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Evidence-Based Medicine 2007;12:48; doi:10.1136/ebm.12.2.48
Copyright © 2007 by the BMJ Publishing Group Ltd.
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Therapeutics

The Air-Stirrup brace with elastic wrap improved function in first incident grade 1 or 2 lateral ankle ligament sprain

Beynnon BD, Renstrom PA, Haugh L, et al. A prospective, randomized clinical investigation of the treatment of first-time ankle sprains. Am J Sports Med 2006;34:1401–12.[Abstract/Free Full Text]

Q In patients with first incident grade 1, 2, or 3 lateral ankle ligament sprain, how do different treatments compare?

Clinical impact ratings GP/FP/Primary care ******{star} Emergency medicine ******{star} Surgery—orthopaedics ******{star}

Key Words: lateral ligament (ankle) • ankle injuries • sprains and strains

The first 150 words of the full text of this article appear below.

METHODS
Formula Design: randomised controlled trial.

Formula Allocation: {allocation concealed}*.{dagger}

Formula Blinding: {unblinded}*.{dagger}

Formula Follow up period: 21 days or until recovery.

Formula Setting: sports medicine clinic at the University of Vermont, USA.

Formula Patients: 212 patients 16–61 years of age without congenital or degenerative conditions and presenting to the sports medicine clinic within 72 hours of an initial ankle injury. Patients were classified by severity of ankle injury—grade 1 (n = 64), 2 (n = 116), or 3 (n = 32) —and then randomised to treatment groups. Exclusion criteria were abnormal gait before injury, previous ankle sprain, current or previous ankle fracture, syndesmosis injury, burns, lacerations, puncture wounds, open tibial epiphyses, chronic illness, metabolic or neurological disease, pregnancy, or unwillingness to adhere to therapy.

Formula Intervention: grade 1 patients were allocated to (i) elastic wrap (EW) (Ace), (ii) Air-Stirrup (AS) ankle brace (Aircast Inc, Summit, NJ, USA), or (iii) both EW plus AS. Grade 2 . . . [Full text of this article]

Katherine Margo, MD

University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania, USA


Related Article

Other articles noted
Evid. Based Med. 2007 12: 63-64. (in ) [Extract] [Full Text] [PDF]





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