Study on Clinical Diagnosis and Treatment of Lateral Ligament Lesion of the Ankle Joint

Hoogenband, C. R. van den; Moppes, F. I. van; Coumans, P. F.; Stapert, J. W. J. L.; Greep, J. M.

doi:10.1055/s-2008-1025986

Cited by 13 publications

(3 citation statements)

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“…Some authors report better results for functional treatment [11,19] while others find no significant differences [8,20,27,28]. We found that 3 months after the injury late symptoms were significantly more common for those treated with plaster cast, a difference which decreased at 6 months and had disappeared 1 year after the injury.…”

Section: Discussionmentioning

confidence: 49%

“…There are many studies comparing various therapeutic procedures (pharmacological, physical therapy, ultrasound, surgery, immobilization, early mobilization, intrajoint injections, diathermy and others), but few studies have used correct methodology, as pointed out by Ogilvie-Harris and Gilbart [22] and Kannus and Renström [15]. The majority of randomized prospective studies conclude that conservative treatment, particularly functional conservative treatment, gives better results than immediate surgical repair [2,11,15,18,19,27,31], surgery being reserved for recurrent injuries. However, Bröstrom's classic paper in 1966 [2] reported 3% problems after surgical repair and 20% after functional treatment.…”

Section: Jordi Ardèvol Ignasi Bolíbar Víctor Belda Sílvia Argilagamentioning

confidence: 99%

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Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment

Ardèvol

Bolíbar

Belda³

et al. 2002

Knee Surgery, Sports Traumatology, Arthroscopy

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This study compared the therapeutic efficacy between cast immobilization and functional treatment of grade III ruptures of the lateral ankle ligaments. Subjects ( n=121) had closed physeal cartilage, age under 35 years, grade III rupture without previous or associated injuries, and practiced regular sports. Patients were randomized into an immobilization group (21 days plaster cast) or a functional one (15 days strapping plus early controlled mobilization). Symptoms (pain, swelling, stiffness, subjective instability), joint laxity, return to preinjury activity (time and level) and rate of reinjury were assessed 3, 6, and 12 months after sprain. Objective joint laxity was related to constitutional laxity, creating a new variable [talar tilt at injury - talar tilt at control]/contralateral talar tilt. The functional group showed significantly earlier and better return to physical activity, fewer symptoms at 3 and 6 months but no intergroup difference at 12 months. Functional treatment also showed better decrease in joint laxity. No intergroup differences were found in the reinjury rate. We conclude that functional treatment is safe, associated with a more rapid recovery, and particularly suitable in athletic populations.

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Section: Discussionmentioning

confidence: 49%

Section: Jordi Ardèvol Ignasi Bolíbar Víctor Belda Sílvia Argilagamentioning

confidence: 99%

Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment

Ardèvol

Bolíbar

Belda³

et al. 2002

Knee Surgery, Sports Traumatology, Arthroscopy

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“…In about 10% to 15% of all inversion injuries, there is rupture of the lateral ligaments of the ankle with involvement of the anterior talofibular ligament. 7,8 In order to assist in the precise diagnosis, various diagnostic methods are available which are more or less invasive. Diagnosis by means of delayed examination has a high sensitivity and specificity.…”

mentioning

confidence: 99%

Operative and functional treatment of rupture of the lateral ligament of the ankle

Pijnenburg

Bogaard

Krips

et al. 2003

The Journal of Bone and Joint Surgery. British volume

128

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Consecutive patients with a confirmed rupture of at least one of the lateral ligaments of the ankle were randomly assigned to receive either operative or functional treatment. They were evaluated at a median of 8 years (6 to 11). In total, 370 patients were included. Follow-up was available for 317 (86%). Fewer patients allocated to operative treatment reported residual pain compared with those who had been allocated to functional treatment (16% versus 25%, RR 0.64, CI 041 to 1.0). Fewer surgically-treated patients reported symptoms of giving way (20% versus 32%, RR 0.62, CI 0.42 to 0.92) and recurrent sprains (22% versus 34%, RR 0.66, CI 0.45 to 0.94). The anterior drawer test was less frequently positive in surgically-treated patients (30% versus 54%, RR 0.54, CI 0.41 to 0.72). The median Povacz score was significantly higher in the operative group (26 versus 22, p < 0.001). Compared with functional treatment, operative treatment gives a better long-term outcome in terms of residual pain, recurrent sprains and stability.

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Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults

Kerkhoffs

Handoll

Bie

et al. 2002

Cochrane Database of Systematic Reviews

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Study on Clinical Diagnosis and Treatment of Lateral Ligament Lesion of the Ankle Joint

Cited by 13 publications

References 0 publications

Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment

Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment

Operative and functional treatment of rupture of the lateral ligament of the ankle

Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults

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