An­kle in­ju­ries: e­ver­si­on sprains

George Herald - - Retirement -

Exe­r­ci­se is one of the ways to im­pro­ve your phy­si­cal wel­l­being and it aids in gre­at me­a­su­re to get rid of ai­l­ments, a­ches and pains. Fol­low the exe­r­ci­se pro­gram­me pro­vi­ded by the bi­o­ki­ne­ti­cis­ts at A­ni­ne van der West­hui­zen Bi­o­ki­ne­ti­cist in Ge­or­ge and feel the dif­fe­ren­ce. T­his week bi­o­ki­ne­ti­cist Me­gan van Huys­steen tells us mo­re a­bout an­kle sprains.

T­his week I will be dis­cus­sing a­not­her ty­pe of an­kle sprain. An e­ver­si­on sprain ("e­ver­si­on" re­fers to the out­ward mo­vement of the an­kle) is a te­ar of the del­toid li­ga­ments, which pro­vi­de sup­port to pre­vent the an­kle tur­ning in­wards (e­ver­ting), on the in­si­de of the an­kle. It is of­ten cal­led a me­di­al an­kle sprain. T­his sprain is a ra­rer sprain than an in­ver­si­on sprain be­cau­se of the a­na­tomy of the an­kle.

Fir­st­ly, the fi­bu­la bo­ne tends to pre­vent the an­kle from mo­ving far e­nough to sprain or o­ver­stretch the li­ga­ments on the in­si­de of the an­kle.

It sim­ply does not al­low the foot to mo­ve far e­nough to cau­se da­ma­ge. Se­cond­ly, the del­toid li­ga­ments (me­di­al li­ga­ments) of the an­kle are ma­de of con­necti­ve tis­sue that joins the ti­bia (shin bo­ne) to ot­her bo­nes in the in­ner as­pect of the an­kle.

The del­toid li­ga­ments are much stron­ger than the la­te­ral li­ga­ments on the out­si­de of the an­kle.

For t­his re­a­son an e­ver­si­on sprain is of­ten as­so­ci­a­ted with a frac­tu­re of the end of the fi­bu­la bo­ne, cal­led the la­te­ral mal­le­o­lus, which can be felt as the bo­ny part on the out­si­de of the an­kle.

Ot­her bo­nes in the an­kle such as the ta­lus can al­so be frac­tu­red du­ring an e­ver­si­on an­kle sprain.

An e­ver­si­on sprain can ran­ge from a mild par­ti­al te­ar of the li­ga­ment which cau­ses mi­ni­mal pain, to se­ve­re da­ma­ge or a rup­tu­re which may re­sult in se­ve­re pain and di­sa­bi­li­ty of the in­ju­red an­kle.

An e­ver­si­on an­kle sprain nor­mal­ly occurs due to ex­ces­si­ve weig­ht-be­a­ring acti­vi­ties or acti­vi­ties in­vol­ving ra­pid chan­ges in mo­vement and di­recti­on, par­ti­cu­lar­ly do­ne on u­ne­ven sur­fa­ces.

Signs and symp­toms

A per­son with an e­ver­si­on an­kle sprain may he­ar an au­di­ble snap or pop­ping sound w­hen the in­ju­ry occurs, fol­lo­wed by pain and swel­ling in the in­ner an­kle re­gi­on. The per­son may al­so be u­na­ble to per­form weig­ht-be­a­ring acti­vi­ties du­ring the in­ju­ry due to ex­tre­me pain.

Ad­di­ti­o­nal symp­toms ty­pi­cal­ly in­clu­de stif­f­ness of the an­kle and brui­sing within the days fol­lo­wing the in­ju­ry.

Newspapers in Afrikaans

Newspapers from South Africa

© PressReader. All rights reserved.