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Consecutive Ankle Sprain Classification and Injury Systematization (CASCaIS), Uma Nova Classificação de Entorse Lateral do Tornozelo Baseada no Teste de Pivot: Estudo Prospetivo de Coorte

dc.contributor.authorGuerra-Pinto, F
dc.contributor.authorCaetano, J
dc.contributor.authorAlƧada, R
dc.contributor.authorBrito Camacho, A
dc.contributor.authorPacheco, J
dc.contributor.authorLacerda, D
dc.contributor.authorAlves-da-Silva, T
dc.contributor.authorCƓrte-Real, N
dc.contributor.authorGuimarães Consciência, J
dc.date.accessioned2024-03-22T21:27:05Z
dc.date.available2024-03-22T21:27:05Z
dc.date.issued2022
dc.description.abstractIntroduction: The biggest challenge in the treatment of acute ankle sprain is the uncertainty of the prognosis. The traditional classifications have several interpretations and little correlation with prognosis. In this study we propose a new classification for acute ankle sprain only based on clinical criteria. Material and methods: We prospectively evaluated all patients with an ankle sprain, aged between 18 and 45 years, admitted to a hospital during a 24 month period. The minimum follow-up period was 12 months. The sprains were classified, in the first few days (CASCaIS-Initial), according to autonomous gait capacity, inspection and palpation. After a few weeks (CASCaIS-Deferred), it was complemented with the mechanical evaluation of ligaments through the ankle pivot test. Results: Among the 49 patients who completed the follow-up, none of those who had a pivot-negative test progressed to chronic ankle instability (CAI). Nine of the 33 patients (27%) with a positive pivot progressed to CAI (p = 0.022). The evaluation of CASCaIS-Deferred demonstrated an association with CAI (p = 0.018). Conclusion: This classification proved to be a simple, inexpensive, and reliable tool that clinicians can use to determine the prognosis of the sprain.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port . 2022 Jul 1;35(7-8):566-577.pt_PT
dc.identifier.doi10.20344/amp.13804pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/50374
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.subjectLesƵes do Tornozelopt_PT
dc.subjectLigamentos Laterais do Tornozelopt_PT
dc.subjectPrognósticopt_PT
dc.subjectAnkle Injuriespt_PT
dc.subjectAnkle Lateral Ligamentpt_PT
dc.subjectPrognosispt_PT
dc.titleConsecutive Ankle Sprain Classification and Injury Systematization (CASCaIS), Uma Nova Classificação de Entorse Lateral do Tornozelo Baseada no Teste de Pivot: Estudo Prospetivo de Coortept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage577pt_PT
oaire.citation.issue7-8pt_PT
oaire.citation.startPage566pt_PT
oaire.citation.titleActa MƩdica Portuguesapt_PT
oaire.citation.volume35pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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