Clinical and radiological predictors for persistent complaints five years after a lateral ankle sprain: A long-term follow-up study in primary care. Issue 3 (March 2018)

• Record Type: Journal Article
• Authors: Mailuhu, Adinda K.E.; Oei, Edwin H.G.; van Putte-Katier, Nienke; van Ochten, John M.; Bindels, Patrick J.E.; Bierma-Zeinstra, Sita M.A.; van Middelkoop, Marienke
• Is Part Of: Journal of science and medicine in sport. Volume 21:Issue 3(2018)
• Page Start: 250
• Page End: 256
• Publication Date: 2018-03
• Subjects: Ankle -- Ankle ligaments -- Imaging and radiology -- General -- Imaging -- Magnetic resonance; Sports sciences -- Periodicals; Sports medicine -- Periodicals; Exercise -- Physiological aspects -- Periodicals; Sports -- physiology -- Periodicals; Sports Medicine -- Periodicals; Sportgeneeskunde; 617.102705
• DOI: 10.1016/j.jsams.2017.07.005
• Languages: English
• ISSNs: 1440-2440

Abstract

Abstract: Objectives: To examine the five-year prognosis and potential prognostic factors of patients with an acute lateral ankle sprain in primary care setting. Design: Observational study. Methods: 206 patients who participated in a cross-sectional study and visited their general practitioner with an acute lateral ankle sprain 6–12 months prior to inclusion were approached for a 5-year follow-up measurement consisting of an online questionnaire. At baseline patients completed standardized questionnaires, underwent a standardized physical examination and radiological examination ( radiography and Magnetic Resonance Imaging ) and scored their perceived recovery. Logistic regression analysis was used to examine potential predictive factors at baseline for the presence of persistent complaints after 5 years. Results: 132 (64.1%) patients completed the 5-year follow-up. 18.2% reported persistent complaints and 30.3% had a re-sprain during follow-up. Baseline persistent complaints 6–12 months after an acute lateral ankle sprain (OR 6.38; CI 95% 1.54–26.44), dominant leg injury (OR 4.89; CI 95% 1.16–20.62) and a recurrent ankle sprain (OR 9.81; CI 95% 2.17–44.47) were significant predictors for persistent complaints 5 years after an acute ankle sprain. Physical examination and radiological findings did not add to the predictive value of the prognostic model. Conclusions: Almost 20% of patients with an acute lateral ankle sprain experience persistent complaints after 5 years follow-up. Predictive factors for persistent complaints can be identified.