Musiala Inferunio: intervention, recovery times, physiotherapy

A terrible accident to see and a first diagnosis that – however heavy – however makes a sigh of relief, especially after seeing the ankle of Jamal Musiala turn 180 degrees after a clash with Gigio Donnarumma, burst into tears after seeing the opponent on the ground. From the first tests carried out after the match of the quarter-finals of the Club World Championship between PSG and Bayern, won by the Parisian 2-0, it was in fact found a rupture of the perone and a lesion of the ligamentsbut fortunately not of the tibia, and as Professor explains Alessandro Massé – Orthopedics Director of the Città della Salute Hospital of Turin and professor of Orthopedics and Traumatology of the University of Turin – It is a not very recently a difference: “Even if the injury remains important, the fact that Musiala has broken only the perone is all in all positive because It is a bone that tends more easily to heal than the tibiawhich instead requires a much slower path. The most important thing is that from the first diagnosis The cartilage of the ankle has not been involved And this makes the injury benign, albeit very important, and this leads to one best prognosis“.

For Musiala serious injury: because the ankle turned around

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The fright of companions, opponents and fans is obviously linked above all to the terrifying images of contact with Donnarumma, which led to an unnatural rotation of the ankle. As Professor Massé explains, this happened because “a so -called ‘pronation trauma’ occurred, in which The ankle is violently rotated on the opposite partthe foot presses on the perone until it breaks it and this brings it out of its headquarters. That frightening rotation is linked to the fact that the ankle has dislocated. Compared to other joints, such as the shoulder, the ankle is particularly stable and to dislocate it is necessary who breaks one of the two bones that keep it firmtherefore tibia or perone, if not both. In this case only the perone broke. “

Recovery times and the healing path

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It will still be a long journey. As Massé explains, it will take us “from 4 to 6 months. The healing of Perone actually takes place quite quickly, within a couple of months, but the most important part is the recovery of the functionality of the ankle. The ankle ligaments tend to heal alone, but when there are serious injuries and there is still talk of a very high level athlete very frequently they are surgically repaired. More than the perone itself, in fact, a make these accidents particularly complicated and long It is the fact that the ligaments and joint capsules that keep the articulation firm have all been torn, and this greatly prolongs the recovery time. The intervention is not always immediate, because if the ankle is too swollen it must first wait for it to deflate. When this type of accident occur, in fact, either it is operated immediately in the following hours or You have to wait 10-15 daysbecause they must first heal the soft fabrics surrounding the ankle, since initially the fracture produces a large edema of the limb and it is important to make sure that the fabrics can face the intervention. The intervention provides for the positioning of a plaque on the perone possibly with the addition of screws if there are free fragments. The ligaments, on the other hand, are repaired with suture points. For at least 40 days or even 2 months it is not possible to rest the footthen once the healing of Perone is ascertained, one can begin to intensify the rehabilitation path, which provides Gymnastics in water, lymphatic drainage, manipulationswith the aim of recovering all the functionality and ability of the ankle movement, which like all the joints following a binding trauma tends to stiffen. Therefore it is necessary for time so that the player can recover functionality and proprioceivity (the ability to perceive and recognize the state of contraction of his muscles, without the support of vision) that serves to express himself at the highest levels “.