If It's Not in the Differential, It Won’t be in the Diagnosis: Ankle Pain
Matt Baird, MD, and Mike Weinstock, MD
The following points pertain to stable injuries
What works?
What doesn’t work?
What can fool us?
REFERENCES:
Diagnostic accuracy of clinical decision rules to exclude fractures in acute ankle injuries: systematic review and meta-analysis
Barelds I, Krijnen WP, van de Leur JP, van der Schans CP, Goddard RJ. J Emerg Med. 2017;53(3):353-368. doi:10.1016/j.jemermed.2017.04.035
Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis
Dowling S, Spooner CH, Liang Y, et al. Acad Emerg Med. 2009;16(4):277-287. doi:10.1111/j.1553-2712.2008.00333.x
Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline
Vuurberg G, Hoorntje A, Wink LM, et al. Br J Sports Med. 2018;52(15):956. doi:10.1136/bjsports-2017-098106
Acute ankle sprain in athletes: clinical aspects and algorithmic approach
Halabchi F, Hassabi M. World J Orthop. 2020;11(12):534-558. doi:10.5312/wjo.v11.i12.534
Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment
Ardèvol J, Bolíbar I, Belda V, Argilaga S. Knee Surg Sports Traumatol Arthrosc. 2002;10(6):371-377. doi:10.1007/s00167-002-0308-9
Ankle bracing is effective for primary and secondary prevention of acute ankle injuries in athletes: a systematic review and meta-analyses
Barelds I, van den Broek AG, Huisstede BMA. Sports Med. 2018;48(12):2775-2784. doi:10.1007/s40279-018-0993-2
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Robert M. H. - February 20, 2023 7:43 AM
Big swollen ankle also be careful to look for a plafond #.
Mike W. - February 20, 2023 8:19 AM
Good point, thx Robert!
M