Europe

Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline

Summary

An evidence-based, multidisciplinary guideline for all care providers (e.g., family and sports physicians, physiotherapists and occupational therapists, orthopaedic and trauma surgeons, radiologists) involved in the management of lateral ankle injuries. This guideline provides recommendations for the diagnosis, treatment, and prevention of recurrence of lateral ankle injury. Key diagnostic recommendations: 1. Use of the Ottawa Ankle Rules, developed to rule out fractures following acute ankle injury, is strongly recommended in both the emergency department and in general practice. 2. Patients should be re-examined 4 to 5 days after the trauma in order to conclusively diagnose an ankle ligament rupture. If a haematoma develops, and patients experience local pain on palpation and/or a positive anterior drawer test is present, ligament rupture is very likely.

North America

Diagnosis and treatment of acute Achilles tendon rupture

Summary

Guideline based on a systematic review of published literature on the management of acute Achilles tendon rupture in adults.

Hip and groin disorders

Summary

Recommendations on various types of hip and groin disorders.

Ankle sprains in the paediatric athlete

Summary

The guideline describes examination findings consistent with ankle sprain in young people and recommends using the Ottawa ankle rules for x-ray examination. [27]