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Evidence-based Treatment of Acute Lateral Ankle Sprain
J Korean Foot Ankle Soc 2018;22:135-144
Published online December 15, 2018;
© 2018 Korean Foot and Ankle Society

Byung-Ki Cho

Department of Orthopedic Surgery, Chungbuk National University College of Medicine, Cheongju, Korea
Correspondence to: Byung-Ki Cho
Department of Orthopedic Surgery, Chungbuk National University Hospital, 776 1sunhwan-ro, Seowon-gu, Cheongju 28644, Korea
Tel: 82-43-269-6077, Fax: 82-43-274-8719, E-mail:
Received September 18, 2018; Revised October 26, 2018; Accepted November 6, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Acute lateral ankle sprain, which is the most common musculoskeletal injury, can be treated effectively with appropriate evidence-based initial care using PRICE (protection, rest, ice, compression, and elevation) and functional rehabilitation. Many systemic reviews reporting a high-level of evidence supporting the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprain have been insufficient. Regardless of the severity of ligament complex injuries, the surgical treatment for acute lateral ankle sprain without concomitant pathologies is not recommended and should be considered only in young professional athletes with complete ligament rupture (grade III) and severe instability.
Keywords : Ankle, Sprain, Treatment, Evidence-based

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