BACKGROUND The Low Risk Ankle Rule is a validated clinical decision rule that has the potential to safely reduce radiography in children with acute ankle injuries. We performed a phased implementation of the Low Risk Ankle Rule and evaluated its effectiveness in reducing the frequency of radiography in children with ankle injuries. METHODS Six Canadian emergency departments participated in th...

BACKGROUND Some sports, for example basketball and soccer, have a very high incidence of ankle injuries, mainly sprains. This contributes to ankle sprains being one of the most commonly treated injuries. OBJECTIVES To assess the effects of interventions used for the prevention of ankle ligament injuries or sprains in physically active individuals from adolescence to middle age. SEARCH STRAT...

Inversion injuries to the ankle and foot are a highly common presentation in both the emergency room and the practitioner's office. Because of its frequency the condition has been historically under diagnosed and under treated. Most often, the patient presents with a swollen, tender, and occasionally ecchymotic area after having twisted the ankle in an inversion direction. The most common injur...

BACKGROUND Sports ankle injuries present commonly in the general practice setting. The majority of these injuries are inversion and plantar flexion injuries that result in damage to the lateral ligament complex. OBJECTIVE The aim of this article is to review the assessment and management of sports ankle injuries in the general practice setting. DISCUSSION Assessment of an ankle injury begin...

BACKGROUND Ankle pain and swelling following sports injuries are common presenting complaints to the accident and emergency department. Frequently these are diagnosed as musculoskeletal injuries, even when no definitive cause is found. Vascular injuries following trauma are uncommon and are an extremely rare cause of ankle swelling and pain. These injuries may however be limb threatening and ar...

A thorough knowledge of foot and ankle anatomy is required to allow an accurate and focused examination of the injured athlete. This short review has attempted to educate the treating physician on our approach to foot and ankle injuries commonly seen in athlete. We have tried to elucidate less common injuries that present in similar manner to the more common foot and ankle sprains and strains.

The National Collegiate Athletic Association (NCAA) published the latest results from the spring 2001 sports season with injuries to the ankle being in the top three most prevalent in softball, spring football, and men’s and women’s lacrosse. However, injuries to the ankle are no fault of the sport, but rather due to the structural properties of the ankle mortise, which make it more susceptible...

BACKGROUND Foot and ankle injuries account for a large proportion of Emergency Department attendance. The aim of this study was to assess population-based trends in attendances due to foot and ankle injuries in the Netherlands since 1986, and to provide a detailed analysis of health care costs in these patients. METHODS Age- and gender-standardized emergency attendance rates and incidence rat...

Physician awareness of ankle syndesmosis injuries is improving. The anatomy involved and the mechanism of injury are extremely relevant for the understanding and treatment of this type of injury. Examination under anesthesia may confirm the syndesmosis instability. Based on those findings, stabilization is the recommended approach.