Management of ankle sprains英文电子书.pdf

COVER ARTICLE Management of Ankle Sprains MICHAEL W. WOLFE, M.D., Lewis-Gale Clinic, Salem, Virginia TIM L. UHL, PH.D., A.T.-C., P.T., and CARL G. MATTACOLA, PH.D, A.T.-C. University of Kentucky College of Allied Health Professions, Lexington, Kentucky LELAND C. MCCLUSKEY, M.D., Hughston Clinic, Columbus, Georgia 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 tendon tears (grade III) may require surgical inter- vention. Although early motion and mobility are recommended, ligamentous strength does not return until months after an ankle sprain. (Am Fam Physician 2001;63:93-104.) he ankle is one of the most 1 million persons present to physicians common sites for acute mus- with acute ankle injuries.2 More than 40 K C culoskeletal injuries, and percent of ankle sprains have the poten- U B D sprains account for 75 per- tial to cause chronic problems.3,4 D O T Y 1 B Tcent of ankle injuries. Acute N O I