Damaged tendon-ligamentous apparatus of an ankle joint

Damaged tendon-ligamentous apparatus ankle is most often in the form of tension or break of outdoor (talofibular) ligaments and Achilles tendon injury. Cause stress and break outer ligament is usually povertyline feet, especially when performing vault. Tensile and tear outer ligament manifested by swelling, periarticular hemorrhage, and at break outer ligament still a violation of stability of the foot.
The tensile and tear outer ligament sucked off hematoma and put a plaster cast "boot" from the toes to the top third of the leg with a metal stapes. After a plaster bandage dry (2-3 day), it is permitted to walk stepping on his foot. Tensile outer ligament plaster bandage is removed after 2-3 weeks, and at break - in 4-6 weeks. If these damages therapeutic physical training is conducted by the same method that, fracture of the ankle.
Damaged Achilles tendon most often in athletes, artists of circus and ballet when executing a jump or jump on their toes for the sudden stretching of tendons. Subcutaneous partial or complete rupture of the Achilles tendon is accompanied by a sharp pain in the tendons and calf muscle, while weakening (with partial rupture) or absence (with full gap) plantar flexion of the foot. With partial rupture of the Achilles tendon impose a plaster cast in the position of moderate plantar flexion of the foot, and the complete rupture sew tendon, and then put a plaster cast in the position of maximum plantar flexion of the foot (for convergence of all tendon) on 4-5 weeks. Therapeutic physical culture appointed after drying of plaster, on the 2nd or 3rd day.
In the first period against the background of General developmental and breathing exercises are exercises for fingers operated feet of motion in the knee and hip joints, and on the 3-4th day is allowed to walk with crutches, not loading damaged limb.
After removal of plaster bandages, in the II period, the task of therapeutic exercises - to restore mobility in the ankle joint. The movements are done at a slow pace (the warm water), without pain, with a gradual (not forcing) increase back and plantar flexion of the foot. Crutches are replaced with a stick.
Volume of active movements in the ankle joint is restored within 3-5 weeks, but the power of the calf muscle remains significantly reduced.
Task III period, therapeutic exercises is to restore the strength of the calf muscle and training to walk without the stick. Exercises to restore the power of the gastrocnemius muscle (rising on his toes, rolling with the heels on socks and other) first performed with strain weight - holding hands for the lintel gymnastic wall or the back of a chair. Complete rehabilitation and disability comes in 6-8 months after surgery, and for sports training can begin only with a doctor's permission, but not earlier than 8 months after the operation.