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

• Cho BK

• KMID: 2428652
• DOI: http://doi.org/10.14193/jkfas.2018.22.4.135

Abstract

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.

Keyword

Ankle; Sprain; Treatment; Evidence-based

MeSH Terms

Ankle Injuries*
Ankle*
Athletes
Humans
Ice
Ligaments
Pathology
Rehabilitation
Rupture
Sprains and Strains
Ice

Figure

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

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

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

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  Figure 4. Photograph of single leg balance exercise.

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