Birmingham lateral ligament reconstruction
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The initial management of the post-traumatic unstable ankle is conservative. Some cases with overt ligamentous laxity will be dynamically stable during function having undergone an appropriate course of strengthening and balance rehabilitation (whilst the ligaments remain lax to examination).
If rehabilitation fails the main complaint referable to the ligaments will be one of instability and not pain. Patients with pain as a regular feature will probably also require an ankle arthroscopy to treat an intra-articular source of pain. Pain though can come also from injury to the postero-medial or postero-lateral tendons after an ankle sprain and this needs to be considered.