Lateral Ankle Sprain Clinical Trial
Official title:
Comparative Study of Two Radiological Modalities, Ultrasonography Versus Stress Radiography, in the Urgent Care and Prognosis of Lateral Ankle Sprains.
The aim of our study is to determine the most efficient radiologic examination to assess the ankle sprain seriousness and so improve the therapeutic care.
The lateral ankle sprain is the most frequent purpose of consultation in emergency
traumatology of the locomotive system.
If the ankle sprain is neglected or badly cared, it can induce a recurrence or several
complications particularly functional ones. So a gravity diagnosis is necessary in order to
choose the most accurate treatment.
Considering the difficulty of the clinical estimation, additional examinations aim to
support the positive diagnosis, to clarify the gravity and to dismiss differential
diagnosis.
Thus we suggest to evaluate three strategies in order to get a gravity diagnosis, make a
better choice of treatment and so decrease the long-term functional complications :
instability and recurrence.
The patients are randomly separated into three groups of 130 people. All the patients have a
radiography and then, according to their group, they have either an ultrasonography or an
ultrasonography and a stress radiography or only a stress radiography. The patients are
followed up during two years by sending two questionnaires (CAIT and LEFS) at one and two
years. The functional scores of these questionnaires assess and compare the functional
complications for each group. Thus the radiologic examinations can be assessed in term of
prognosis.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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