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Doctor, I fractured my ankle. When can I return to play? An updated systematic review

INTRODUCTION: Ankle fractures in sport are common. Their optimal management is unclear, as is when patients can return to their sports activities. This systematic review provides a contemporary assessment of the literature on return to sports following acute traumatic ankle fractures managed both op...

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Autores principales: Sinha, Amit, Robertson, Greg, Maffulli, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494256/
https://www.ncbi.nlm.nih.gov/pubmed/35511134
http://dx.doi.org/10.1093/bmb/ldac016
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author Sinha, Amit
Robertson, Greg
Maffulli, Nicola
author_facet Sinha, Amit
Robertson, Greg
Maffulli, Nicola
author_sort Sinha, Amit
collection PubMed
description INTRODUCTION: Ankle fractures in sport are common. Their optimal management is unclear, as is when patients can return to their sports activities. This systematic review provides a contemporary assessment of the literature on return to sports following acute traumatic ankle fractures managed both operatively and non-operatively. SOURCES OF DATA: We systematically searched Pubmed, Google Scholar, the Cochrane Library, EMBASE and CINAHL using the terms ‘ankle fractures’, ‘ankle injuries’, ‘athletes’, ‘sports’, ‘return to sport’, ‘return to activity’, ‘operative management’, ‘non-operative management’. AREAS OF AGREEMENT: Thirteen retrospective studies fulfilled the inclusion criteria. The methodological quality of the studies was generally poor. The proportion of patients returning to sporting activity was high. In some studies, a quicker return to sporting activity was demonstrated in patients managed non-operatively. AREAS OF CONTROVERSY: The time to return to sporting activity and level of performance post-treatment are not universally recorded, and the optimal time to return to sport remains to be confirmed. GROWING POINTS: Conservative management for stable or undisplaced fracture may result in a higher proportion of patients returning to sport more quickly. AREAS TIMELY FOR DEVELOPING RESEARCH: Randomized controlled trials should compare conservative to surgical treatment for appropriately chosen fracture patterns. Future studies should routinely report the timing of return to sport, the level of performance reached, and the time to achieve this.
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spelling pubmed-94942562022-09-22 Doctor, I fractured my ankle. When can I return to play? An updated systematic review Sinha, Amit Robertson, Greg Maffulli, Nicola Br Med Bull Invited Review INTRODUCTION: Ankle fractures in sport are common. Their optimal management is unclear, as is when patients can return to their sports activities. This systematic review provides a contemporary assessment of the literature on return to sports following acute traumatic ankle fractures managed both operatively and non-operatively. SOURCES OF DATA: We systematically searched Pubmed, Google Scholar, the Cochrane Library, EMBASE and CINAHL using the terms ‘ankle fractures’, ‘ankle injuries’, ‘athletes’, ‘sports’, ‘return to sport’, ‘return to activity’, ‘operative management’, ‘non-operative management’. AREAS OF AGREEMENT: Thirteen retrospective studies fulfilled the inclusion criteria. The methodological quality of the studies was generally poor. The proportion of patients returning to sporting activity was high. In some studies, a quicker return to sporting activity was demonstrated in patients managed non-operatively. AREAS OF CONTROVERSY: The time to return to sporting activity and level of performance post-treatment are not universally recorded, and the optimal time to return to sport remains to be confirmed. GROWING POINTS: Conservative management for stable or undisplaced fracture may result in a higher proportion of patients returning to sport more quickly. AREAS TIMELY FOR DEVELOPING RESEARCH: Randomized controlled trials should compare conservative to surgical treatment for appropriately chosen fracture patterns. Future studies should routinely report the timing of return to sport, the level of performance reached, and the time to achieve this. Oxford University Press 2022-04-30 /pmc/articles/PMC9494256/ /pubmed/35511134 http://dx.doi.org/10.1093/bmb/ldac016 Text en © The Author(s) 2022. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Invited Review
Sinha, Amit
Robertson, Greg
Maffulli, Nicola
Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title_full Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title_fullStr Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title_full_unstemmed Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title_short Doctor, I fractured my ankle. When can I return to play? An updated systematic review
title_sort doctor, i fractured my ankle. when can i return to play? an updated systematic review
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494256/
https://www.ncbi.nlm.nih.gov/pubmed/35511134
http://dx.doi.org/10.1093/bmb/ldac016
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