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What is a high ankle sprain and what is recovery time?
Posted on 10/20/19 at 11:34 am
Posted on 10/20/19 at 11:34 am
This sports medicine article regarding NFL players and high ankle sprains states:
Banged up Buffalo Bills
quote:
Once the extent of the damage has been known, the athlete is typically put in a walking boot with non-weightbearing restrictions put in place to reduce stress on the injured structures and prevent further separation between the tibia and fibula region. With nonoperative conservative management, most recoveries are between 4-8 weeks based on severity of the injury
quote:
The most recent Bills player to suffer a high ankle sprain is DE Shaq Lawson in Week 13 of the 2017 season against the New England Patriots, placing him on IR for the remainder of the season. The Bills have been lucky to avoid these injuries more frequently as a player missing 4-8 weeks could be a huge blow to any team. To note, Buffalo Sabres C Jack Eichel also suffered the same injury back in February of 2018, missing 15 games. Overall, this is also an injury that cannot be truly prevented, but having good situational awareness during play may help a player avoid an unintended collision, leading to this result.
Banged up Buffalo Bills
10
Posted on 10/20/19 at 11:35 am to HubbaBubba
3.50 units of measure...
Posted on 10/20/19 at 11:36 am to HubbaBubba
I’m going to be honest, his injury didn’t look that bad. He even walked off the field with no noticeable limp
Posted on 10/20/19 at 11:37 am to HubbaBubba
Theyre saying its not an ankle sprain though.
Posted on 10/20/19 at 11:40 am to HubbaBubba
As I posted yesterday, "high ankle sprain" has become a colloquialized term basically meaning a "bad sprain". Technically though it involves injury to not just the ankle ligaments, but also syndesmotic ligaments connecting the two lower leg bones above the ankle. Hence "high ankle" sprain.
"High ankle" sprains normally result from an inward twist of the ankle or inversion injury.
Tua's looked to be an eversion injury which is far less common. In his case, injury would be to ligaments on the inside (medial) ankle. Not the lateral ankle. While one could generate a "high ankle sprain" during an eversion injury without coincident fracturing of the fibula, I'd suspect Saban terming Tua's injury a "high ankle sprain" was a misnomer.
Normally medial or eversion ankle injuries are not as severe.
Medial ankle ligaments are more substantial, and the fibula laterally prevents a large enough eversion to tear them.
So this is likely NOT a high sprain, and likely NOT a long convalescence.
However, IF Tua did actually severely tear medial ligaments (doubtful), that would be a different story. If he tore ligaments, recovery often takes longer than a standard inversion sprain.
"High ankle" sprains normally result from an inward twist of the ankle or inversion injury.
Tua's looked to be an eversion injury which is far less common. In his case, injury would be to ligaments on the inside (medial) ankle. Not the lateral ankle. While one could generate a "high ankle sprain" during an eversion injury without coincident fracturing of the fibula, I'd suspect Saban terming Tua's injury a "high ankle sprain" was a misnomer.
Normally medial or eversion ankle injuries are not as severe.
Medial ankle ligaments are more substantial, and the fibula laterally prevents a large enough eversion to tear them.
So this is likely NOT a high sprain, and likely NOT a long convalescence.
However, IF Tua did actually severely tear medial ligaments (doubtful), that would be a different story. If he tore ligaments, recovery often takes longer than a standard inversion sprain.
Posted on 10/20/19 at 11:41 am to papasmurf1269
Adrenaline. In the moment it can give you awesome strength and power over pain. But if you push a high ankle sprain, it's like a wedge hammered into a piece a wood. A little bit, it can heal up. Add more pressure and it splits open. Same with this type of injury. Push it before it heals, and you can rupture badly that ligament and put an athlete out of commission for six months.
Posted on 10/20/19 at 11:41 am to papasmurf1269
quote:Correct
his injury didn’t look that bad
Posted on 10/20/19 at 11:42 am to HubbaBubba
5-7 weeks
Posted on 10/20/19 at 11:45 am to HubbaBubba
Well Fournette had a "high ankle" sprain and it haunted him for a whole season it seemed.
Either way Tua will start against LSU and like always Bama and every one of their players will somehow have all world performances against LSU.
Its unreal how they play out of their minds against LSU
Either way Tua will start against LSU and like always Bama and every one of their players will somehow have all world performances against LSU.
Its unreal how they play out of their minds against LSU
Posted on 10/20/19 at 11:46 am to HubbaBubba
quote:
What is a high ankle sprain and what is recovery time?
Dunno, but those injuries seem to linger for a LONG time for most any athlete these days it seems.
Posted on 10/20/19 at 11:47 am to TigerDat
quote:Focus and an extra week for Saban to prepare will do that.
Its unreal how they play out of their minds against LSU
Posted on 10/20/19 at 11:51 am to NC_Tigah
quote:
Its unreal how they play out of their minds against LSU
They always get a lot of help. Steve Shaw may even come out of retirement.
Posted on 10/20/19 at 11:54 am to NC_Tigah
You keep posting this but you’re wrong. A high ankle sprain typically results from external ROTATION of the ankle, and inversion or eversion are much less important than when describing lateral or medial ankle sprains.
External rotation of the ankle causes lateral rotation of the talus which in turn puts lateral force on the fibula, tearing the syndesmotic tibiofibular ligaments.
When I saw the play, I was immediately worried about a high ankle sprain due to the forced external rotation of his ankle.
Inversion and internal rotation of the ankle causes a classic ankle sprain, tearing the anterior talofibular ligament.
Eversion is a much less common cause of ankle sprain because the deltoid ligament, which is medial, is so strong.
So all in all, his mechanism is most consistent with a high ankle sprain (external rotation)
Source: I’m a musculoskeletal radiologist
Edit: here is a link describing it completely
LINK
External rotation of the ankle causes lateral rotation of the talus which in turn puts lateral force on the fibula, tearing the syndesmotic tibiofibular ligaments.
When I saw the play, I was immediately worried about a high ankle sprain due to the forced external rotation of his ankle.
Inversion and internal rotation of the ankle causes a classic ankle sprain, tearing the anterior talofibular ligament.
Eversion is a much less common cause of ankle sprain because the deltoid ligament, which is medial, is so strong.
So all in all, his mechanism is most consistent with a high ankle sprain (external rotation)
Source: I’m a musculoskeletal radiologist
Edit: here is a link describing it completely
LINK
This post was edited on 10/20/19 at 11:58 am
Posted on 10/20/19 at 11:55 am to NC_Tigah
quote:
As I posted yesterday, "high ankle sprain" has become a colloquialized term basically meaning a "bad sprain". Technically though it involves injury to not just the ankle ligaments, but also syndesmotic ligaments connecting the two lower leg bones above the ankle. Hence "high ankle" sprain.
Yes. ‘High’ ankle sprain refers to injuries to the tibiofibular ligaments connecting the two bones together at the ankle.
quote:
High ankle" sprains normally result from an inward twist of the ankle or inversion injury.
It’s actually the exact opposite. Eversion and more importantly external rotation
In football, it typically happens when a player’s foot gets caught as he’s going down and gets rotated out as somebody lands on it.
The key with these injuries is the ability to bear weight and go up on the toes. He seemed to be ambulating without too much difficulty last night. This typically means that while the ligament is sprained it is not unstable at the ankle joint.
Usually these are quicker recovery but with a typical injury he will still be somewhat limited against LSU in three weeks.
Posted on 10/20/19 at 11:56 am to NOMT
This is accurate
Posted on 10/20/19 at 11:58 am to HubbaBubba
He apparently had a tightrope procedure done which greatly improves recovery. Still though...3 weeks is very optimistic.
Posted on 10/20/19 at 12:00 pm to Big Chipper
Same surgery he had last year before the bowl game. On the other leg
Posted on 10/20/19 at 12:02 pm to NC_Tigah
quote:
"High ankle" sprains normally result from an inward twist of the ankle or inversion injury.
That's not true. High ankle sprains occur primarily from external rotation injuries, especially with the ankle in a dorsiflexed position.
Go back and watch the tackle. Yes, his ankle was pushed into eversion, but primarily his ankle is forced into external rotation while in a dorsiflexed position. He probably also injured the deltoid ligament, but this is entirely consistent with a high ankle sprain.
Still says nothing to the severity of the injury and the time for his recovery. We'll know soon enough.
Posted on 10/20/19 at 12:12 pm to TigerDat
quote:
Well Fournette had a "high ankle" sprain and it haunted him for a whole season it seemed.
Flynn also had a high ankle sprain partway through 2007 and it was noticeably affected his play.
Posted on 10/20/19 at 12:12 pm to RC
He'll be ready.
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