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Seven years follow-up after ankle inversion trauma
L Konradsen1, L Bech, M Ehrenbjerg
1The Department of Orthopedic Surgery, Gentofte Hospital, University of Copenhagen, Denmark.
Scandinavian Journal of Medicine & Science in Sports
|July 24, 2002
Summary
Many ankle inversion injuries lead to chronic pain and functional impairment years later, with no clear link between initial injury severity and long-term outcomes. Functional treatment is standard, but residual issues affect sports participation for many.
Area of Science:
- Orthopedics
- Sports Medicine
- Traumatology
Background:
- Ankle inversion injuries are common, particularly among athletes.
- Understanding long-term outcomes is crucial for effective patient management and rehabilitation.
Purpose of the Study:
- To evaluate the long-term functional outcomes and chronic complaints following ankle inversion injuries.
- To investigate potential correlations between initial injury characteristics and residual disability.
Main Methods:
- A cohort of 648 patients with ankle inversion injuries were assessed seven years post-injury using a questionnaire.
- Injuries were initially graded by severity and maximal tenderness location.
- All patients received a functional treatment protocol.
Main Results:
- 32% of patients reported chronic pain, swelling, or recurrent sprains seven years after injury.
- Of those with residual disability, 72% experienced functional limitations, primarily affecting sports participation.
- No correlation was found between initial injury severity or tenderness location and long-term disability or pain.
- 19% experienced recurrent inversion injuries, with 43% using external ankle support.
Conclusions:
- Ankle inversion injuries can lead to significant long-term functional impairment and chronic complaints, irrespective of initial severity.
- Functional treatment protocols are standard, but a substantial proportion of individuals experience persistent issues.
- Further research may explore preventative strategies and optimal management for chronic ankle instability.