So todays story is not about my patients its an injury that happened to me just over 3 weeks now. And yes i went into work with a Moonboot, #Physiolife
So what happened ? I missed a step of a curb and rolled my ankle inwards into a pothole on the road. There goes my ankle, lots of swelling and pain. P.S the pain increase more the next and third day.
what i was worried about - I tore some ligaments do i need surgery or no ?
Lets get into what the research says..
Ankle sprains are common injuries that can be either acute or lead to long-term instability. These injuries often occur during work, sports, training, and military activities.
Acute ankle sprains are very common, making up 80% of all ankle injuries. They mostly involve the lateral ligaments, particularly the ATFL and CFL, with the PTFL being rarely affected. These injuries typically occur due to excessive inversion and plantarflexion of the ankle. Proper history taking and physical examination are crucial for diagnosis and treatment. The Ottawa Ankle Rules are used to determine if X-rays are needed after an ankle injury. Early physiotherapy is important to control pain and swelling, maintain range of motion, and prevent stiffness and muscle wasting, which can delay recovery. Cast immobilization is rarely needed, except in cases of fractures or if the patient cannot bear weight. Surgery is not recommended for acute ankle sprains.
So do i need surgery ?
Acute ankle injuries are almost always treated without surgery. Studies have shown that patients who had surgery took longer to return to work and did not have fewer complications, costs, or risks. Previously, Grades I and II sprains were treated with RICE (Rest, Ice, Compression, Elevation), while Grade III might have required surgery. However, recent evidence shows no benefit from surgery for any severity of sprain.
The authors believe that effective treatment can be achieved with personalized, aggressive non-surgical methods. Surgery should only be considered for specific cases, such as unstable ankle fractures, osteochondral defects, loose bodies, or peroneal tendon tears.
This information is acredidted to: Al-Mohrej, O. A., & Al-Kenani, N. S. (2016). Acute ankle sprain: Conservative or surgical approach? EFORT Open Reviews, 1(2), 34–44. https://doi.org/10.1302/2058-5241.1.000010
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