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BMJ Case Rep ; 12(7)2019 Jul 27.
Article in English | MEDLINE | ID: mdl-31352385

ABSTRACT

Lateral ankle sprains are a common injury with an estimated occurrence rate of 23 000 per day in the USA. Prolonged immobilisation and delayed referral to physical therapy are associated with poorer outcomes. The patient was a 49-year-old woman working as a surgical technologist. She sustained an inversion injury to her left ankle while descending from a stool. Her primary care physician examined her, issued a Controlled Ankle Movement (CAM) walking boot and immobilised her ankle for 6 weeks. Patients with grade I and II lateral ankle sprains who are treated with early mobilisation and referral to physical therapy have demonstrated earlier return to function compared with patients who are treated with prolonged immobilisation and delayed referral. Nevertheless, it remains common for individuals who have sustained a lateral ankle sprain to be immobilised. This case study highlights the importance of early mobilisation and early physical therapy referral for patients with lateral ankle sprains.


Subject(s)
Ankle Injuries/rehabilitation , Ankle Joint/physiopathology , Immobilization , Physical Therapy Modalities , Range of Motion, Articular/physiology , Sprains and Strains/rehabilitation , Weight-Bearing/physiology , Ankle Injuries/physiopathology , Early Ambulation , Female , Humans , Middle Aged , Physical Examination , Referral and Consultation , Sprains and Strains/physiopathology , Time Factors , Treatment Outcome
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