AJSM signin
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Baumhauer, J. F.
Right arrow Articles by Beynnon, B.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Baumhauer, J. F.
Right arrow Articles by Beynnon, B.
The American Journal of Sports Medicine 23:564-570 (1995)
© 1995 SAGE Publications

A Prospective Study of Ankle Injury Risk Factors

Judith F. Baumhauer, MD

Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington

Denise M. Alosa, MS, ATC

Sports and Orthopaedic Rehabilitation Center, Colchester, Vermont

Per A. F. H. Renström, MD PhD

Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington

Saul Trevino, MD

Department of Orthopedics, Baylor College of Medicine, Houston, Texas

Bruce Beynnon, PhD

Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington

Many factors are thought to cause ankle ligament in juries. The purpose of this study was to examine injury risk factors prospectively and determine if an abnor mality in any one or a combination of factors identifies an individual, or an ankle, at risk for subsequent inver sion ankle injury. We examined 145 college-aged ath letes before the athletic season and measured gener alized joint laxity, anatomic foot and ankle alignment, ankle ligament stability, and isokinetic strength. These athletes were monitored throughout the season. Fifteen athletes incurred inversion ankle injuries. Statistical analyses were performed using both within-group (un injured versus injured groups) data and within-subject (injured versus uninjured ankles) data. No significant differences were found between the injured (N = 15) and uninjured (N = 130) groups in any of the param eters measured. However, the eversion-to-inversion strength ratio was significantly greater for the injured group compared with the uninjured group. Analysis of the within-subject data demonstrated that plantar flex ion strength and the ratio of dorsiflexion to plantar flex ion strength was significantly different for the injured ankle compared with the contralateral uninjured ankle. Individuals with a muscle strength imbalance as meas ured by an elevated eversion-to-inversion ratio exhib ited a higher incidence of inversion ankle sprains. Ankles with greater plantar flexion strength and a smaller dorsiflexion-to-plantar flexion ratio also had a higher incidence of inversion ankle sprains.




This article has been cited by other articles:


Home page
Br. J. Sports. Med.Home page
G Panics, A Tallay, A Pavlik, and I Berkes
Effect of proprioception training on knee joint position sense in female team handball players
Br. J. Sports Med., June 1, 2008; 42(6): 472 - 476.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
M. P. McHugh, T. F. Tyler, M. R. Mirabella, M. J. Mullaney, and S. J. Nicholas
The Effectiveness of a Balance Training Intervention in Reducing the Incidence of Noncontact Ankle Sprains in High School Football Players
Am. J. Sports Med., August 1, 2007; 35(8): 1289 - 1294.
[Abstract] [Full Text] [PDF]


Home page
Br. J. Sports. Med.Home page
A. Frigg, O. Magerkurth, V. Valderrabano, H.-P. Ledermann, and B. Hintermann
The effect of osseous ankle configuration on chronic ankle instability
Br. J. Sports Med., July 1, 2007; 41(7): 420 - 424.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
N. D. Kofotolis, E. Kellis, and S. P. Vlachopoulos
Ankle Sprain Injuries and Risk Factors in Amateur Soccer Players During a 2-Year Period
Am. J. Sports Med., March 1, 2007; 35(3): 458 - 466.
[Abstract] [Full Text] [PDF]


Home page
RadiologyHome page
B. Mengiardi, C. W. A. Pfirrmann, P. Vienne, J. Hodler, and M. Zanetti
Medial Collateral Ligament Complex of the Ankle: MR Appearance in Asymptomatic Subjects
Radiology, March 1, 2007; 242(3): 817 - 824.
[Abstract] [Full Text] [PDF]


Home page
Br. J. Sports. Med.Home page
M de Noronha, K M Refshauge, R D Herbert, S L Kilbreath, and J Hertel
Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? * COMMENTARY
Br. J. Sports Med., October 1, 2006; 40(10): 824 - 828.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
L. Y. Griffin, M. J. Albohm, E. A. Arendt, R. Bahr, B. D. Beynnon, M. DeMaio, R. W. Dick, L. Engebretsen, W. E. Garrett Jr, J. A. Hannafin, et al.
Understanding and Preventing Noncontact Anterior Cruciate Ligament Injuries: A Review of the Hunt Valley II Meeting, January 2005
Am. J. Sports Med., September 1, 2006; 34(9): 1512 - 1532.
[Abstract] [Full Text] [PDF]


Home page
Br. J. Sports. Med.Home page
T H Trojian, D B McKeag, E J Swenson, and S H Grindel
Single leg balance test to identify risk of ankle sprains * Commentary 1 * Commentary 2
Br. J. Sports Med., July 1, 2006; 40(7): 610 - 613.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
E. Witvrouw, K. V. Borre, T. M. Willems, J. Huysmans, E. Broos, and D. De Clercq
The Significance of Peroneus Tertius Muscle in Ankle Injuries: A Prospective Study
Am. J. Sports Med., July 1, 2006; 34(7): 1159 - 1163.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
V. Valderrabano, G. Pagenstert, M. Horisberger, M. Knupp, and B. Hintermann
Sports and Recreation Activity of Ankle Arthritis Patients Before and After Total Ankle Replacement
Am. J. Sports Med., June 1, 2006; 34(6): 993 - 999.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
V. Valderrabano, B. Hintermann, M. Horisberger, and T. S. Fung
Ligamentous Posttraumatic Ankle Osteoarthritis
Am. J. Sports Med., April 1, 2006; 34(4): 612 - 620.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
M. P. McHugh, T. F. Tyler, D. T. Tetro, M. J. Mullaney, and S. J. Nicholas
Risk Factors for Noncontact Ankle Sprains in High School Athletes: The Role of Hip Strength and Balance Ability
Am. J. Sports Med., March 1, 2006; 34(3): 464 - 470.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
T. F. Tyler, M. P. McHugh, M. R. Mirabella, M. J. Mullaney, and S. J. Nicholas
Risk Factors for Noncontact Ankle Sprains in High School Football Players: The Role of Previous Ankle Sprains and Body Mass Index
Am. J. Sports Med., March 1, 2006; 34(3): 471 - 475.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
T. E. Hewett, G. D. Myer, and K. R. Ford
Anterior Cruciate Ligament Injuries in Female Athletes: Part 1, Mechanisms and Risk Factors
Am. J. Sports Med., February 1, 2006; 34(2): 299 - 311.
[Abstract] [Full Text] [PDF]


Home page
ptjournalHome page
G. D Myer, H. I Brunner, P. G Melson, M. V Paterno, K. R Ford, and T. E Hewett
Specialized Neuromuscular Training to Improve Neuromuscular Function and Biomechanics in a Patient With Quiescent Juvenile Rheumatoid Arthritis
Physical Therapy, August 1, 2005; 85(8): 791 - 802.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
C. T. LeBrun and J. O. Krause
Variations in Mortise Anatomy
Am. J. Sports Med., June 1, 2005; 33(6): 852 - 855.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
T. M. Willems, E. Witvrouw, K. Delbaere, N. Mahieu, I. De Bourdeaudhuij, and D. De Clercq
Intrinsic Risk Factors for Inversion Ankle Sprains in Male Subjects: A Prospective Study
Am. J. Sports Med., March 1, 2005; 33(3): 415 - 423.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
A. Arnason, L. Engebretsen, and R. Bahr
No Effect of a Video-Based Awareness Program on the Rate of Soccer Injuries
Am. J. Sports Med., January 1, 2005; 33(1): 77 - 84.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
A. Arnason, A. Tenga, L. Engebretsen, and R. Bahr
A Prospective Video-Based Analysis of Injury Situations in Elite Male Football: Football Incident Analysis
Am. J. Sports Med., September 1, 2004; 32(6): 1459 - 1465.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
B. Hintermann, V. Valderrabano, A. Boss, H. H. Trouillier, and W. Dick
Medial Ankle Instability: An Exploratory, Prospective Study of Fifty-Two Cases
Am. J. Sports Med., January 1, 2004; 32(1): 183 - 190.
[Abstract] [Full Text]


Home page
Am J Sports MedHome page
A. Arnason, S. B. Sigurdsson, A. Gudmundsson, I. Holme, L. Engebretsen, and R. Bahr
Risk Factors for Injuries in Football
Am. J. Sports Med., January 1, 2004; 32(90010): 5S - 16.
[Abstract] [Full Text]


Home page
Am J Sports MedHome page
O. T. Eren, M. Kucukkaya, Y. Kabukcuoglu, and U. Kuzgun
The Role of a Posteriorly Positioned Fibula in Ankle Sprain
Am. J. Sports Med., November 1, 2003; 31(6): 995 - 998.
[Abstract] [Full Text] [PDF]


Home page
Br. J. Sports. Med.Home page
D F Murphy, D A J Connolly, and B D Beynnon
Risk factors for lower extremity injury: a review of the literature
Br. J. Sports Med., February 1, 2003; 37(1): 13 - 29.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
B. Hintermann, A. Boss, and D. Schafer
Arthroscopic Findings in Patients with Chronic Ankle Instability
Am. J. Sports Med., May 1, 2002; 30(3): 402 - 409.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
R. A. Ottaviani, J. A. Ashton-Miller, and E. M. Wojtys
Inversion and Eversion Strengths in the Weightbearing Ankle of Young Women: Effects of Plantar Flexion and Basketball Shoe Height
Am. J. Sports Med., March 1, 2001; 29(2): 219 - 225.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
J. Dvorak, A. Junge, J. Chomiak, T. Graf-Baumann, L. Peterson, D. Rosch, and R. Hodgson
Risk Factor Analysis for Injuries in Football Players: Possibilities For a Prevention Program
Am. J. Sports Med., September 1, 2000; 28(90005): S-69 - 74.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
S. B. Thacker, D. F. Stroup, C. M. Branche, J. Gilchrist, R. A. Goodman, and E. A. Weitman
The Prevention of Ankle Sprains in Sports: A Systematic Review of the Literature
Am. J. Sports Med., November 1, 1999; 27(6): 753 - 760.
[Abstract] [Full Text] [PDF]


Home page
Arch Fam MedHome page
B. L. Braun
Effects of Ankle Sprain in a General Clinic Population 6 to 18 Months After Medical Evaluation
Arch Fam Med, March 1, 1999; 8(2): 143 - 148.
[Abstract] [Full Text] [PDF]


Home page
Am J Sports MedHome page
J. F. Baumhauer, D. M. Alosa, P. A. F. H. Renstrom, S. Trevino, and B. Beynnon
Test-Retest Reliability of Ankle Injury Risk Factors
Am. J. Sports Med., September 1, 1995; 23(5): 571 - 574.
[Abstract] [PDF]




HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by the American Orthopaedic Society for Sports Medicine.