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Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol

Bestwick-Stevenson, Thomas; Wyatt, Laura A.; Palmer, Debbie; Ching, Angela; Kerslake, Robert; Coffey, Frank; Batt, Mark E.; Scammell, Brigitte E.

Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol Thumbnail


Authors

Thomas Bestwick-Stevenson

LAURA WYATT Laura.Wyatt@nottingham.ac.uk
Clinical Trial Manager

Debbie Palmer

Angela Ching

Robert Kerslake

FRANK COFFEY frank.coffey@nottingham.ac.uk
Clinical Consultant To The Postgraduate Clinical Skills Prog

Mark E. Batt

Brigitte E. Scammell



Abstract

Background: Ankle sprains are one of the most common musculoskeletal injuries, accounting for up to 5% of all Emergency Department visits in the United Kingdom. Ankle injury may be associated with future ankle osteoarthritis. Up to 70% of ankle osteoarthritis cases may be associated with previous ankle injury. There is limited research regarding the association between ankle sprain and ankle osteoarthritis development. The current study aims to phenotype those who suffer significant ankle ligament injuries, identify potential risk factors for ankle injuries and subsequent poor recovery, examine why individuals may develop osteoarthritis, and what factors influence this chance. Methods: In this multicentre cohort study participants were recruited from nine Emergency Departments and two Urgent Care Centres in the United Kingdom. Participants (aged 18–70 years old) were defined as those who had suffered an isolated acute ankle sprain, which was Ottawa Ankle Rules positive, but negative for a significant ankle fracture on x-ray. Age and sex matched controls were also recruited. The controls were individuals who had not suffered a significant ankle injury, including ankle pain, function affected for more than 7 days, or the ankle caused them to report to an Emergency Department. Data is collected through a series of seven questionnaires (at baseline, 3 months, 1 year, 3 years, 5 years, 10 years, and 15 years later). The questionnaires include four sections (demographic questions; index injury, and injury history questions; functional assessment questions; and quality of life questions) and are designed to collect detailed information about the individual, their injury, potential risk factors for ankle sprains and ankle osteoarthritis, plus their medical history and any medication consumed. Discussion: The Significant Ankle Ligament Injury (SALI) study aims to add to the limited knowledge regarding which factors can predict ankle sprains, complaints, and osteoarthritis. This is important because despite ankle sprains being regarded as a benign injury that resolves quickly, residual symptoms are not uncommon months and years after the injury.

Citation

Bestwick-Stevenson, T., Wyatt, L. A., Palmer, D., Ching, A., Kerslake, R., Coffey, F., …Scammell, B. E. (2021). Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol. BMC Musculoskeletal Disorders, 22(1), Article 362. https://doi.org/10.1186/s12891-021-04230-8

Journal Article Type Article
Acceptance Date Apr 7, 2021
Online Publication Date Apr 17, 2021
Publication Date Apr 17, 2021
Deposit Date Jun 21, 2021
Publicly Available Date Jun 21, 2021
Journal BMC Musculoskeletal Disorders
Electronic ISSN 1471-2474
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
Article Number 362
DOI https://doi.org/10.1186/s12891-021-04230-8
Keywords Rheumatology; Orthopedics and Sports Medicine
Public URL https://nottingham-repository.worktribe.com/output/5717385
Publisher URL https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-021-04230-8

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