How to sprain your ankle - a biomechanical case report of an inversion trauma
- PMID:23078945
- DOI: 10.1016/j.jbiomech.2012.09.016
How to sprain your ankle - a biomechanical case report of an inversion trauma
Abstract
In order to develop preventive measures against lateral ankle sprains, it is essential to have a detailed understanding of the injury mechanism. Under laboratory experimental conditions the examination of the joint load has to be restricted with clear margins of safety. However, in the present case one athlete sprained his ankle while performing a run-and-cut movement during a biomechanical research experiment. 3D kinematics, kinetics, and muscle activity of the lower limb were recorded and compared to 16 previously performed trials. Motion patterns of global pelvis orientation, hip flexion, and knee flexion in the sprain trail deviated from the reference trials already early in the preparatory phase before ground contact. During ground contact, the ankle was rapidly plantar flexed (up to 1240°/s), inverted (up to 1290°/s) and internally rotated (up to 580°/s) reaching its maximum displacement within the first 150 ms after heel strike. Rapid neuromuscular activation bursts of the m. tibialis anterior and the m. peroneus longus started 40-45 ms after ground contact and overshot the activation profile of the reference trials with peak activation at 62 ms and 74 ms respectively. Therefore, it may be suggested that neuromuscular reflexes played an important role in joint control during the critical phase of excessive ankle displacement. The results of this case report clearly indicate that (a) upper leg mechanics, (b) pre-landing adjustments, and (c) neuromuscular contribution have to be considered in the mechanism of lateral ankle sprains.
Copyright © 2012 Elsevier Ltd. All rights reserved.
Similar articles
- Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement.Suda EY, Sacco IC.Suda EY, et al.Phys Ther Sport. 2011 Nov;12(4):164-70. doi: 10.1016/j.ptsp.2011.01.003. Epub 2011 Feb 22.Phys Ther Sport. 2011.PMID:22085709
- Neuromuscular Control Mechanisms During Single-Leg Jump Landing in Subacute Ankle Sprain Patients: A Case Control Study.Allet L, Zumstein F, Eichelberger P, Armand S, Punt IM.Allet L, et al.PM R. 2017 Mar;9(3):241-250. doi: 10.1016/j.pmrj.2016.07.006. Epub 2016 Jul 25.PM R. 2017.PMID:27457519
- Kinematics and kinetics of an accidental lateral ankle sprain.Kristianslund E, Bahr R, Krosshaug T.Kristianslund E, et al.J Biomech. 2011 Sep 23;44(14):2576-8. doi: 10.1016/j.jbiomech.2011.07.014. Epub 2011 Aug 6.J Biomech. 2011.PMID:21824618
- The relationship between lateral ankle sprain and ankle tendinitis in ballet dancers.Ritter S, Moore M.Ritter S, et al.J Dance Med Sci. 2008;12(1):23-31.J Dance Med Sci. 2008.PMID:19618575Review.
- [Advances on biomechanics and kinematics of sprain of ankle joint].Zhao Y, Wang G.Zhao Y, et al.Zhongguo Gu Shang. 2015 Apr;28(4):374-7.Zhongguo Gu Shang. 2015.PMID:26072625Review.Chinese.
Cited by
- Localized Ankle Fatigue Development and Fatigue Perception in Adults With or Without Chronic Ankle Instability.Webster CA, Nussbaum MA.Webster CA, et al.J Athl Train. 2016 Jun 2;51(6):491-7. doi: 10.4085/1062-6050-51.9.02. Epub 2016 Jul 21.J Athl Train. 2016.PMID:27441950Free PMC article.Clinical Trial.
- Biomechanics of ankle giving way: A case report of accidental ankle giving way during the drop landing test.Li Y, Ko J, Zhang S, Brown CN, Simpson KJ.Li Y, et al.J Sport Health Sci. 2019 Sep;8(5):494-502. doi: 10.1016/j.jshs.2018.01.002. Epub 2018 Feb 2.J Sport Health Sci. 2019.PMID:31534824Free PMC article.
- The influence of footwear on walking biomechanics in individuals with chronic ankle instability.Moisan G, Descarreaux M, Cantin V.Moisan G, et al.PLoS One. 2020 Sep 24;15(9):e0239621. doi: 10.1371/journal.pone.0239621. eCollection 2020.PLoS One. 2020.PMID:32970751Free PMC article.
- Biomechanical comparison of 3 ankle braces with and without free rotation in the sagittal plane.Alfuth M, Klein D, Koch R, Rosenbaum D.Alfuth M, et al.J Athl Train. 2014 Sep-Oct;49(5):608-16. doi: 10.4085/1062-6050-49.3.20. Epub 2014 Aug 6.J Athl Train. 2014.PMID:25098661Free PMC article.Clinical Trial.
- People with chronic ankle instability benefit from brace application in highly dynamic change of direction movements.Fuerst P, Gollhofer A, Wenning M, Gehring D.Fuerst P, et al.J Foot Ankle Res. 2021 Feb 17;14(1):13. doi: 10.1186/s13047-021-00452-0.J Foot Ankle Res. 2021.PMID:33596976Free PMC article.
Publication types
MeSH terms
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical