Acute ankle sprain: is there a best support?

摘要

OBJECTIVE: Acute lateral ankle sprain accounts for 85% of all sprains, being generally accepted as the most common sports-related ligamentous injury. There is a lack of consensus about the optimal management of these injuries despite their frequency. The time-honoured mantra of rest, ice, elevation and compression is still commonly used, even though the current evidence for compression is conflicting. METHODS: A prospective randomized controlled clinical trial was carried out in the emergency department of a regional hospital in Ireland to compare outcomes, in terms of ankle function, pain improvement and return-to-work times, in adults presenting within 24 h of first-time acute lateral ankle sprain, among three external supports. RESULTS: We found no statistically significant differences among all three treatments in terms of ankle joint function, using the Karlsson ankle function scale, at 10 or 30-days follow-up. There was a tendency for Elastoplast bandaging to provide better average ankle function at both time points, when compared with double tubigrip and no support. Participants returned to work an average 2 days earlier, if treated with Elastoplast. CONCLUSION: This study found no statistically significant difference in ankle function between double tubigrip bandage, Elastoplast bandage and no support at 10 or 30-days follow-up.