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Clinical Decision Making
2
Clinical Decision Making
Grade 1 Lateral Ankle Srain
vs
Grade 1 MCL of the Knee Sprain
Grade 1 MCL Spain
(knee)
Grade 1 Ankle Sprain
by Brittany James
Anatomy involved
Stability
Early ROM
Gait
- Anatomy involved
- Stability
- Early ROM
Other Consideration
Other Considerations
References
Time loss normally a week or less
History
Gait
TSK-11 Score
ROM
1. Polzer H, Kanz KG, Prall WC, et al. Diagnosis and treatment of acute ankle injuries: development of an evidence-based algorithm. Orthop Rev. 2011;4(1):5. doi:10.4081/or.2012.e5
2. Roach CJ, Haley CA, Cameron KL, Pallis M, Svoboda SJ, Owens BD. The Epidemiology of Medial Collateral Ligament Sprains in Young Athletes. Am J Sports Med. 2014;42(5):1103-1109. doi:10.1177/0363546514524524
3. Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The Epidemiology of Lateral Ligament Complex Ankle Sprains in National Collegiate Athletic Association Sports. Am J Sports Med. 2017;45(1):201-209. doi:10.1177/0363546516660980
4. Golanó P, Vega J, de Leeuw PAJ, et al. Anatomy of the ankle ligaments: a pictorial essay. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):557-569. doi:10.1007/s00167-010-1100-x
5. Inoue M, McGurk-Burleson E, Hollis JM. Treatment of the medial collateral ligament injury. :7.
6. Chinn L, Hertel J. Rehabilitation of Ankle and Foot Injuries in Athletes. Clin Sports Med. 2010;29(1):157-167. doi:10.1016/j.csm.2009.09.006
Time loss is typically around 23 days
History
Gait
TSK-11 Score
ROM
Grade 1 MCL
Grade 1 Ankle
-Stability (Poor)
- Limited ROM
- Decreased Strength
-Full ROM needed
- Gait
- Balance
-Hx
-Stability (High)
- Early ROM
- Anatomy
- Strength Normal