Posts: 3,675,937
Threads: 734,344
Joined:
Sep 2021
Reputation:
5
A 20-year-old man comes to the health center because of ankle pain. Two days ago he sustained an inversion injury of his left ankle in a basketball game. He has been able to walk unassisted since the injury. Today he has pain and moderate swelling and discoloration over the lateral malleolus. Physical examination shows tenderness on palpation over the anterolateral corner of the ankle joint. He has had two similar injuries in the past. Which of the following is the most appropriate initial management? A) An ankle-strengthening exercise program B) Application of a long-leg cast for 3 weeks C) Application of a short-leg cast for 3 weeks D) Protected weight bearing [E) Surgical repair of the ankle ligaments] ...it should be NBME question ...
Posts: 3,675,937
Threads: 734,344
Joined:
Sep 2021
Reputation:
5
This is grade 2 sprain:
Moderated tenderness and swelling
Decreased range of motion
Possible instability
i will pick D as my best choice in this question
but usually the treatment is immobilization with air splint. Physical therapy with range-of-motion and stretching/ strengthening exercises
Posts: 3,675,937
Threads: 734,344
Joined:
Sep 2021
Reputation:
5
C..
This will ensure that the patient rests the leg.
Posts: 3,675,937
Threads: 734,344
Joined:
Sep 2021
Reputation:
5
yup protected weight bearing at present until swelling subsides...splinting can be done but no cast is indicated for ankle sprain....after selling subsides ...graded exercises by physiotherapy and ankle strenthening exercises.
