Treatment of the high ankle sprain (HAS) is based wholly on observational studies and expert opinion. No RCT’s or cohort studies have been performed to determine efficacy (1). In reading treatment studies it appears the protocols for lateral ankle sprain (LAS) have been adopted for the treatment of HAS. Included in this monograph are sections taken from the LAS review as the information may prove beneficial to the treating physician. The primary difference in the protocols is the phases of treatment tend to last longer in the HAS as the injury tends to have a longer recovery time. Hopkinson et al found a LAS requires on average 28 days to heal while the HAS requires 55 days (2). Confirming this finding was another study which reported the average missed time for National Hockey League players with HAS was 38 days while it was only 1.4 days with lateral ankle sprain (3).
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