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Lateral ankle instability

Lateral ankle sprains are common injuries that often lead to chronic symptoms of pain and instability. The prevalence of this injury and potential for persistent disability continue to fuel research regarding the proper diagnosis, prevention, and treatment of lateral ankle instability. This article aims to review the recent advancements in the understanding of this condition. Recent studies aim at improving functional rehabilitation outcomes. Anatomic reconstructions remain the gold standard for operative management, and their long-term success continues to be reported. However, modifications in technique and the use of tendon grafts and synthetic materials continue to be explored. Magnetic resonance imaging and arthroscopy are gaining acceptance in the evaluation of the lateral ligaments and surrounding tissues, allowing identification of associated pathology. Prevention, identification of associated injuries, and functional rehabilitation remain the mainstays of proper care for laterally unstable ankles. When these measures fail, anatomic reconstruction of the lateral ligaments generally is successful in achieving satisfactory outcomes.