed a Brostrom procedure for ankle instability, presents with generalized ligament laxity, and also has a BMI of 40. Which of these historical, non-anatomic surgical options would be BEST?

Which of the following is a recognized symptom associated with chronic ankle instability?

What is the primary reason for assessing peroneal tendon strength during a physical exam for chronic ankle instability?

Which of the following is considered a biomechanical etiology contributing to chronic ankle instability?

According to Broström's diagnostic criteria for subtalar joint (STJ) instability, what minimal degree of increased talocalcaneal tilt suggests instability?

Which of the following findings is LEAST likely to be visualized on MRI when evaluating chronic lateral ankle instability?

In the treatment of chronic ankle instability, what is the primary purpose of using semirigid braces with a stirrup design?

In what scenario is surgical management MOST appropriate for chronic ankle instability?

What is a recognized limitation of relying solely on clinical stress examination for assessing chronic ankle instability?

An athlete with chronic ankle instability reports persistent feeling of instability despite having normal stress radiographs. What condition should be suspected?

What is the primary goal of performing a Broström-Gould procedure?

Which physical examination finding would MOST strongly indicate the need for further evaluation of subtalar joint instability in a patient being considered for surgical intervention for chronic lateral ankle instability?

Which statement BEST encapsulates the influence of conservative treatments, such as bracing, on ankle sprains?

What is the primary disadvantage of non-anatomic tenodesis procedure such as the Chrisman-Snook procedure for chronic lateral ankle instability?

Approximately how many ankle sprains occur annually in the USA?

What other pathology should the surgeon be MOST concerned about addressing/checking in the setting of a failed brostrom procedure with generalized laxity and BMI of 40?

A patient presents with chronic lateral ankle pain one week after an inversion injury. Radiographs are negative. Which of the following should the clinician do FIRST?

True or false: Patients with functional ankle instability have ligamentous laxity with radiographic signs?

Which of the following is NOT an objective related to understanding chronic lateral ankle instability?

Approximately 20 million ankle sprains occur annually in the USA.

What percentage of patients still have some feeling of instability at 1 year post ankle injuries?

Name one potential outcome of repeated ankle sprains.

Which of the following is NOT a symptom of chronic ankle instability?

Pain is typically the predominant symptom in chronic ankle instability.

Which exam assesses the laxity of the ankle ligaments?

Patients with demonstrable ligamentous laxity are categorized as having __________ instability.

Match the instability type with its characteristics.

Which of the following is not typically considered a biomechanical cause of chronic ankle instability?

Acute ankle sprains cannot lead to chronic ankle instability.

What percentage of patients undergoing surgery for chronic lateral ankle instability were found to have peroneal tenosynovitis?

Which of the following is a characteristic of Functional Instability?

Which of the following non-operative treatments has been proven effective against ankle sprains?

Which of the following surgeries is not considered a Tenodesis Reconstruction?

A Brostrom repair involves reattaching the fibular periosteum to the ATFL

What is the key defining factor in a diagnosis of STJ instability, confirmed by imaging?

What is the minimum talocalcaneal tilt measured to diagnose STJ instability?

Which surgical procedure used to treat Chronic Ankle Instability sacrifices the PB

The Brostrom-Gould procedure increases the strength of the repaired ligaments by approximately __________%.

In the context of chronic lateral ankle instability, which surgical intervention is most likely to address both the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) through a single incision and augmented stabilization?

Isolated ankle sprains, irrespective of severity and frequency, definitively progress to chronic ankle instability, necessitating immediate surgical intervention to prevent long-term sequelae.

Which of the outlined conditions is LEAST likely to be addressed by a Broström procedure?

The presence of medial displacement of the talus to the calcaneus greater than ______ mm, when assessed radiographically, is indicative of subtalar joint instability.

Which of the following rehabilitation strategies is MOST likely to benefit a patient recovering from a lateral ankle sprain in terms of restoring proprioception and neuromuscular control?

The Watson-Jones procedure, involving a split of the peroneus brevis tendon routed through the calcaneus and fibula, is the gold standard surgical technique for addressing chronic ankle instability due to its biomechanical superiority and long-term outcomes.

When interpreting MRI findings in a patient with suspected chronic lateral ankle instability, which of the following findings would LEAST contribute to the diagnosis and management strategy?

In the context of chronic ankle instability, which biomechanical etiology is LEAST likely to contribute directly to recurrent lateral ankle sprains?

Patients reporting a persistent sense of ankle "______" and apprehension about future instability episodes are indicative of functional ankle instability.

The lateral portion of the inferior extensor retinaculum (IERR) is often transferred and sutured to the anterior fibular periosteum during a modified Broström procedure. What is the PRIMARY purpose of this retinacular augmentation?

Match the surgical procedures with their respective descriptions:

Which consideration would LEAST likely contraindicate a Broström procedure for chronic lateral ankle instability?

Describe the arthrokinematic rationale behind utilizing a talar tilt test to assess the integrity of the calcaneofibular ligament (CFL)

A patient presents with persistent lateral ankle pain and instability following multiple ankle sprains. Radiographic stress views reveal a talar tilt of 15 degrees, and anterior drawer test is positive. MRI shows complete rupture of ATFL and CFL. What therapeutic approach is most appropriate?

Explain the role of plyometric training in the rehabilitation of chronic ankle instability, detailing its impact on neuromuscular control and injury prevention.

In a Broström-Gould procedure, lateral ankle instability is effectively corrected with simultaneous repair of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), without the need for additional biomechanical assessment or intervention of any concomitant subtalar joint instability.

Which of the following factors is MOST crucial for determining the optimal surgical approach for chronic lateral ankle instability?

Post-surgical rehabilitation following a Broström procedure typically involves a period of immobilization, followed by progressive weight-bearing and exercises that prioritize the restoration of ______ and strength.

Which of the following imaging modalities is MOST effective for evaluating chondral defects or intra-articular loose bodies associated with chronic lateral ankle instability?

Semirigid braces with stirrup designs are considered ineffective for managing chronic ankle instability due to their limited ability to restrict excessive motion and promote proprioceptive feedback.