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The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available
Introduction: Ankle sprains remain the single most frequent injury in modern sports with increasing evidence that it is not as innocuous as previously thought. Conservative treatment options include various forms of immobilization such as casts, moonboots and stirrup braces, followed by a rehabilita...
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| Format: | Thesis |
| Language: | English |
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Division of Orthopaedic Surgery
2021
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| _version_ | 1867614371445735424 |
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| access_status_str | Open Access |
| author | Wever, Stefan |
| author2 | McCollum, Graham |
| author_browse | McCollum, Graham Wever, Stefan |
| author_facet | McCollum, Graham Wever, Stefan |
| author_sort | Wever, Stefan |
| collection | Thesis |
| description | Introduction: Ankle sprains remain the single most frequent injury in modern sports with increasing evidence that it is not as innocuous as previously thought. Conservative treatment options include various forms of immobilization such as casts, moonboots and stirrup braces, followed by a rehabilitation period involving different modalities. Despite clinical evidence there seems to be a divergence between research and practice with an increase in acute surgical repair especially with regards to professional athletes. Design: Descriptive cross-sectional survey analysis Aim of the study: To assess the approach on management of acute ankle sprains by orthopaedic surgeons in South Africa. Methods: A two part study. Firstly, a questionnaire was emailed to participating orthopaedic surgeons, consisting of eight treatment options for a grade 3 lateral ankle sprain in a non-professional athlete. Secondly, a literature review to establish the current best practice concerning ankle sprain management. Results: The total number of respones where 129 out of 719 that were sent out. Surgical repair was offered in 24 (19%). Conservative treatment including either cast or moonboot for a period of 6 weeks was chosen by 49 (38%) and 2 to 4 weeks by 55 (43%) as their preferred treatment. Only 39 (30%) of responding SAOA members chose a short period of immobilization followed by functional rehabilitation in accordance with the current best evidence available, based on the literature review done. Conclusion: Despite good clinical evidence there seem to be a lack of consensus in the management of grade 3 lateral ankle sprains. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/33083 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:50:58.999Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Division of Orthopaedic Surgery |
| publisherStr | Division of Orthopaedic Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/33083 The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available Wever, Stefan McCollum, Graham Orthopaedic Surgery Introduction: Ankle sprains remain the single most frequent injury in modern sports with increasing evidence that it is not as innocuous as previously thought. Conservative treatment options include various forms of immobilization such as casts, moonboots and stirrup braces, followed by a rehabilitation period involving different modalities. Despite clinical evidence there seems to be a divergence between research and practice with an increase in acute surgical repair especially with regards to professional athletes. Design: Descriptive cross-sectional survey analysis Aim of the study: To assess the approach on management of acute ankle sprains by orthopaedic surgeons in South Africa. Methods: A two part study. Firstly, a questionnaire was emailed to participating orthopaedic surgeons, consisting of eight treatment options for a grade 3 lateral ankle sprain in a non-professional athlete. Secondly, a literature review to establish the current best practice concerning ankle sprain management. Results: The total number of respones where 129 out of 719 that were sent out. Surgical repair was offered in 24 (19%). Conservative treatment including either cast or moonboot for a period of 6 weeks was chosen by 49 (38%) and 2 to 4 weeks by 55 (43%) as their preferred treatment. Only 39 (30%) of responding SAOA members chose a short period of immobilization followed by functional rehabilitation in accordance with the current best evidence available, based on the literature review done. Conclusion: Despite good clinical evidence there seem to be a lack of consensus in the management of grade 3 lateral ankle sprains. 2021-03-03T01:42:47Z 2021-03-03T01:42:47Z 2020 2021-03-02T19:23:57Z Master Thesis Masters MMed http://hdl.handle.net/11427/33083 eng application/pdf Division of Orthopaedic Surgery Faculty of Health Sciences |
| spellingShingle | Orthopaedic Surgery Wever, Stefan The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| thesis_degree_str | Master's |
| title | The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| title_full | The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| title_fullStr | The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| title_full_unstemmed | The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| title_short | The Management of acute lateral ankle sprains: A survey of South African Surgeons and best evidence available |
| title_sort | management of acute lateral ankle sprains a survey of south african surgeons and best evidence available |
| topic | Orthopaedic Surgery |
| url | http://hdl.handle.net/11427/33083 |
| work_keys_str_mv | AT weverstefan themanagementofacutelateralanklesprainsasurveyofsouthafricansurgeonsandbestevidenceavailable AT weverstefan managementofacutelateralanklesprainsasurveyofsouthafricansurgeonsandbestevidenceavailable |