Lesão ligamentar crônica do tornozelo e seu manejo clínico, uma revisão de literatura

Abstract

Introduction: Chronic ankle ligament injuries result from the deterioration or weakening of ligaments due to recurrent or untreated traumas (AMODIO, 2013). Ligaments are essential for stabilizing joints, such as the anterior talofibular and calcaneofibular ligaments, which are often affected by repetitive stresses in this area. Methodology: This literature review consulted the SciELO and PubMed data platforms. The research period extended to July 2023, meeting inclusion criteria: articles from 2000 to 2023, in Portuguese and English, encompassing online and full-text resources, using health descriptors (DeCS) such as "ligamentous injury," "ankle," and "chronic." Results: Ankle injuries, common among athletes and active individuals, primarily result from the eversion or inversion of the foot during severe movements, with or without ligament tearing (BARONI, 2010). Typically located in the lateral ligament complex, these acute injuries can be conservatively treated, resulting in mechanical joint stability (LYNCH, 1999). However, between 10% to 30% of patients may experience chronic symptoms following conservative or surgical treatment (LYNCH, 1999). Conclusion: Treatment for chronic ankle ligament injuries varies with severity. While acute and severe cases may require surgical intervention, prolonged injuries necessitate distinct approaches to prevent instability and disease progression.