Score analysis of ankle joint laxity and the incidence of ankle injury in professional female athletes A retrospective study
Main Article Content
Abstract
Ankle injury occurs in 45% of sports injuries, and as many as 14% of them is severe injuries. This condition is quite common in athletes such as athletics. The current solution for athletes with joint instability is to take preventive measures to minimize the possibility of injury. This study aims to analyse the instability score on the incidence of ankle injuries in female professional athletes. This retrospective study analysed data from professional female athletes to assess the incidence of ankle injuries in relation to their history of ankle instability. The study involved evaluating ankle instability using the Beighton score, the AOFAS score, and a detailed history of prior ankle injuries. Out of the total sample, 168 female athletes were identified, with 141 (80%) reporting a history of ankle injuries. The most frequent injury was ankle-related, occurring in 28% of the sample. Among those with prior ankle injuries, 83% (30 out of 36) showed a positive result on the Beighton score. The AOFAS evaluation revealed that 25% (12 athletes) had excellent ankle function, while 75% (36 athletes) demonstrated superb function. The use of the Beighton score and AOFAS score for evaluating professional female athletes with a history of ankle injuries proves to be effective in identifying those at higher risk for future injuries, thereby aiding in prevention strategies.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Each author warrants that his or her submission to the Work is original and that he or she has full power to enter into this agreement. Neither this Work nor a similar work has been published elsewhere in any language nor shall be submitted for publication elsewhere while under consideration by Journal of Human Sport and Exercise (JHSE). Each author also accepts that the JHSE will not be held legally responsible for any claims of compensation.
Authors wishing to include figures or text passages that have already been published elsewhere are required to obtain permission from the copyright holder(s) and to include evidence that such permission has been granted when submitting their papers. Any material received without such evidence will be assumed to originate from the authors.
Please include at the end of the acknowledgements a declaration that the experiments comply with the current laws of the country in which they were performed. The editors reserve the right to reject manuscripts that do not comply with the abovementioned requirements. The author(s) will be held responsible for false statements or failure to fulfill the above-mentioned requirements.
This title is licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial — You may not use the material for commercial purposes.
-
ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
How to Cite
References
Arabnejad, Najmeh, Mohammad Pourranjbar, and Mohammad Hosain Yousefizarandi. 2023. "Quantitative Study of Sports Injury Among Male and Female Athletes in Some Aerobic and Anaerobic Sports." Journal of Population and Therapeutics and Clinical Pharmacology. https://doi.org/10.53555/jptcp.v30i17.2609
Bullock, Garrett S., Gary S. Collins, Nick Peirce, Nigel K. Arden, and Stephanie R. Filbay. 2020. "Playing Sport Injured Is Associated with Osteoarthritis, Joint Pain and Worse Health-Related Quality of Life: A Cross-Sectional Study." BMC Musculoskeletal Disorders 21(1). https://doi.org/10.1186/s12891-020-3136-5
Francia, Piergiorgio, Sonia Toni, Giulia Iannone, Giuseppe Seghieri, Lorella Bonaccorsi, Ugo Santosuosso, and Barbara Piccini. 2021. "How Ankle Joint Mobility Changes in Young Soccer Players of Different Ages: A Time Series Analysis." Journal of Physical Education and Sport 21. https://doi.org/10.7752/jpes.2021.s3277
Ganu, Sneha S., and Aishwarya B. Tadge. 2021. "Generalized Joint Hypermobility: A Review." International Journal of Science and Healthcare Research 6(3). https://doi.org/10.52403/ijshr.20210708
Gianakos, Arianna L., Adam Abdelmoneim, Gino Kerkhoffs, and Mary K. Mulcahey. 2022. "Rehabilitation and Return to Sport of Female Athletes." Arthroscopy, Sports Medicine, and Rehabilitation 4(1). https://doi.org/10.1016/j.asmr.2021.09.040
Halabchi, Farzin, and Mohammad Hassabi. 2020. "Acute Ankle Sprain in Athletes: Clinical Aspects and Algorithmic Approach." World Journal of Orthopedics 11(12). https://doi.org/10.5312/wjo.v11.i12.534
Hietamo, Jussi, Anni Rantala, Jari Parkkari, Mari Leppänen, Marko Rossi, Ari Heinonen, Kathrin Steffen, Pekka Kannus, Ville Mattila, and Kati Pasanen. 2023. "Injury History and Perceived Knee Function as Risk Factors for Knee Injury in Youth Team-Sports Athletes." Sports Health 15(1). https://doi.org/10.1177/19417381211065443
Hijji, Fady Y., Andrew D. Schneider, Michael Pyper, and Richard T. Laughlin. 2020. "The Popularity of Outcome Measures Used in the Foot and Ankle Literature." Foot and Ankle Specialist 13(1). https://doi.org/10.1177/1938640019826680
Kemler, E., H. Valkenberg, and V. Gouttebarge. 2019. "Stimulating Injury-Preventive Behaviour in Sports: The Systematic Development of Two Interventions." BMC Sports Science, Medicine and Rehabilitation 11(1). https://doi.org/10.1186/s13102-019-0134-8
Liaghat, Behnam, Julie Rønne Pedersen, James J. Young, Jonas Bloch Thorlund, Birgit Juul-Kristensen, and Carsten Bogh Juhl. 2021. "Joint Hypermobility in Athletes Is Associated with Shoulder Injuries: A Systematic Review and Meta-Analysis." BMC Musculoskeletal Disorders 22(1). https://doi.org/10.1186/s12891-021-04249-x
Malek, Sabeeha, Emma J. Reinhold, and Gemma S. Pearce. 2021. "The Beighton Score as a Measure of Generalised Joint Hypermobility." Rheumatology International 41(10). https://doi.org/10.1007/s00296-021-04832-4
Nathan, Joseph Alexander, Kevin Davies, and Ian Swaine. 2018. "Hypermobility and Sports Injury." BMJ Open Sport and Exercise Medicine 4(1). https://doi.org/10.1136/bmjsem-2018-000366
Paget, Liam D. A., Inger N. Sierevelt, Johannes L. Tol, Gino M. M. J. Kerkhoffs, and Gustaaf Reurink. 2023. "The Completely Patient-Reported Version of the American Orthopaedic Foot and Ankle Society (AOFAS) Score: A Valid and Reliable Measurement for Ankle Osteoarthritis." Journal of ISAKOS 8(5). https://doi.org/10.1016/j.jisako.2023.07.003
Park, Kwang Hwan, Jin Woo Lee, Jae Wan Suh, Myung Ho Shin, and Woo Jin Choi. 2016. "Generalized Ligamentous Laxity Is an Independent Predictor of Poor Outcomes after the Modified Broström Procedure for Chronic Lateral Ankle Instability." American Journal of Sports Medicine 44(11). https://doi.org/10.1177/0363546516656183
Prieto-González, Pablo, Jose Luis Martínez-Castillo, Luis Miguel Fernández-Galván, Arturo Casado, Sergio Soporki, and Jorge Sánchez-Infante. 2021. "Epidemiology of Sports-Related Injuries and Associated Risk Factors in Adolescent Athletes: An Injury Surveillance." International Journal of Environmental Research and Public Health 18(9). https://doi.org/10.3390/ijerph18094857
Rejeb, Abdallah, Francois Fourchet, Olivier Materne, Amanda Johnson, Cosmin Horobeanu, Abdulaziz Farooq, Erik Witvrouw, and Rodney Whiteley. 2019. "Beighton Scoring of Joint Laxity and Injury Incidence in Middle Eastern Male Youth Athletes: A Cohort Study." BMJ Open Sport and Exercise Medicine 5(1). https://doi.org/10.1136/bmjsem-2018-000482
Saccomanno, Maristella F., Mario Fodale, Luigi Capasso, Giampiero Cazzato, and Giuseppe Milano. 2013. "Generalized Joint Laxity and Multidirectional Instability of the Shoulder." Joints 1(4). https://doi.org/10.11138/jts/2013.1.4.171
Sacks, Hayley A., Pooja Prabhakar, Lauren E. Wessel, Jessica Hettler, Sabrina M. Strickland, Hollis G. Potter, and Duretti T. Fufa. 2019. "Generalized Joint Laxity in Orthopaedic Patients." Journal of Bone and Joint Surgery 101(6). https://doi.org/10.2106/JBJS.18.00458
Talpey, Scott W., and Emma J. Siesmaa. 2017. "Sports Injury Prevention: The Role of the Strength and Conditioning Coach." Strength and Conditioning Journal 39(3). https://doi.org/10.1519/SSC.0000000000000301
Yeo, Eui Dong, Ji Young Park, Jin Hyeung Kim, and Young Koo Lee. 2017. "Comparison of Outcomes in Patients With Generalized Ligamentous Laxity and Without Generalized Laxity in the Arthroscopic Modified Broström Operation for Chronic Lateral Ankle Instability." Foot and Ankle International 38(12). https://doi.org/10.1177/1071100717730336