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Lateral ankle instability in a young patient with Ehlers-Danlos syndrome

Osama Elkhidir A. Elmansour,Burhan Mohammed Ali Ahmed,Hamdi Salih M. Khair, Mansour Siddig Siraj

Osama Elkhidir A. Elmansour1,*, Burhan Mohammed Ali Ahmed2, Hamdi Salih M. Khair3, Mansour Siddig Siraj3

1. Department of Internal Medicine, Faculty of Medicine, Shendi University, Shendi, Sudan,*osamakhder123@gmail.com

2. Rheumatology Fellow SMSB

3. Registrar of Internal Medicine, ELmek Nimir University Hospital, Shendi, SudanAbstract

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Abstract

Ehlers-Danlos Syndrome (EDS) is a group of hereditary disorders of connective tissue that are varied in the ways they affect the body and in their genetic causes. It is generally characterized by joint hyper mobility, joint instability, dislocation, scoliosis, skin hyper extensibility, and abnormal scarring, and other structural weakness such as hernias and organ prolapse through the pelvic floor. This case reviews a 33- year-old male with a classical history of EDS, severe aortic regurgitation and left ankle instability of greater than 6 months. Instability was confirmed with clinical evaluation, stress inversion and anterior drawer test. Conservative treatment of lateral ankle instability was done, including rest, elevation, initial range of motion, progressive weight bearing guided by symptoms tolerance and physical therapy. Lateral ankle instability is a complex condition that can, at times, prove difficult to evaluate and treat. This activity reviews the etiology, presentation management and evaluation of lateral ankle instability. In addition, the role of interprofessional team in evaluation, diagnosis and management.

Keywords: Ehlers-Danlos, lateral ankle instability, Bighton score.

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