Physical examination is sufficient for the diagnosis of sprained ankles

The Journal of Bone and Joint Surgery. British Volume
C N van DijkR K Marti

Abstract

We studied the merits of physical examination after inversion injury of the ankle in 160 consecutive patients. They had an explanatory operation if they had a positive arthrogram and/or positive signs on a delayed physical examination. To determine the interobserver variation in delayed physical examination, five different examiners were asked to give independent assessment of the injury. Those with limited clinical experience produced more accurate results when physical examination was performed at five days after the injury, rather than within 48 hours. The specificity and sensitivity of delayed physical examination for the presence or absence of a lesion of an ankle ligament were found to be 84% and 96%, respectively. The interobserver agreement for the delayed physical examination of the ankle was good (kappa values 0.5, 0.6, 0.6 and 1.0). Delayed physical examination gives information of diagnostic quality which is equal to that of arthrography, and causes little discomfort to the patient.

Associated Clinical Trials

Nov 20, 2015·Carlos A Acosta-OlivoCarlos A Acosta-Olivo

Citations

Dec 10, 2013·The Journal of Orthopaedic and Sports Physical Therapy·Robroy L MartinUNKNOWN Orthopaedic Section American Physical Therapy Association
Oct 31, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michel P J van den BekeromC Niek van Dijk
Dec 3, 2014·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·F G UsuelliA Molloy
Jan 30, 2015·Singapore Medical Journal·Choon How How, Ken Jin Tan
Mar 1, 1997·British Journal of Sports Medicine·P A Renström, L Konradsen
Mar 28, 2002·British Journal of Sports Medicine·C N van Dijk
Apr 14, 2006·British Journal of Sports Medicine·C M BleakleyJ Bjordal
Jul 31, 2009·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Daniel Tp FongKai-Ming Chan
Nov 1, 2010·Sports Health·Mitchell L CordovaTricia J Hubbard
Jan 22, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Umile Giuseppe LongoVincenzo Denaro
Jul 17, 2013·Journal of Athletic Training·Thomas W KaminskiUNKNOWN National Athletic Trainers' Association
Jan 6, 2010·The Physician and Sportsmedicine·Padhraig F O'LoughlinJohn G Kennedy
Oct 1, 1998·The Physician and Sportsmedicine·T H Trojian, D B McKeag
Jul 16, 2010·The Physician and Sportsmedicine·Tanja NauckAlbert Gollhofer
Apr 30, 2013·Radiologic Clinics of North America·Anna NazarenkoJenny T Bencardino
Mar 8, 2013·Foot and Ankle Clinics·Graham A McCollumVincenzo Denaro
Jun 30, 2012·Journal of Science and Medicine in Sport·Jeremy B WitchallsPeter Blanch
May 17, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Amol SaxenaChris Goumas
Aug 8, 2009·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Naoki HaraguchiHidekazu Toga
May 12, 2009·Lancet·G M KerkhoffsC N van Dijk
Mar 19, 2008·Clinics in Sports Medicine·Padhraig F O'LoughlinJohn G Kennedy
Jun 27, 2006·Foot and Ankle Clinics·Rover KripsC Niek van Dijk
Sep 15, 2006·Foot and Ankle Clinics·James F Griffith, Jason Brockwell
Sep 15, 2006·Foot and Ankle Clinics·Nikolaos MalliaropoulosNicola Maffulli
Sep 27, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Ángel L Rodríguez-FernándezJavier Güeita-Rodríguez
Dec 15, 2006·Pain Practice : the Official Journal of World Institute of Pain·Phillip S SizerOmer Matthijs
Sep 6, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Michel P J van den BekeromC Niek van Dijk
Apr 19, 2015·Journal of Orthopaedic Surgery and Research·Heinz LohrerAlbert Gollhofer
Jul 12, 2005·Physical Medicine and Rehabilitation Clinics of North America·Karen P Barr, Mark A Harrast
Sep 28, 2015·Clinics in Sports Medicine·Paul J SwitajAnish R Kadakia
Sep 28, 2015·Clinics in Sports Medicine·Roger WalkerDominic S Carreira
Feb 28, 2007·European Journal of Radiology·C Niek van Dijk, Peter A J de Leeuw
Jun 6, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M P J van den BekeromE E J Raven
Apr 21, 2016·Clinical Rheumatology·Marwin GutierrezMarcos Rosemffet
Mar 26, 2015·Clinics in Podiatric Medicine and Surgery·Douglas H Richie, Faye E Izadi
Aug 20, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Oded HershkovichArnon Afek
Aug 14, 2013·PloS One·Sean R O'ConnorSuzanne M McDonough
Jul 2, 2016·The Bone & Joint Journal·M S BallalJ D F Calder

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.