Delayed conservative treatment of an acute lateral ankle sprain in a non-athlete female following walking boot immobilisation.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
27 Jul 2019
Historique:
entrez: 29 7 2019
pubmed: 29 7 2019
medline: 1 2 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 31352385
pii: 12/7/e229625
doi: 10.1136/bcr-2019-229625
pmc: PMC6663269
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Tyler Matherne (T)

Department of Physical Therapy, University of North Carolina System, Chapel Hill, North Carolina, USA.

Jennifer Cooke (J)

Department of Physical Therapy, University of North Carolina System, Chapel Hill, North Carolina, USA.

Michael McMorris (M)

Department of Physical Therapy, University of North Carolina System, Chapel Hill, North Carolina, USA.

Michael Gross (M)

Department of Physical Therapy, University of North Carolina System, Chapel Hill, North Carolina, USA.

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