The purpose of this paper is to present a current review of pathoanatomical features, differential diagnosis, objective assessment, intervention, and clinical course associated with managing lateral ankle ligament sprains. Proper diagnosis and identification of affected structures should be obtained through history and objective assessment. From this information, an individualized evidence-based intervention plan can be developed to enable recovery while decreasing the risk of reinjury. An appropriate evaluation is needed not only to determine the correct diagnosis but also to allow for grading and determining the prognosis of the injury in those with an acute lateral ankle sprain. Examination should include an assessment of impairments as well as a measure of activity and participation. Evidence-based interventions for those with an acute lateral ankle sprain should include weight bearing with bracing, manual therapy, progressive therapeutic exercises, and cryotherapy. For those with chronic ankle instability (CAI), interventions should include manual therapy and a comprehensive rehabilitation program. It is essential to understand the normal clinical course for athletes who sustain a lateral ankle sprain as well as risk factors for an acute injury and CAI. Risk factors for both an acute lateral ankle sprain and CAI include not using an external support and not participating in an appropriate exercise program. Incorporating the latest evidence-based rehabilitation techniques provides the best course of treatment for athletes with an acute ankle sprain or CAI.

中文翻译：

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处理脚踝韧带扭伤和眼泪：当前观点

本文的目的是介绍与处理踝关节外侧韧带扭伤相关的病理解剖学特征，鉴别诊断，客观评估，干预和临床过程。应通过病史和客观评估来正确诊断和识别受影响的结构。根据这些信息，可以制定个性化的循证干预计划，以实现康复，同时降低再次受伤的风险。需要进行适当的评估，不仅可以确定正确的诊断，还可以对急性外侧踝扭伤的患者进行分级和确定损伤的预后。考试应包括对减损的评估以及活动和参与程度。对于急性外侧踝扭伤的患者，循证干预应包括支撑负重，手动治疗，进行性治疗和冷冻治疗。对于患有慢性踝关节不稳（CAI）的患者，干预措施应包括手动治疗和全面的康复计划。了解承受踝关节外侧扭伤的运动员的正常临床过程以及急性损伤和CAI的危险因素至关重要。急性外侧踝关节扭伤和CAI的风险因素包括不使用外部支持和未参加适当的锻炼计划。结合最新的循证康复技术，可以为患有急性脚踝扭伤或CAI的运动员提供最佳治疗方案。进行性治疗运动和冷冻疗法。对于患有慢性踝关节不稳（CAI）的患者，干预措施应包括手动治疗和全面的康复计划。了解承受踝关节外侧扭伤的运动员的正常临床过程以及急性损伤和CAI的危险因素至关重要。急性外侧踝关节扭伤和CAI的风险因素包括不使用外部支持和未参加适当的锻炼计划。结合最新的循证康复技术，可以为患有急性脚踝扭伤或CAI的运动员提供最佳治疗方案。进行性治疗运动和冷冻疗法。对于患有慢性踝关节不稳（CAI）的患者，干预措施应包括手动治疗和全面的康复计划。了解承受踝关节外侧扭伤的运动员的正常临床过程以及急性损伤和CAI的危险因素至关重要。急性外侧踝关节扭伤和CAI的风险因素包括不使用外部支持和未参加适当的锻炼计划。结合最新的循证康复技术，可以为患有急性脚踝扭伤或CAI的运动员提供最佳治疗方案。了解承受踝关节外侧扭伤的运动员的正常临床过程以及急性损伤和CAI的危险因素至关重要。急性外侧踝关节扭伤和CAI的风险因素包括不使用外部支持和未参加适当的锻炼计划。结合最新的循证康复技术，可以为患有急性脚踝扭伤或CAI的运动员提供最佳治疗方案。了解承受踝关节外侧扭伤的运动员的正常临床过程以及急性损伤和CAI的危险因素至关重要。急性外侧踝关节扭伤和CAI的风险因素包括不使用外部支持和未参加适当的锻炼计划。结合最新的循证康复技术，可以为患有急性脚踝扭伤或CAI的运动员提供最佳治疗方案。