M W Cooke1, S E Lamb, J Marsh, J Dale. 1. Centre for Primary Health Care Studies, University of Warwick, UK. matthew.cooke@warwick.ac.uk
Abstract
OBJECTIVE: To determine current consultant practice in larger UK emergency departments in the management of severe ankle sprains. DESIGN: Questionnaire study to all UK emergency departments seeing more than 50 000 new patients per year. RESULTS: 70% response rate. Most popular treatment was ice, elevation, Tubigrip, and exercise, each of which was reported as used in most cases by over 70% of respondents. Crutches, early weight bearing, and non-steroidal anti-inflammatory drugs were each reported as used in most cases at over half of responding departments. Physiotherapy was usually only used in selected cases. Rest was usually advised for one to three days (35%). Follow up was only recommended for selected patients. CONCLUSIONS: The results of this survey suggest that there is considerable variation in some aspects of the clinical approach (including drug treatment, walking aids, periods of rest) taken to the management of severe ankle sprains in the UK, although in some areas (for example, not routinely immobilising, early weight bearing as pain permits, use of physiotherapy, use of rest, ice, and elevation) there was concordance.
OBJECTIVE: To determine current consultant practice in larger UK emergency departments in the management of severe ankle sprains. DESIGN: Questionnaire study to all UK emergency departments seeing more than 50 000 new patients per year. RESULTS: 70% response rate. Most popular treatment was ice, elevation, Tubigrip, and exercise, each of which was reported as used in most cases by over 70% of respondents. Crutches, early weight bearing, and non-steroidal anti-inflammatory drugs were each reported as used in most cases at over half of responding departments. Physiotherapy was usually only used in selected cases. Rest was usually advised for one to three days (35%). Follow up was only recommended for selected patients. CONCLUSIONS: The results of this survey suggest that there is considerable variation in some aspects of the clinical approach (including drug treatment, walking aids, periods of rest) taken to the management of severe ankle sprains in the UK, although in some areas (for example, not routinely immobilising, early weight bearing as pain permits, use of physiotherapy, use of rest, ice, and elevation) there was concordance.
Authors: Rocco de Ruvo; Giuseppe Russo; Francesco Lena; Giuseppe Giovannico; Christoper Neville; Andrea Turolla; Monica Torre; Leonardo Pellicciari Journal: J Clin Med Date: 2022-08-22 Impact factor: 4.964
Authors: Cailbhe Doherty; Eamonn Delahunt; Brian Caulfield; Jay Hertel; John Ryan; Chris Bleakley Journal: Sports Med Date: 2014-01 Impact factor: 11.136
Authors: Phillip A Gribble; Eamonn Delahunt; Christopher M Bleakley; Brian Caulfield; Carrie L Docherty; Daniel Tik-Pui Fong; François Fourchet; Jay Hertel; Claire E Hiller; Thomas W Kaminski; Patrick O McKeon; Kathryn M Refshauge; Philip van der Wees; William Vicenzino; Erik A Wikstrom Journal: J Athl Train Date: 2013-12-30 Impact factor: 2.860