Rehabilitation of an isolated Deltoid Ligament surgical reconstruction- A case report |
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| Institution: | 1. Health through Physical Activity, Lifestyle and Sport Research Centre (HPALS), FIMS International Collaborating Centre of Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa;2. Department of Physiotherapy, LUNEX International University of Health, Exercise and Sport, Differdange, Luxembourg;3. Division of Physiotherapy, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa;4. Centre for Medical Ethics and Law, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa;1. Master in Physical Therapy and Rehabilitation Program, Facultad de Medicina Clínica Alemana Universidad Del Desarrollo, Santiago de, Chile;2. School of Physical Therapy, Facultad de Medicina Clínica Alemana Universidad Del Desarrollo, Santiago de, Chile;3. Department of Family Medicine and Community Health, University of Wisconsin-Madison, Madison, WI, USA;4. Department of Orthopedics and Rehabilitation and Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, USA;5. The Running Clinic, C.P. 1075 Lac Beauport, G3B 2J8, QC, Canada;1. Duke University School of Medicine, Doctor of Physical Therapy Division, Durham, NC, USA;2. Department of Athletics, University of Pittsburgh, Pittsburgh, PA, USA;3. Athletic Medicine, Duke University, Durham, NC, USA;4. Department of Orthopaedic Surgery, Atrium Health, Charlotte, NC, USA;5. OhioHealth Research Institute, Columbus, OH, USA;1. Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China;2. Orthopedist, Institute for Foot and Ankle Reconstruction at Mercy, Baltimore, MD;3. Orthopedist, Department of Orthopaedics, First Affiliated Hospital of Dalian Medical University, Dalian, China;4. Orthopedist, Department of Orthopaedics, Pu Ai Hospital of Huazhong Technology and Science University, Wuhan, China;5. Orthopedist, Department of Orthopaedics, Hangzhou Xiaoshan Hospital, Hangzhou, China;1. Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore, 117597, Singapore;2. Department of Orthopaedic Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore, 544886, Singapore;3. SingHealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, 20 College Road, Academia Level 4, Singapore, 169865, Singapore;1. University of Montana, School of Physical Therapy and Rehabilitation Sciences, Missoula, MT, USA;2. Thomas Jefferson University Jefferson College of Rehabilitation Sciences, Department of Physical Therapy, Philadelphia, PA, USA;3. Department of Kinesiology, University of Connecticut, Storrs, CT, USA;4. Department of Physical Therapy in the College of Allied Health Sciences and the Department of Orthopaedic Surgery at the Medical College of Georgia, Augusta University, Augusta, GA, USA;5. School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA |
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| Abstract: | ObjectivesIsolated deltoid ligament injuries are an uncommon injury within football with a lack of literature surrounding the rehabilitation processes for this injury. This case report looks to document the processes and considerations required for a successful rehabilitation of this specific injury to promote discussion surrounding optimal rehabilitation programming and subsequently better inform clinicians about best practice.MethodsA twenty-year-old professional footballer sustained an isolated Deltoid ligament injury to their right ankle following an eversion mechanism of injury when landing after performing a heading action. Eleven days post injury the player underwent reconstruction of the Deltoid ligament before then undergoing a sixteen-week rehabilitation program up to the point of return to training.ResultsThis complete deltoid ligament rupture was managed surgically with a reconstruction. Following sixteen weeks of rehabilitation the player was cleared for a return to training and has now been in full training and match play involvement for nine months without any reaction or reinjury.ConclusionThis case report summarises the injury management, rehabilitation and objective markers used in order to provide some early understanding of management strategies for this uncommon injury diagnosis. |
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