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Diagnosis is primarily clinical, but imaging such as X-rays and magnetic resonance imaging can be very useful in detecting additional pathologies. Most patients improve with non-operative treatment. When this fails, surgery is indicated. Surgical treatment of CLAI is divided into direct ligament repair and indirect reconstruction. Extra-anatomical tenodesis is generally not indicated. Currently, the gold standard is ligament repair with the\n          Brostr\u00f6m-Gould technique, with excellent results. Early rehabilitation, including balance and proprioceptive training, plays a pivotal role in regaining postural stability in both acute and chronic lateral ankle instability.<\/jats:p>","DOI":"10.1055\/a-2829-4306","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T22:54:38Z","timestamp":1781909678000},"page":"276-291","source":"Crossref","is-referenced-by-count":0,"title":["Current Concepts in Acute and Chronic Lateral Ankle Instability"],"prefix":"10.1055","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8155-263X","authenticated-orcid":false,"given":"Mario","family":"L\u00f3pez Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Kamin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Marx","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anica","family":"Kilper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Rammelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"603","DOI":"10.4085\/1062-6050-447-17","article-title":"Epidemiology of ankle sprains and chronic ankle instability","volume":"54","author":"MM Herzog","year":"2019","journal-title":"J Athl Train"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1177\/0363546516660980","article-title":"The epidemiology of lateral ligament complex ankle sprains in national collegiate athletic association sports","volume":"45","author":"KG Roos","year":"2017","journal-title":"Am J Sports Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1136\/bjsports-2013-092223","article-title":"Time-trends and circumstances surrounding ankle injuries in men\u2019s professional football: an 11-year follow-up of the UEFA champions league injury study","volume":"47","author":"M Walden","year":"2013","journal-title":"Br J Sports Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.amjmed.2007.11.018","article-title":"What is the clinical course of acute ankle sprains? 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