“Dislocation, sprain, and strain of the joints and ligaments at the level of the upper ankle and foot” (synonyms: Astragalus dislocation; External ligament lesion of the upper ankle joint; External ligament rupture of the upper ankle joint; External ligament rupture of the ankle joint; Ligament strain of the upper ankle joint; Dislocation of the metatarsal bones; Dislocation of the tarsal bones; Dislocation of the Chopart joint; Dislocation of the Lisfranc joint; Dislocation of the mediotarsal joint; Dislocation of the superior ankle joint; Dislocation of the os naviculare pedis; Dislocation of the tarsometatarsal joint; Dislocation of the inferior tibiofibular joint; Dislocation of the toe joint; Dislocation of a phalanx of the foot; Dislocation of a phalanx of a toe; Dislocation of a metatarsophalangeal joint; Dislocation of a tarsal joint; Distal fibula dislocation; Distal fibula dislocation; Distal tibial dislocation; Distal tibial dislocation; Distal lower leg dislocation; Distortion of talofibular ligaments; Distortion of Chopart’s joint; Distortion of distal tibiofibular ligament; Distortion of the medial ligament of the upper ankle; Distorsion of calcaneofibulare ligament; Distorsion of deltoid ankle ligament; Distorsion of fibulocalcaneal ligament; Distorsion of talofibulare ligament; Distorsion of Lisfranc joint; Distorsion of upper ankle joint; Distorsion of lower tibiofibular joint; Distorsio pedis; Foot dislocation; Foot distorsion; Ankle distortion; Ankle transgression; Ankle sprain; Ankle strain; Foot dislocation; Foot sprain; Foot strain; Interphalangeal sprain; Interphalangeal toe sprain; Interphalangeal strain; Scaphoid dislocation of the foot; Capsular ligament injury of the upper ankle; Capsular ligament strain of the ankle; Ankle sprain; Mediotarsal sprain; Metatarsal sprain; Metatarsophalangeal sprain; Metatarsophalangeal sprain; Metatarsophalangeal sprain; Midfoot sprain; Open foot dislocation; Ankle sprain; Ankle dislocation; Talus dislocation; Talus dislocation; Tarsal sprain; Tarsal sprain; Tarsal strain; Tarsometatarsal distortion; Tarsometatarsal sprain; Tarsometatarsal strain; Traumatic upper ankle ligament rupture; Upper ankle sprain; Interphalangeal joint sprain; Metatarsophalangeal joint sprain; Tarsal ligament sprain; Tarsometatarsal ligament sprain; Toe dislocation; Toe dislocation in the interphalangeal joint; Toe distortion; Toe dislocation; Toe sprain; Toe strain; Strain of the upper ankle joint; Strain of an interphalangeal joint; Strain of a metatarsophalangeal joint; Strain of a tarsal ligament; Strain of a tarsometatarsal ligament; ICD-10-GM S93. -), the following injuries are grouped together:
- Luxation (dislocation, i.e., complete cohesive separation of the joint bodies, which thereby become misaligned with respect to each other) of the upper ankle joint ( ICD-10-GM S93.0)
- Luxation of one or more toes ( ICD-10-GM S93.1)
- Traumatic rupture (tear due to injury) of ligaments at the level of the upper ankle and foot ( ICD-10-GM S93.2)
- Dislocation of other and unspecified parts of the foot ( ICD-10-GM S93.3)
- Sprain (distortion) and strain of the upper ankle joint ( ICD-10-GM S93.4)
- Sprain and strain of one or more toes ( ICD-10-GM S93.5)
- Sprain and strain of other and unspecified parts of the foot ( ICD-10-GM S93.6)
Upper ankle injuries are the most common sports injuries in humans. Frequently affected are untrained individuals who suddenly become active in sports and overestimate their capabilities. The incidence (frequency of new cases) of injuries to the external ligamentous apparatus is 1: 10,000 persons per day. It comprises a large patient population, accounting for 15-20% of trauma surgery patients in the emergency department. Course and Prognosis: A simple injury to the upper ankle and foot usually takes a favorable course and heals in 1-2 weeks. However, the bone attachment may have been torn out in the accident (= luxation fracture), which, if left untreated, can lead to functional limitations in the ankle joint, for example. In addition, chronic instability may occur.Note: It is important to distinguish the simple upper ankle joint (OSG) distortion (sprain) with inconsequential healing of a potentially complicated distortion with transition into chronic OSG instability. Sports fitness depends on the type and severity of the injury and is restored after a few weeks at the latest.
