
Meir Nyska, Gideon Mann
2002
US Price: $89
336 pages
9780880118026
About the Editors | Table
of Contents
This definitive text pulls together up-to-date research on
medical issues related to the unstable ankle and features contributions
from an array of leading physicians and rehabilitation professionals.
Edited by two orthopedic surgeons who are internationally respected
specialists on sport-related and ankle injuries, The Unstable
Ankle may be the most comprehensive book available on the
subject.
Editors Nyska and Mann present the latest knowledge on ankle
instability with emphasis on conservative treatment and preventive
measures. The book's 35 chapters provide valuable information
on the causes of ankle instability, evaluation and diagnostic
procedures, surgical interventions, rehabilitation, and prevention.
Complete and practical, The Unstable Ankle addresses
ankle instability problems in a variety of patient populations,
including children and adolescents. Special consideration is
given to at-risk individuals in selected sports and occupations.
Physicians and other medical team members who work with ankle
problems will gain a better understanding of when conservative
treatment is appropriate-which is most of the time-and how to
rehabilitate at the lowest possible physical, emotional, and
financial cost to patients. When surgical intervention is required,
this text will guide professionals on the appropriate application
of techniques.
The book thoroughly discusses the role of physical therapists
and other allied health professionals in treatment of ankle instability.
Appropriate exercises for different degrees of instability with
different etiologies are described in detail.
This important text includes the following features:
- Three sections dealing with the structure and function of
the ankle, prevention of injury, acute ankle sprains, chronic
ankle instability, staging, treatment, and evaluation
- Liberal illustrations-236 in total-that eliminate ambiguity
and add to the clarity of the information presented
- Step-by-step procedural descriptions of four operations and
extensive discussion of arthroscopic reconstruction
This authoritative text will build the confidence of the entire
medical team and help members work together to diagnose, treat,
and prevent ankle instability with the patient's best interests
in mind.
About the Editors
Meir Nyska, MD, has been a senior member in the department
of orthopedic surgery at Hadassah University Medical Center in
Jerusalem since 1992. He has lectured in medical schools since
1983. He earned his medical degree from the Hebrew University
Hadassah Medical School. Dr. Nyska is a member of the Israeli
Association of Orthopedic Surgery. He is a well-respected authority
in the field and has been widely published. He was a founder
and former president of the Israel Foot and Ankle Society, and
he currently chairs the department of orthopedic surgery at a
major public hospital
Gideon Mann, MD, is the director of the Sports Injuries
Unit at Meir Hospital, Kfar Saba, Israel. He has been a senior
orthopedic surgeon at Wingate Institute and Hadassah University
Hospital since 1990. He has lectured on arthroscopy, sport injuries,
and related topics. Dr. Mann has published articles in international
journals for more than 25 years. He earned his medical degree
from Hebrew University Hadassah Medical School in Jerusalem in
1974. He is a former chair of the International Society of Arthroscopy,
Knee Surgery and Orthopaedic Sports Medicine Committee, a former
member of its board of directors, and president of the Israel
Society of Sport Medicine from 1989 to 1999.
Table of Contents
- Part I. General Considerations
- Chapter 1. Epidemiology of Ankle Sprain
Charles Milgrom
- Incidence of Ankle Sprains
- Affecting Factors
- Outcome and Prognosis
- Economic and Social Impact
- Direction of Future Research
- Chapter 2. Anatomy of the Ankle and Talar Joints
Moira O'Brien and Elisha Freund
- The Ankle Joint
- The Talar Joints
- Chapter 3. Biomechanics of the Ankle Joint Complex
and the Shoe
Benno M. Nigg and Beat Hinterman
- Movement
- Movement Transfer Between Foot and Leg
- Forces
- Shoes
- Chapter 4. Biomechanics of Ligaments in Ankle Instability
Beat Hinterman
- Morphological Aspects of Ligaments, Ligament Injury, and
Ligament Healing
- Mechanical Characteristics of the Ankle Ligaments
- Conclusions and Clinical Implications
- Chapter 5. Proprioception of the Ankle Joint
Rüdiger Reer and Jörg Jerosch
- Basic Knowledge
- Prophylaxis and Rehabilitation
- Diagnostics
- Summary
- Part II. Primary Evaluation
- Chapter 6. Mechanics of Injury, Clinical Presentation,
and Staging
Gideon Mann, Meir Nyska, Naama Constantini, Y. Matan, Per
Renström, and Scott Lynch
- Mechanism of Injury
- Clinical Presentation and Staging
- Chapter 7. Scoring Systems Evaluating Ankle Function
Gideon Mann, Meir Nyska, and Y. Matan
- Function and Desirable Characteristics
- Various Scoring Systems
- Chapter 8. Diagnostic Aspects of Chronic Ankle Instability
Beat Hinterman
- The Problem
- Examination
- Conclusions
- Part III. Diagnostic Approaches to Ankle Sprain
- Chapter 9. Radiographic Assessment of Acute Ankle
and Hindfoot Injuries
Ehud Rath and Ilan Shelef
- Ankle Injuries­ Indications and Radiographs Interpretation
- Technical Notes
- Radiographs of Specific Injuries
- Chapter 10. Imaging of Ankle Injuries
Yaakov Applbaum
- Techniques
- Ligament Injuries
- Tendon Injuries
- Osseous Lesions
- Summary
- Chapter 11. The Role of Arthroscopy in Chronic Ankle
Sprains
Wolf-Ruediger Dingels
- Anatomy and Pathophysiology
- Diagnostics
- Classification of Sprains
- Part IV. Complications of Ankle Sprain
- Chapter 12. Chronic Ankle Instability, Mechanical
and Functional
Gideon Mann, Meir Nyska, A. Finsterbush, Naama Constantini,
and Joseph Lowe
- Introduction
- Possible Causes of Instability
- Diagnosis
- Chapter 13. Osteochondral Fractures of the Talus
Chaim Zinman, Meir Nyska, and Gideon Mann
- Pathology and Etiology
- Clinical Presentation, Diagnosis, and Classification
- Treatment
- Chapter 14. Sinus Tarsi Syndrome
Meir Nyska, Gideon Mann, and Cobi Lidor
- Anatomy
- Biomechanics
- Histopathology
- Diagnosis
- Treatment
- Chapter 15. Tendon Injuries in Acute Ankle Sprain
Lew C. Schon and Claude D. Anderson
- Peroneal Tendons
- Posterior Tibial Tendon
- Anterior Tibial Tendon
- Achilles Tendon
- Conclusion
- Chapter 16. Posterior Ankle Impingement
C. Niek van Dijk, Otto Stibbe, and R.K. Marti
- Anatomy
- Etiology
- Diagnosis
- Therapy
- Methods and Results
- Conclusion
- Chapter 17. Fractures of the Fifth Metatarsal
Frank Spaas and Marc Martens
- General Issues
- Metatarsal Neck Fractures
- Metatarsal Head Fractures
- Metatarsal Base Fractures
- Chapter 18. The Subtalar Joint
Elisha Freund, Meir Nyska, and Gideon Mann
- Anatomy
- Motion
- Assessment
- Causes of Instability
- Treatment
- Chapter 19. Midfoot Sprain
Meir Nyska and Gideon Mann
- Anatomy and Pathophysiology
- Incidence
- Assessment
- Injury of the Lateral Midfoot
- Injury to Medial Midfoot
- Conclusion
- Part V. Conservative Treatment
- Chapter 20. Management of Acute Ankle Sprain
Per Renstrom and Scott A. Lynch
- Grades of Injury
- Conservative Versus Surgical Treatment
- Four Basic Phases of Treatment and Rehabilitation
- Functional Treatment Protocol
- Supportive Treatment Modalities
- Surgery
- Conclusions
- Chapter 21. Rehabilitation of the Acute Lateral Ankle
Sprain
Deborah Cozen and Richard Ferkel
- The Four-Phase Rehabilitation Program
- Keys to Successful Return to Activity
- Closed Kinetic Chain Rehabilitation Exercises
- Therapeutic Modalities
- Case Studies
- Chapter 22. Proprioceptive Retraining for Chronic
Ankle Instability
David Mencher
- Proprioception in Ankle Sprains
- Principles of Proprioceptive Retraining
- Protocol for Proprioceptive Retraining of Chronic Ankle Instability
- Conclusion
- Further Thoughts on Proprioceptive Training as a Therapeutic
Measure
- Chapter 23. Return to Sport After Delayed Reconstruction
for Ankle Instability
Steven I. Subotnick
- Types of Instability
- Rehabilitation and Return to Sport
- Postoperative pain
- Nontraditional Accessories to Treatment
- Chapter 24. Functional Testing As the Basis for Ankle
Rehabilitation Progression
George J. Davies, J.W. Matheson, and Steven Subotnick
- Rationale and Definition
- History and Subjective Examination
- Summary
- Part VI. Surgical Treatment
- Chapter 25. Overview of the Operative Treatment of
Ankle Instability
Meir Nyska and Gideon Mann
- Indications for Operative Treatment
- Anatomic and Nonanatomic Surgical Procedures
- Summary and Conclusions
- Chapter 26. Watson Jones Operation for Ankle Instability
Moshe (Perry) Pritsch and M. Salai
- Surgical Technique
- Personal Experience
- Complications
- Chapter 27. Lateral Chronic Instability of the Ankle:
Christman-Snook Technique
Alberto Macklin Vadell
- Surgical Anatomy and Biomechanics
- Diagnosis
- Treatment
- Conclusions
- Chapter 28. Ankle Ligament Reconstruction: The Broström
Procedure
Roger A. Mann and Jeffrey A. Mann
- Decision Making
- Modified Broström Procedure for Ankle Ligament Reconstruction
- Complications
- Chapter 29. The Williams Procedure
Gideon Mann, E. London, and Meir Nyska
- Operative Technique
- Post Operative Management
- Clinical Follow-Up
- Chapter 30. Arthroscopic Reconstruction of the Unstable
Ankle
Charles Southerland
- Role of Arthroscopy
- Practical Applications of Ankle Anatomy
- Mechanism of Injury
- Operating Room Set-Up and Surgical Technique
- Postoperative Treatment
- Experience and Follow-Up
- Summary
- Chapter 31. Arthroscopy and the Injured Ankle
Wolf-Ruediger Dingels
- Acute Arthroscopy
- Arthroscopy for Complications of Chronic Ankle Sprain
- Part VII. Additional Issues
- Chapter 32. Ankle Sprain in Children and Adolescents
Eliezer Trepman, A. Ross Outerbridge, and Lyle J. Micheli
- Pediatric Differences
- Mechanisms of Injury
- Evaluation
- Specific Conditions
- Chapter 33. Prevention of Acute Ankle Ligament Sprains
in Sport
Martin P. Schwellnus
- Extrinsic Risk Factors for Ankle Sprains In Sport
- Intrinsic Risk Factors
- Summary and Practical Application
- Chapter 34. Preventing Ankle Injuries in Parachuting
John B. Ryan
- Parachuting Apparatus and Technique
- Incidence and Mechanism of Injuries
- Prevention of Ankle Injuries
- Chapter 35. Preventive Effects of an On-Shoe Brace
on Ankle Sprains in Infantry
Gideon Mann, G. Kahn, M. Suderer, A. Zeer, N. Constantini,
and Meir Nyska
- Materials and Methods
- Statistical Analysis
- Results
- Discussion
- Conclusions
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Reference for sports medicine specialists, orthopedic surgeons,
podiatrists, physiatrists, and sports chiropractors.
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