Waterman et al identified risk factors in college athletes for a medial or syndesmotic ankle sprain. These are less common than a lateral ankle sprain. The authors are from Keller Army Hospital (US Military Academy at West Point) and William Beaumont Army Medical Center.


Medial and syndesmotic ankle fractures comprise about 12% of ankle fractures.


Risk factors for medial ankle sprain:

(1) male gender

(2) sport: rugby, gymnastics, soccer


Risk factors for syndesmotic ankle sprain:

(1) sport: sprint football, team handball, soccer, basketball

(2) intercollegiate level of competition


A college athlete with one or more risk factors may benefit from interventions to reduce the risk.


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