Browsing by Subject "Ankle Injuries"

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    Comparison of four evaluation systems used for ankle injuries; [Ayak bilegi hastaliklarinda dört farkli degerlendirme yönteminin karşilaştirilmasi.]
    (2002) Akseki D.; Pinar H.; Bozkurt M.; Yaldiz K.
    OBJECTIVES: Unlike the knee and shoulder, no widely accepted scoring system exists for the ankle joint. The aim of this study was to compare the results of diverse scoring systems used in ankle injuries. METHODS: We compared the results of four evaluation systems used for the ankle including those proposed by (i) Meislin et al. (ME), (ii) Martin et al. (MA), (iii) Kaikkonen and Kannus (KK) and (iv) a modified Bray's system (B). With the use of these evaluation systems we assessed the results of (i) 21 patients who underwent arthroscopic treatment for anterolateral impingement of the ankle, (ii) 17 patients who underwent surgical treatment for bimalleolar ankle fractures, and (iii) 22 patients receiving conservative treatment for grade 2-3 lateral ankle sprains. Statistical analyses were made using the chi-square test. RESULTS: The four scoring systems yielded similar results ranging from 23% to 33% in three groups, whereas conflicting results were obtained in the remaining cases (67% to 77%). The scores indicating poor outcomes were the highest with the ME and MA systems which included more subjective criteria. Similarly, the number of excellent results were significantly lower in these two systems than those of B and KK (p<0.001). CONCLUSION: Due to the high incidence of conflicting results between the scoring systems used, any particular patient may be rated as fair with one system and excellent with another. A standard ankle scoring system requires the inclusion of objective, subjective, and functional criteria, with each patient being evaluated according to individual activity levels as well.
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    Is it possible to decrease skin temperature with ice packs under casts and bandages?
    (2006) Okcu G.; Yercan H.S.
    Introduction: There is a general belief that the presence of a cast or a bandage eliminates the lowering effects of skin temperature when local cold therapy applied on the surface of the cast or bandage. The purpose of this study is to determine the magnitude of temperature changes at the skin of the ankle after the application of frozen ice packs to the surface of various casts and bandages both in normal and swollen ankles. Materials and methods: Thirty-two healthy subjects (Group A) and 12 patients with Grade III inversion type acute ankle sprain (Group B) were randomly divided into four groups. The sensor of the digital thermometer was secured to the ankle over the anterior talo-fibular ligament in every subject before placement of a bandage or cast. Robert Jones bandage, elastic support bandage, a below-knee plaster cast and synthetic below-knee cast were applied in groups 1, 2, 3 and 4, respectively. Two frozen ice packs were placed around the cast or bandage at the level of sensor, and skin temperatures were recorded. Results: The skin temperature under dressings and casts decreased significantly relative to the baseline temperatures with local cold therapy in all groups. The fall in the temperature with cryotherapy in group A showed a three-phase pattern of change between groups 1 and 2, groups 2 and 3 and groups 2 and 4 during the experiment. The fall in the skin temperature with ice packs differed significantly between groups 1 and 3, and also groups 1 and 4 from the beginning till the end of the experiment. There was no significant difference between groups 3 and 4 in terms of skin temperature fall with cryotherapy during the whole experiment. The results were similar in group B. Conclusion: A bandage or cast does not prevent measurable skin temperature lowering by frozen ice packs both in normal and swollen ankles. © Springer-Verlag 2006.
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    Topical ketoprofen versus placebo in children presenting with ankle sprain to the Emergency Department: A randomized controlled study
    (Lippincott Williams and Wilkins, 2020) Serinken M.; Eken C.; Tünay K.; Gölcük Y.
    Objective Despite the favorable data concerning topical agents use in outpatient clinics, they are not commonly in emergency departments (EDs). The present study aimed to compare the effect of 2.5% topical ketoprofen (gel form) to placebo in children presenting with ankle sprain to the ED. Study Design Children between 7 and 18 years old presenting with ankle sprain composed the study population. Study patients were randomized into 2 study arms: 2.5% ketoprofen gel and placebo administered in a 5-cm area locally. Pain improvements at 15 and 30 minutes were measured by visual analog scale. Results Median pain reductions at 15 minutes for ketoprofen and placebo groups were 27.5 (16-39) and 5 (4-10), respectively. Median changes in pain intensity at 30 minutes for ketoprofen and placebo gel groups were 48 (43-52) and 9 (6-16), respectively. When compared 2 arms for the pain improvement at 15 and 30 minutes, the differences between 2 study drugs were 20 (13-28) and 35 (29-41), respectively. There were 7 (12.7%) rescue drug needs in the placebo group and 1 (1.7%) in the ketoprofen group (difference, 10.9%; 95% confidence interval, -6% to 7%; P = 0.83). There were no adverse effects in either group. Conclusions Ketoprofen gel is superior to placebo in ceasing pain in children presenting with ankle sprain to the ED with a high safety profile. © Wolters Kluwer Health, Inc. All rights reserved.