Lack of medical consult for an ankle injury

NewsBot · May 23, 2019

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Lack of Medical Treatment From a Medical Professional After an Ankle Sprain.
Hubbard-Turner T
J Athl Train. 2019 May 22

CONTEXT:
Despite the prevalence of ankle sprains and the potential for developing chronic ankle instability and ankle osteoarthritis, ankle sprains are often perceived as an innocuous injury.

OBJECTIVE:
To understand the initial management and treatment sought by patients after a lateral ankle sprain (LAS) and to identify any differences in subjective function and self-reported injury.

DESIGN:
Cross-sectional study.

SETTING:
Research laboratory.

PATIENTS OR OTHER PARTICIPANTS:
A total of 175 participants with chronic ankle instability (73 men, 102 women; age = 20.9 ± 3.4 years, height = 173.5 ± 13.2 cm, mass = 81.4 ± 24.6 kg) were involved in the study.

MAIN OUTCOME MEASURE(S):
Participants were administered a questionnaire regarding their initial LAS. All participants also completed the Foot and Ankle Ability Measure (FAAM). The primary questions of interest were (1) Did the participants seek treatment from a medical professional for their initial LAS? (2) Did the participants perform rehabilitation? (3) Was the initial LAS immobilized? and (4)Did the participants use crutches? The other variables measured were scores on the FAAM and the FAAM Sports subscale, total number of ankle sprains, and incidences of giving way.

RESULTS:
Sixty-four percent of participants did not seek medical treatment after their LAS. Those who did not seek medical treatment scored worse on the FAAM (81.21% ± 3.1% versus 89.23% ± 2.8%, P = .03) and the FAAM Sports subscale (72.34% ± 5.3% versus 81.26% ± 3.1%, P = .001). Those not seeking treatment also reported more ankle sprains since the initial injury (4.7 ± 2.4 versus 1.9 ± 0.90, P = .02) and more incidences of giving way each month (3.8 ± 1.9 versus 1.1 ± 0.87, P = .04).

CONCLUSIONS:
It is not surprising that those who did not seek medical treatment for their LASs had worse subjective function, more ankle sprains, and more incidences of the ankle giving way. The public needs to be educated on the significance of ankle sprains and the need for medical attention to provide appropriate management. However, we also need to continue to evaluate initial management and rehabilitation to ensure that those who seek treatment receive the best care in order to reduce reinjury rates.
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