MedicineOrthopaedic SurgeryOrthopedic SurgeryAnkle PathologyOrthopedic RehabilitationOrthopedicsAnkle DisordersAnkle InjuriesAnkle InstabilityAnkle OrthopedicsAnkle SprainsLigament InjuriesAcute Ankle Injury ManagementAcute Ankle Sprain ManagementAcute TraumaAnkle Joint SprainAnkle Sprain GradingAnkle StrengthAnkle Trauma ManagementNeed For Surgical Intervention
Without adequate care, acute ankle trauma can result in chronic joint instability. Use of a standardized protocol enhances the management of ankle sprains. In patients with grades I or II sprains, emphasis should be placed on accurate diagnosis, early use of RICE (rest, ice, compression and elevation), maintenance of range of motion and use of an ankle support. Sprains with complete ligament [corrected] tears (grade III) may require surgical intervention. Although early motion and mobility are recommended, ligamentous strength does not return until months after an ankle sprain.
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Implementation of the Ottawa Ankle Rules
Ian G. Stiell · JAMA · 1994 · 548 citations
Syndesmosis Sprains of the Ankle
William Hopkinson, Patrick St. Pierre, John B. Ryan et al. · Foot & Ankle · 1990 · 479 citations
Mark J. Boytim, David A. Fischer · The American Journal of Sports Medicine · 1991 · 398 citations
Roald Bahr, Ø. Lian, I. Bähr · Scandinavian Journal of Medicine and Science in Sports · 1997 · 288 citations
A Radiographic Evaluation of the Tibiofibular Syndesmosis
Marion C. Harper, Tony S. Keller · Foot & Ankle · 1989 · 286 citations