Ankle Sprains


First-Degree Ankle Sprain
DIAGNOSIS
  • Able to bear weight
  • No joint instability
  • Full range of motion
  • Normal function
  • Minimal swelling
  • Only mild localized tenderness

TREATMENT

  1. Rest, ice, compression, elevation, lace-up ankle support, follow-up in 1 week if not improved

 

Second-Degree Ankle Sprain
DIAGNOSIS
  • Pain with exam
  • Abnormal function
  •  Moderate swelling

TREATMENT

  1. Rest, ice, compression, elevation, lace-up ankle support, follow-up in 1 week if not improved

 

Third-Degree Ankle Sprain
DIAGNOSIS
  • Inability to bear weight
  • Joint instability
  • Severe pain
  • Egg-shaped swelling
  • Marked functional impairment
  • Abnormal stress test

TREATMENT

  1. If ankle is unstable, consider posterior mold and urgent orthopedic referral. If ankle is stable but patient is unable to bear weight, rest, ice, compression, elevation, crutches, apply ankle brace, and follow up in 1 week with orthopedics.

 

 

 



lace-up ankle support

 

ITE 2013 Q89

A 15-year-old male is seen in the office for ankle pain. While playing basketball he jumped and landed on the lateral edge of his foot. He had immediate pain and did not continue playing, but was able to walk after the injury. On examination his right ankle has tenderness, swelling, and bruising over the anterior talofibular and calcaneofibular ligaments. There is no bony tenderness.
Which one of the following would be most appropriate at this point?

A) Taping the ankle for future sports participation
B) An elastic compression wrap
C) A lace-up ankle support
D) A radiograph of the ankle
E) A below the knee cast