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Acute ankle sprain: is there a best support?
Gabrielle O'connor1, Anthony J Martin
1St James's Hospital, Dublin, Ireland. gabbyoco@yahoo.com
Summary
This study found no significant difference in ankle function between Elastoplast, double tubigrip, and no support for acute lateral ankle sprains. Elastoplast showed a trend towards better function and faster return to work.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Emergency Medicine
Background:
- Acute lateral ankle sprains are the most common sports-related ligamentous injury, accounting for 85% of all sprains.
- Optimal management strategies for these frequent injuries remain debated, with conflicting evidence regarding the role of compression.
- Traditional RICE (Rest, Ice, Compression, Elevation) protocols are still widely used despite evolving evidence.
Purpose of the Study:
- To compare the effectiveness of three external support methods for acute lateral ankle sprains.
- To evaluate outcomes including ankle function, pain reduction, and return-to-work timelines.
- To provide evidence-based guidance on the management of lateral ankle sprains.
Main Methods:
- A prospective randomized controlled trial was conducted in an emergency department.
- Adults presenting within 24 hours of a first-time acute lateral ankle sprain were included.
- Outcomes were compared among patients receiving Elastoplast bandaging, double tubigrip, or no external support.
Main Results:
- No statistically significant differences in ankle joint function (Karlsson scale) were observed at 10 or 30 days post-injury among the three groups.
- A trend suggested Elastoplast bandaging offered superior average ankle function compared to double tubigrip and no support.
- Patients treated with Elastoplast returned to work approximately 2 days earlier on average.
Conclusions:
- The study concluded that there is no statistically significant difference in ankle function at 10 or 30-day follow-up between double tubigrip bandage, Elastoplast bandage, and no support.
- While Elastoplast showed a trend towards improved function and earlier return to work, these differences were not statistically significant.
- Further research may be warranted to explore potential subtle benefits of specific bracing methods in lateral ankle sprain management.
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