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OUTCOME OF NON-SURGICAL TREATMENT OF ANKLE SPRAIN AT VIETNAM LEVEL 2 FIELD HOSPITAL IN SOUTH SUDAN
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Abstract
Introduction: An ankle sprain is defined as an injury of the lateral ligament complex of the ankle joint. The injury is commonly managed by immobilization, non-surgical treatment, and surgical intervention. An ankle sprain is accounted for a high proportion of the injuries that are treated at Vietnam Level 2 Field Hospital. Objectives: To assess the efficacy of non-surgical treatment in the management of ankle sprain. Subjects and methods: A non-controlled cross-sectional descriptive study on 42 adult patients with a unilateral ankle sprain, treated at Vietnam Level 2 Field Hospital at Bentiu in South Sudan. A complete general and local examination was performed. The radiographs were taken to exclude fractures. The local examination was repeated 5 days after the injury. Patients with grade I sprain were not included in the study. All the patients with grade II and III ankle sprain were offered functional treatment. Results: Out of 42 patients, there are 30 males (71.4%) and 12 females (18.6%). The age range was between 24 to 45 years, and the mean age was 31 ± 2,4. 34 patients (80.9%) were diagnosed as having Grade II and 8 patients (19.1%) as having Grade III sprain. At the start of treatment, the pain was severe in all cases, and the movements at the ankle joint were limited and painful. Anterior drawer test was positive in 8 patients (19.1%). At the end of 8 weeks, 38/42 patients (90.5%) were pain-free with no swelling and a full range of movement at the ankle joint and claimed maximum satisfaction. At 12 weeks, all the patients were fully recovered and satisfied with the treatment. Conclusion: For grade II and III ankle sprain, non-surgical treatment at Vietnam Level 2 Field Hospital offers early recovery and good results.
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Keywords
Ankle sprain, Non-surgical treatment, Vietnam Level 2 Field Hospital
References
2. Faraji E., Daneshmandi H., Atri A.E., Onvani V., Namjoo F.R. (2012 Dec). Effects of prefabricated ankle orthoses on postural stability in basketball players with chronic ankle instability. Asian J Sports Med; 3(4): 274-278.
3. Kerkhoffs G. M., Handoll H. H., de Bie R., et al (2007). Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults. Cochrane Database Syst Rev; (2): CD000380.
4. Lionberger (2011). Diclofenac epolamine topical patch relieves pain associated with ankle sprain. J Pain Research; 4: 47-53.
5. De Vries J. S., Krips R., Sierevelt I. N., et al (2006). Interventions for treating chronic ankle instability. Cochrane Database Syst Rev; 4: CD004124.
6. Frey C., Bell J., Teresi L., et al (1996). A comparison of MRI and clinical examination of acute lateral ankle sprains. Foot Ankle Int; 17: 533.
7. Eiff M. P., Smith A. T., Smith G. E. (1994). Early mobilization versus immobilization in the treatment of lateral ankle sprains. The American Journal of Sports Medicine; 22(1): 83-88.
8. Kannus P., Renstrom P. (1991). Current concepts review: Treatment for acute tears of the lateral ligaments of the ankle. J Bone Joint Surg; 73A: 305.
9. Kerkhoffs G. M., Rowe B. H., Assendelft W. J., et al (2002). Immobilization and functional treatment for acute lateral ankle ligament injuriesin adults. Cochrane Database Syst Rev. (3): CD003762. Review. Update in: Cochrane Database Syst Rev. 2013;3: CD003762.
10. Ardevol J., Bolibar I., Belda V. (2002). Treatment of complete rupture of the lateral ligaments of the ankle: A randomized clinical trial comparing cast immobilization with functional treatment. Knee Surg Sports Traumatol Arthrosc; 10: 371-377.
11. Kaikkonen A., Lehtonen H., Kannus P. (1999). Long-term functional outcome after surgery of chronic ankle instability: A 5-year follow-up study of the modified Evans procedure. Scand J Med Sci Sports; 9(4): 239-244.