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Prognosis
Review: many adults still have pain and subjective instability at 1 year after acute lateral ankle sprain

https://doi.org/10.1136/ebm.13.6.187

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    R M van Rijn

    Dr R M van Rijn, Erasmus MC, Rotterdam, The Netherlands; r.vanrijn@erasmusmc.nl

    QUESTION

    What is the clinical course of conventionally treated acute lateral ankle sprains in adults?

    REVIEW SCOPE

    Included longitudinal studies of conventionally treated (ie, early mobilisation, sometimes combined with use of an external support) ankle sprains in adults. Outcomes included pain, re-sprains, subjective instability, and subjective recovery.

    REVIEW METHODS

    Medline, CINAHL, EMBASE/Excerpta Medica, PEDro, and Cochrane Controlled Trial register were searched. 31 studies were included, of which 24 had high-quality methods (scores ⩾5 out of 7, or ⩾8 out of 11 for studies of prognostic factors, on author-defined scales).

    MAIN RESULTS

    18 studies assessed pain. In high-quality studies with ⩽3-year follow-up …

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    Footnotes

    • Source of funding: no external funding.