Changes in joint position sense after surgically treated chronic lateral ankle instability

• Published in: British journal of sports medicine 2005-11, Vol.39 (11), p.818-824
• Main Authors: Halasi, T, Kynsburg, Á, Tállay, A, Berkes, I
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; anatomical reconstruction; Ankle; Ankle Injuries - physiopathology; Ankle Injuries - surgery; ankle instability; Athletic Injuries - physiopathology; Athletic Injuries - surgery; Body mass index; Female; Humans; Joint Instability - physiopathology; Joint Instability - surgery; joint position sense; Joints; lateral ligaments; Male; Original; Patients; proprioception; Proprioception - physiology; Prospective Studies; Range of motion; Range of Motion, Articular - physiology; Reproducibility of Results; Sports injuries; Sprains and Strains - physiopathology; Sprains and Strains - surgery; Surgery; Treatment Outcome
• ISSN: 0306-3674; 1473-0480
• DOI: 10.1136/bjsm.2004.016527

Background: A search of the literature shows that the effect of surgery on ankle proprioception has been hardly investigated. Objective: To examine the effect of anatomical reconstruction of the anterolateral capsuloligamentous complex on ankle joint position sense. Methods: A prospective study using the “slope box” test. Ten consecutive patients were included in the study, and 10 healthy athletes represented the control group. Results: Similar test-retest reliability rates (overall reliability 0.92; p  =  0.0013) were obtained to those of the original designers of the method. There were no significant differences with respect to side dominance (p  =  0.9216). Investigation of the characteristics of mean absolute estimate errors showed that the controls tested became error prone in the range of slope altitudes 7.5–25° in every direction, compared with the range 0–5° (range of p values 0.00003–0.00072). The results of the intervention group showed that, for the two main directions of interest (anterior and lateral), preoperative differences in mean absolute estimate errors between injured (anterior 3.91 (2.81)°; lateral 4.06 (2.85)°) and healthy (anterior 2.94 (2.21)°, lateral 3.19 (2.64)°) sides (anterior, p  =  0.0124; lateral, p  =  0.0250) had disappeared (postoperative differences: anterior, p  =  0.6906; lateral, p  =  0.4491). The afflicted ankle had improved significantly after surgery in both important directions (anterior, p