DIAGNOSIS, TREATMENT, AND PREVENTION OF ANKLE SPRAINS: UPDATE OF AN EVIDENCE-BASED CLINICAL GUIDELINE

BACKGROUND & OBJECTIVE

Ankle injuries form up to 10% of emergency department consults. Among these ankle injuries, lateral ankle sprains (LAS) have the highest prevalence, both within the general and sporting population. Primary healthcare professionals rely on diverse treatment strategies for injury management. This review aimed to develop a uniform evidence-based guideline for healthcare professionals across disciplines for the diagnosis, treatment, and prevention of acute LAS.

METHODS

Multiple databases (Embase, MEDLINE, Cochrane and PEDro), articles from previous guidelines and other sources were searched for relevant data from January 2009 to September 2016. Data selection was done by two researchers, independently. Included articles had participant's age >/= 16 years with acute LAS and were published in English, French, Spanish, Danish, German, Swedish or Dutch. Articles including injuries other than LAS, narrative reviews, case reports, and cadaveric studies were excluded. A meta-analysis was performed for all outcomes included in at least two studies.

RESULTS

194 studies were included in this guideline.

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