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[Sprained ankle in children].

J Rodineau1, V Foltz, P Dupond

  • 1Service de médecine physique et de réadaptation, hôpital Pitié-Salpêtrière, boulevard de l'Hôpital, 75013 Paris, France.

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|August 7, 2004
PubMed
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Sprained ankles are common in children and often underestimated. While surgical repair shows promise for severe injuries, nonoperative treatment is generally preferred by most practitioners.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Ligament Injuries

Background:

  • Ankle sprains are a frequent yet potentially underestimated injury in the pediatric population.
  • Diagnosis relies on clinical evaluation, including palpation of the anterior talo-fibular ligament, and imaging to rule out fractures.

Purpose of the Study:

  • To conduct a literature review on pediatric ankle sprains.
  • To summarize clinical experiences and existing data on treatment outcomes.

Main Methods:

  • Literature search using keywords: sprain, ankle, children, talo-fibular ligament, ligament injury.
  • Analysis of three surgical publications (Vahvanen, Chaumien) detailing operative and nonoperative treatments.

Main Results:

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  • Limited prospective or randomized trials were found.
  • Vahvanen's studies indicated nonoperative treatment for 50 ankles and operative for 40, suggesting primary ligament repair can yield stable results.
  • Chaumien's series reported successful surgical healing in 16 of 18 patients with severe lesions.

Conclusions:

  • Ankle sprains in children are common and likely underdiagnosed.
  • Radiographic and ultrasound imaging are crucial for accurate diagnosis.
  • Nonoperative management is the preferred approach for pediatric ankle sprains among most clinicians.