This morning’s breakfast symposium will take a look at one of the most common ankle injuries podiatrists see with the goal of enhancing the approach to treatment.
Alicia Canzanese, DPM, ATC, of Gordon Podiatry, LLC, in Glenside, PA, and Patrick Burns, DPM, assistant professor of Orthopedic Surgery at the University of Pittsburgh School of Medicine in Pittsburgh, will split the presentation on inversion ankle injuries. Drs. Canzanese and Burns will cover conservative care as well as surgical approaches for chronic overuse and instability.
“The management is going to be different for acute injury and chronic repetitive sprains,” said Dr. Canzanese, who is a certified athletic trainer and has been on the field with hundreds of athletes with ankle sprains. “In my presentation, I’ll focus on treatment and rehabilitation of acute inversion ankle sprains. We’ll take an evidence-based approach to rehab principles and discuss the best way to treat those patients non-operatively.”
Dr. Canzanese will emphasize the data behind limited immobilization, protected weight bearing, and range of motion. “The goal is for everybody to think critically about ankle sprain treatment protocol and make sure they’re using the proper, evidence-based rehab techniques.”
Dr. Canzanese will also remind attendees of the importance of a thorough diagnostic work-up to ensure they’re not so focused on lateral ankle structures that they miss other injuries.
Dr. Burns will offer some thoughts on diagnosis as well, including the importance of MRI findings and diagnosing chronic instability.
He will then discuss surgical techniques, from arthroscopy as a diagnostic tool or a treatment for cartilage deficit, as well as some newer techniques for ligament repair using arthroscopy. (Dr. Burns will lead tomorrow’s hands-on Ankle Arthroscopy workshop at 1 p.m.)
“Then we’ll talk about more traditional, open, primary ligament repair, as well as some augmented primary repairs using suture tape and other things to add strength,” he said.
Dr. Burns, too, wants attendees to focus on the importance of treating a very common condition in a better way. “It’s about doing the primary repairs better so that people have less arthritis and stiffness. It’s not that complicated—it’s just doing the same thing a little better.”