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Evidence-based Treatment of Acute Lateral Ankle Sprain

근거에 기반한 급성 발목관절 외측 염좌의 치료

  • Cho, Byung-Ki (Department of Orthopedic Surgery, Chungbuk National University College of Medicine)
  • 조병기 (충북대학교 의과대학 정형외과학교실)
  • Received : 2018.09.18
  • Accepted : 2018.11.06
  • Published : 2018.12.15

Abstract

Acute lateral ankle sprain, which is the most common musculoskeletal injury, can be treated effectively with appropriate evidence-based initial care using PRICE (protection, rest, ice, compression, and elevation) and functional rehabilitation. Many systemic reviews reporting a high-level of evidence supporting the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprain have been insufficient. Regardless of the severity of ligament complex injuries, the surgical treatment for acute lateral ankle sprain without concomitant pathologies is not recommended and should be considered only in young professional athletes with complete ligament rupture (grade III) and severe instability.

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