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The difficult ankle.

P Brukner1, K Khan

  • 1Olympic Park Sports Medicine Centre, Melbourne.

Australian Family Physician
|July 1, 1991
PubMed
Summary

Many ankle sprains do not respond to standard treatment and remain painful. Alternative diagnoses require careful clinical assessment and further investigations for effective pain management.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Musculoskeletal Disorders

Background:

  • Ankle sprains are a frequent sports injury.
  • Most ankle sprains resolve with conservative treatment.
  • A subset of patients experience persistent pain despite treatment.

Purpose of the Study:

  • To highlight the importance of considering alternative diagnoses in cases of persistent ankle pain.
  • To emphasize the need for thorough clinical evaluation beyond typical ankle sprain management.
  • To guide clinicians in identifying and managing non-sprain etiologies of ankle pain.

Main Methods:

  • Review of clinical presentations of patients with refractory ankle pain.
  • Emphasis on detailed patient history and physical examination.
  • Discussion of diagnostic imaging and other investigations.

Main Results:

  • Persistent ankle pain can stem from conditions other than ligamentous injury.
  • Careful assessment is crucial to differentiate ankle sprains from alternative diagnoses.
  • Further investigations aid in accurate diagnosis and targeted treatment.

Conclusions:

  • Clinicians must consider alternative diagnoses for ankle pain that does not improve with conservative care.
  • A comprehensive diagnostic approach is essential for refractory cases.
  • Timely identification of alternative conditions improves patient outcomes.

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