A risk assessment model for chronic ankle instability: indications for early surgical treatment? An observational prospective cohort - study protocol

BMC Musculoskeletal Disorders
Gwendolyn VuurbergG M M J Kerkhoffs

Abstract

Chronic ankle instability (CAI) is a common result of an ankle sprain. Even though early surgical treatment yields the best results, overall only professional athletes are eligible for acute surgical stabilization. Treating all patients with early surgical stabilization leads to a high amount of unnecessary invasive interventions, as not all patients progress to CAI. If patients at risk of developing CAI can be identified, treatment policies may be applied more effectively and efficiently. The purpose of this study is to develop a risk assessment model to identify patients at risk for CAI that should receive early surgical treatment. In this observational prospective cohort, all patients aged sixteen years and older, reporting at the emergency department of one of the participating hospitals after sustaining a lateral ankle sprain, and filled out 1 out of 3 follow-up questionnaires and the 1 year follow-up are included. A lateral and anteroposterior radiograph is made. Patients are excluded if a fracture or other pathology is present. The included patients receive four questionnaires, including questions focusing on the sprain, treatment and complaints, the Foot and Ankle Outcome Score and the Cumberland Ankle Instability Tool....Continue Reading

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Citations

Jul 14, 2020·EFORT Open Reviews·José Nuno FerreiraManuel Resende Sousa
Apr 30, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Roeland P KleipoolMarkus Knupp

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