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Understanding acute ankle ligamentous sprain injury in sports

Overview of attention for article published in BMC Sports Science, Medicine and Rehabilitation, July 2009
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)

Mentioned by

blogs
1 blog
twitter
5 tweeters
facebook
6 Facebook pages

Citations

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176 Dimensions

Readers on

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705 Mendeley
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3 CiteULike
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Title
Understanding acute ankle ligamentous sprain injury in sports
Published in
BMC Sports Science, Medicine and Rehabilitation, July 2009
DOI 10.1186/1758-2555-1-14
Pubmed ID
Authors

Daniel TP Fong, Yue-Yan Chan, Kam-Ming Mok, Patrick SH Yung, Kai-Ming Chan

Abstract

This paper summarizes the current understanding on acute ankle sprain injury, which is the most common acute sport trauma, accounting for about 14% of all sport-related injuries. Among, 80% are ligamentous sprains caused by explosive inversion or supination. The injury motion often happens at the subtalar joint and tears the anterior talofibular ligament (ATFL) which possesses the lowest ultimate load among the lateral ligaments at the ankle. For extrinsic risk factors to ankle sprain injury, prescribing orthosis decreases the risk while increased exercise intensity in soccer raises the risk. For intrinsic factors, a foot size with increased width, an increased ankle eversion to inversion strength, plantarflexion strength and ratio between dorsiflexion and plantarflexion strength, and limb dominance could increase the ankle sprain injury risk. Players with a previous sprain history, players wearing shoes with air cells, players who do not stretch before exercising, players with inferior single leg balance, and overweight players are 4.9, 4.3, 2.6, 2.4 and 3.9 times more likely to sustain an ankle sprain injury. The aetiology of most ankle sprain injuries is incorrect foot positioning at landing - a medially-deviated vertical ground reaction force causes an explosive supination or inversion moment at the subtalar joint in a short time (about 50 ms). Another aetiology is the delayed reaction time of the peroneal muscles at the lateral aspect of the ankle (60-90 ms). The failure supination or inversion torque is about 41-45 Nm to cause ligamentous rupture in simulated spraining tests on cadaver. A previous case report revealed that the ankle joint reached 48 degrees inversion and 10 degrees internal rotation during an accidental grade I ankle ligamentous sprain injury during a dynamic cutting trial in laboratory. Diagnosis techniques and grading systems vary, but the management of ankle ligamentous sprain injury is mainly conservative. Immobilization should not be used as it results in joint stiffness, muscle atrophy and loss of proprioception. Traditional Chinese medicine such as herbs, massage and acupuncture were well applied in China in managing sports injuries, and was reported to be effective in relieving pain, reducing swelling and edema, and restoring normal ankle function. Finally, the best practice of sports medicine would be to prevent the injury. Different previous approaches, including designing prophylactice devices, introducing functional interventions, as well as change of games rules were highlighted. This paper allows the readers to catch up with the previous researches on ankle sprain injury, and facilitate the future research idea on sport-related ankle sprain injury.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 705 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 7 <1%
Germany 4 <1%
Portugal 3 <1%
Brazil 2 <1%
United States 2 <1%
Canada 2 <1%
Chile 2 <1%
Netherlands 1 <1%
South Africa 1 <1%
Other 5 <1%
Unknown 676 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 194 28%
Student > Master 136 19%
Student > Ph. D. Student 55 8%
Student > Postgraduate 51 7%
Researcher 40 6%
Other 127 18%
Unknown 102 14%
Readers by discipline Count As %
Medicine and Dentistry 203 29%
Sports and Recreations 187 27%
Nursing and Health Professions 104 15%
Engineering 23 3%
Agricultural and Biological Sciences 17 2%
Other 44 6%
Unknown 127 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 November 2021.
All research outputs
#1,967,655
of 19,430,502 outputs
Outputs from BMC Sports Science, Medicine and Rehabilitation
#69
of 343 outputs
Outputs of similar age
#12,830
of 137,928 outputs
Outputs of similar age from BMC Sports Science, Medicine and Rehabilitation
#1
of 1 outputs
Altmetric has tracked 19,430,502 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 343 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.0. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 137,928 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them