J Korean Foot Ankle Soc.  2018 Dec;22(4):135-144. 10.14193/jkfas.2018.22.4.135.

Evidence-based Treatment of Acute Lateral Ankle Sprain

  • 1Department of Orthopedic Surgery, Chungbuk National University College of Medicine, Cheongju, Korea. titanick25@naver.com


Acute lateral ankle sprain, which is the most common musculoskeletal injury, can be treated effectively with appropriate evidence-based initial care using PRICE (protection, rest, ice, compression, and elevation) and functional rehabilitation. Many systemic reviews reporting a high-level of evidence supporting the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprain have been insufficient. Regardless of the severity of ligament complex injuries, the surgical treatment for acute lateral ankle sprain without concomitant pathologies is not recommended and should be considered only in young professional athletes with complete ligament rupture (grade III) and severe instability.


Ankle; Sprain; Treatment; Evidence-based

MeSH Terms

Ankle Injuries*
Sprains and Strains


  • Figure 1. Photograph of passive range of motion exercise using a band.

  • Figure 2. Photographs of isometric peroneal strengthening exercise using a ball (A) and Achilles strengthening exercise against a wall (B).

  • Figure 3. (A, B) Photographs of isotonic peroneal strengthening exercise using a band.

  • Figure 4. Photograph of single leg balance exercise.

Cited by  1 articles

Current Trends in the Treatment of Ankle Ligament Injuries: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey
Byung-Ki Cho, Jaeho Cho, Myoungjin Lee, Jun Young Lee, Su-Young Bae
J Korean Foot Ankle Soc. 2022;26(1):22-29.    doi: 10.14193/jkfas.2022.26.1.22.


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