Causes and Treatment of Ankle Injury

Kristaps Porzingis’s recent ankle retinaculum tear highlights a common yet often overlooked injury in athletes. The retinaculum is a band of fibrous tissue that stabilizes tendons around the ankle, helping them glide smoothly during movement. Tears in this structure are usually caused by acute trauma, such as a sudden twist, fall, or forceful landing, which places excessive strain on the tendons and ligaments. High-impact sports like basketball increase the risk due to constant jumping, pivoting, and quick directional changes. Symptoms typically include pain, swelling, and instability around the ankle, often exacerbated by movement. The prognosis varies depending on the severity of the tear, but with timely and appropriate treatment, many athletes can expect to return to their sport.

Conservative treatment is often the first line of management and may include rest, ice, compression, elevation (RICE), and bracing or taping to support the ankle. Physical therapy plays a crucial role in strengthening surrounding muscles, improving range of motion, and gradually restoring function. In cases where the retinaculum tear does not respond to conservative measures or is severe enough to cause persistent instability, surgical intervention may be necessary. Surgery typically involves repairing or reconstructing the torn retinaculum to restore ankle stability. Post-operative rehabilitation is essential for a successful recovery, often involving a gradual return to weight-bearing activities and sport-specific training. While surgical outcomes are generally positive, the rehabilitation process can take several months, emphasizing the importance of individualized treatment plans for optimal recovery.