Comparison of two main treatment modalities for acute ankle sprain

Primary tabs

SCIENCE
Comparison of two main treatment modalities for acute ankle sprain
Key Take-Away: 

Ankle sprains are one of the most common musculoskeletal injuries. In all sports injuries, the rate of ankle sprains ranges from 15 to 20 %. Here, in this study, a contrast between elastic bandage and splint is well explained, proving one better than the other for acute ankle sprains.

Acute ankle sprains are one of the most common injuries in emergency departments.

ABSTRACT: 
Background: 

Acute ankle sprains are one of the most common injuries in emergency departments.

Immobilization is widely accepted as the basic treatment modality for acute ankle sprains; however, immobilization method remains controversial. In this study, we aimed to compare two treatment modalities: splint and elastic bandage for the management of acute ankle sprains.

Methods: 

This prospective study was conducted in the emergency department.

Fifty-one consecutive patients who were admitted to the emergency department owing to the complaint of ankle sprain and who were treated with an elastic bandage or a splint were included in the study. After bone injury was ruled out, treatment choice was left to the on-shift physicians’ discretion. The extent of edema was evaluated before and after the treatment by using a small, graduated container filled with warm water. Volume differences were calculated by immersing both lower extremities in a container filled to a constant level. Pain was evaluated using the visual analogue scale.

Results: 

There were 25 patients in the elastic bandage group and 26 patients in the splint group.

VAS scores of these groups before and after the treatment were similar. Although edema size before and after the treatment were similar between the groups, edema size reduction was significantly more in the elastic bandage group [p=0,025].

Conclusion: 

This study showed that treatment of acute ankle sprains with an elastic bandage was more effective than splint in reducing edema.

Therefore, an elastic bandage could be preferred over a splint for the treatment of acute ankle sprains.

 

Arch Orthop Trauma Surg. 2013 Aug; 133(8): 1129-1141

Comments

Log in or register to post comments