ChiroACCESS
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Lateral Ankle Sprain: Diagnosis [Clinical Review Discussion]
Thursday, July 08, 2010 9:24 AM
( permalink)
Ankle injuries are responsible for 15% of all sports injuries (1) and are commonly encountered in practice. The diagnostic difficulties surrounding grading of the injury and ruling out fracture are the greatest challenges to the physician. Many of the articles located are “how to” articles and the author’s comments appear very strong in support of certain diagnostic procedures. However there is very little in the literature that demonstrates sensitivity and specificity of standard diagnostic procedures, particularly related to partial ligament tears and ruptures.
The reader should also be aware that van Dijk et al (2) reported delayed examination at five days provided more accurate findings than examination performed within 48 hours of the injury. When combining all clinical testing and history, specificity was 84% and sensitivity was 96% at 5 days.
Full Clinical Review - Lateral Ankle Sprain: Diagnosis Please use this thread to discuss this clinical review
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