Treatment of lateral collateral ligament sprains of the ankle: a critical appraisal of the literature.
Although sprains of the lateral collateral ligaments of the ankle are extremely common, controversy still exists over the proper treatment. Some authors recommend early mobilization of the ankle, others recommend cast immobilization for 1-6 weeks, and others insist that sprains should be treated with primary surgical repair. A critical appraisal of the literature supports the concepts of early mobilization with a proper rehabilitation program. The review of treatment is followed by a discussion of the potential causes of persistent pain and functional instability.
Shrier
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Herzl Family Practice Center, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000503:physiopathology; D002370:Casts, Surgical; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization; D007593:Joint Instability / Q000209:etiology; D017844:Lateral Ligament, Ankle / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D026741:Physical Therapy Modalities; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D012107:Research Design; D012421:Rupture; D013180:Sprains and Strains / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*