Ankle Sprain Treatments
Eiff MP, Smith AT, Smith GE Early mobilization versus immobilization in the treatment of lateral ankle sprains. Am J Sports Med 22 83, 1994. 23. Dupont M, Beliveau P, Theiriault G The efficacy of antiinflammatory medication in the treatment of the acutely sprained ankle. Am J Sports Med 15 41, 1987. 24. Williamson JB, George TK, Simpson DC, et al Ultrasound in the treatment of ankle sprains. Injury 17 176, 1986.
What biomechanical principle do you think is more important in rehabilitating from an ankle sprain, Balance or Range of Motion 6. You are an trainer working with an athlete recovering from a third-degree ankle sprain. You and the athlete are deciding whether to use athletic tape or an ankle brace. What does a qualitative biomechani-
The need for analgesia should always be addressed. As individual perception of pain varies, a simple ankle sprain may only require an elastic bandage or acetaminophen in most patients, while some will require oral narcotics. Although some studies suggest that the anti-inflammatory effect of NSAIDs is useful in treating ligamentous injuries,18 other studies suggest that there is no benefit.23 Patients who are in significant distress or who should be kept NPO because of anticipated surgery require parenteral analgesia.
The inked footprints and the foot molds were compared with the foot images present on the sock liners of the questioned shoes. The pair of shoes recovered from the trunk of the vehicle appeared to be the shoes that left the impressions at the crime scene. The suspects denied that these were their shoes. These shoes, in fact, were comparable to the foot size of the suspects. (The third suspect was not involved in the actual murder but was standing by at the car. She happened to be wearing a walking cast after sustaining a sprained ankle several days before the crime was committed and was wearing a shoe on her other foot. Her shoes were approximately two sizes larger than the questioned shoes.) Using comparisons of the known exemplars to the questioned sock liners and other footwear components, in addition to the biomechanical findings, foot measurements, and pathologic changes noted, a conclusion in the affirmative was made.
LIGAMENTOUS SPRAINS Lateral Ligament Complex Sprains of the lateral ankle are the most common ankle injury, and the great majority are minor. The classification systems for ligamentous injuries to the lateral ankle are quite confusing. Older texts describe a purely anatomic classification scheme A grade 1 injury is described as a complete rupture of one ligament and a grade 3 injury is a complete disruption of the three-ligament complex. More recent articles describe a more functional system In this scheme, patients with grade 1 injuries have microscopic tears of the ligament, minimal swelling, normal findings on stress testing, and the ability to bear weight. Grade 2 injuries have a partial disruption of the ligament, significant swelling, indeterminant results on stress testing, and difficulty bearing weight. The ankle with a grade 3 injury has a ruptured ligament, swelling and ecchymosis, abnormal results on stress testing, and the inability to bear weight. These two classification...