Department of Nursing and Podiatry, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación campus de Teatinos, Málaga, Spain.
Department of Human Anatomy, Legal Medicine and History of Science, Faculty of Medicine, University of Málaga, Málaga, Spain.
Medicine (Baltimore). 2022 Oct 21;101(42):e31087. doi: 10.1097/MD.0000000000031087.
The lateral sprain of the ankle is a very frequent injury in the population in general, appearing in the emergency services frequently. The general objective was to review the current clinical practice guidelines (CPGs) on management and treatment of ankle sprains, assess their quality, analyze the levels of evidence and summarize the grades of recommendation.
A systematic search of the literature in relevant databases with the search terms "ankle," "sprain," "practice guideline," and "guideline" was carried out. There were included those guidelines that had the system of grades of recommendation and level of evidence concerning to management and treatment of ankle sprain. The quality of the guides was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
Seven clinical practice guides were included in this review. The AGREE II scores ranged from 42% to 100%, with only six CPGs explicitly declaring the use of a systematic methodology. Seventeen recommendations were extracted and summarized.
Six of the recommendations analyzed present enough evidence to be applied in clinical practice and are highly recommended for ankle sprain management: Ottawa rules, manual therapy, cryotherapy, functional supports, early ambulation, short term NSAIDs and rehabilitation.
踝关节外侧扭伤在一般人群中是一种非常常见的损伤，在急诊中经常出现。总体目标是回顾现有的踝关节扭伤管理和治疗的临床实践指南（CPG），评估其质量，分析证据水平并总结推荐等级。
通过搜索相关数据库中的文献，使用“脚踝”、“扭伤”、“实践指南”和“指南”等关键词进行系统搜索。纳入了那些有关踝关节扭伤管理和治疗的具有推荐等级和证据水平系统的指南。使用评估指南研究和评估 II（AGREE II）工具评估指南的质量。
本综述纳入了 7 项临床实践指南。AGREE II 评分范围从 42%到 100%，只有 6 项 CPG 明确声明使用了系统方法。共提取并总结了 17 条建议。
分析的 6 条建议有足够的证据可应用于临床实践，并强烈推荐用于踝关节扭伤管理：渥太华规则、手法治疗、冷敷、功能支撑、早期活动、短期 NSAIDs 和康复。
