Avaliação etiológica da dor crônica após entorse do tornozelo


  • João Luiz Vieira da Silva
  • Leandro de Albuquerque Schulhan
  • Bruno Arnaldo Bonacin Moura
  • Luiz Fernando Bonaroski
  • José Tarsio de Campos Filho
  • Sérgio Arthur Manfredinni Vianna


Sprains and strains; Ankle injuries; Pain/etiology


Introduction: An ankle sprain is the most common injurie in sports and is treated conservatively,with good results in the majority of cases. Therefore, after a year, sporadic and intermittent painbecomes in up to 40% of patients. Objective: The purpose of this study was to evaluate the ankleinstability and osteochondral injuries of the talar dome in patients with ankle sprain history thathad developed chronic pain. Methods: Between January and August of 2008, 18 patients wereevaluated through a clinical history, physical specific examination, radiographic and axial computed tomography (ACT). Initial treatment and American Orthopaedic Foot and Ankle Society (AOFAS) score were recorded. Results: The ACT found three types of osteochondral injuries ofthe talar dome (17%). Ankle instability occurred in 28% of the patients, with no associated osteochondral injuries. Clinical examination and ACT has defined diagnosis in 45% of the patients. Conclusion: The authors suggest MRI and arthroscopy for diagnosis complementation.






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