Trauma is a common cause of injury in young patients. Twisting injuries, which occur with or without contact with a second person, can lead to tears of ligaments.
Repetitive use is also a common cause of ankle injury. People whose occupations require a large amount of climbing, squatting or twisting are particularly susceptible to the development of ankle injury. Athletes who participate in endurance sports such as running or those that require sudden changes in direction are at increased risk of ankle injuries.