Acute Ankle Sprain Management

[alophysio]

Thanks - unfortunately it only includes articles up to 2001 it seems...

[sports-therapy]

Hi I am writing up notes on a case study for an assignment;

The patient was a rugby player with severe swelling around the ankle and diagnosed with a Grade II atfl sprain, however due to there lack of rehabilitation ( the patients choice) they experienced instability in the ankle.... after a period of a few weeks as they continued to train and play without the ankle being supported inversion happened leading to a tib/fib fracture and internal fixation used in the ankle.... almost a yr later the ankle is going through the rehab ie.Proprioception, strengthening and increased ROM exercises that should have taken part in the beginning.

I was wondering peoples thoughts on if the ATFL sprain could have predisposed the fracture??

Thanks

[mIrAge]

Concurrent tibial and fibular fracture affecting the syndesmosis requires a considerable amount of trauma. Doubt that your patient could have avoided it with adequate rehab of his previous injury. I guess I can only be corrected until someone comes up with a solid piece of evidence to suggest otherwise