Systematic Ultrasound in the Initial Assessment of Ankle Sprain

Hopital Nord Franche-Comte60 enrolled

Overview

Ankle sprains are the most frequently encountered trauma in emergency and general medicine. Lateral ankle sprain injuries have the highest relapse rate of all musculoskeletal injuries of the lower limbs. Optimal initial management is essential for a successful return to previous condition, with the aim of preventing chronic ankle instability, chronic pain, stiffness or recurrence. One of the 13 physicians at our facility routinely performs an ultrasound routinely scan during the second consultation to assess the severity of the sprain. We would therefore like to evaluate whether the performance of this examination at the time of clinical reassessment is associated with a better prognosis at 3 months post-trauma.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Ankle Sprain

Eligibility

Sex: ALLMin age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinical diagnosis of ankle sprain made during a preliminary prior consultation * Patients undergoing re-evaluation of sprain severity, between D3 and D6 of trauma Exclusion Criteria: * Medial sprain * Sprain recurrence \<6 months * Age \< 15 years * Radiographic fracture confirmed on an X-ray performed between initial diagnosis and re-evaluation visit * History of hyperlaxity syndrome

Locations (1)

Maison Médicale des Bords de Seille

Bletterans, France

Outcomes

Primary Outcomes

Value of systematic ultrasound in the initial assessment of ankle sprains on patients' quality of life and sporting activities at 3 months post-injury trauma.

Comparison of ankle-specific quality of life in terms of activities of daily living and sporting activities. This criterion will be measured using the FAAM (Foot and Ankle Ability Measure), a specific questionnaire functional evaluation of the ankle in these activities.

Time frame: 3 months