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http://hdl.handle.net/1942/26524
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DC Field | Value | Language |
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dc.contributor.author | Jonckheer, Pascale | - |
dc.contributor.author | Willems, Tine | - |
dc.contributor.author | DE RIDDER, Roel | - |
dc.contributor.author | Paulus, Dominique | - |
dc.contributor.author | Henningsen, Kirsten Holdt | - |
dc.contributor.author | San Miguel, Lorena | - |
dc.contributor.author | De Sutter, An | - |
dc.contributor.author | Roosen, Philip | - |
dc.date.accessioned | 2018-07-31T12:45:09Z | - |
dc.date.available | 2018-07-31T12:45:09Z | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | EUROPEAN JOURNAL OF GENERAL PRACTICE, 22(1), p. 31-41 | - |
dc.identifier.issn | 1381-4788 | - |
dc.identifier.uri | http://hdl.handle.net/1942/26524 | - |
dc.description.abstract | Background Ankle sprain is frequently encountered, both in primary care and in emergency departments. Since 1992, the Ottawa ankle rules (OAR) can assist clinicians in determining whether an X-ray should be performed to exclude a fracture. Several guidelines recommend the use of OAR based on a systematic review from 2003. Ten years later, one can wonder if this recommendation should be changed. Objective To review systematically the current evidence on the most accurate method to assess the fracture risk after an ankle sprain in adults. Methods A methodical search for systematic reviews, meta-analyses and primary studies was carried out in Medline, Cochrane Database of systematic reviews, Embase, Pedro, CINAHL, Medion and specific guideline search engines. At least two independent researchers performed selection, quality appraisal (with validated checklists) and data extraction. Results One systematic review and 21 primary studies were selected. Sensitivity and specificity of the OAR range from 92-100% and from 16-51%, respectively. To improve the OAR specificity, other tools are proposed such as the Bernese ankle rules. Vibrating tuning fork test and ultrasound could be useful in patient with OAR positive to decrease the need for radiographs. No evidence was found in favour of the use of magnetic resonance imaging (MRI) or computed tomography (CT) in the acute phase of ankle sprain. Conclusion The findings confirm the value of the OAR at ruling out fractures after an ankle sprain and propose other or additional tools to decrease the need for X-rays. | - |
dc.description.sponsorship | The Belgian Health Care Knowledge Centre (KCE) is a publicly funded federal scientific research institution; its mission is to provide independent scientific advice. KCE as an institution and all individual KCE collaborators declare that they have no interests in commercial companies, healthcare organizations, professional interest groups or any other body on which the guidelines could have a positive or negative impact (financial or other). Every person having contributed to the elaboration of the Belgian guideline (as an expert, validator or stakeholder) has been requested to declare potentially conflicting interests. This information is published in the colophon pages of this guideline. | - |
dc.language.iso | en | - |
dc.rights | (C) Taylor & Francis | - |
dc.subject.other | diagnosis; general practice; systematic review; primary care; Ankle injuries | - |
dc.title | Evaluating fracture risk in acute ankle sprains: Any news since the Ottawa Ankle Rules? A systematic review | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 41 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 31 | - |
dc.identifier.volume | 22 | - |
local.bibliographicCitation.jcat | A1 | - |
local.type.refereed | Refereed | - |
local.type.specified | Review | - |
local.class | dsPublValOverrule/author_version_not_expected | - |
local.class | dsPublValOverrule/internal_author_not_expected | - |
local.class | IncludeIn-ExcludeFrom-List/ExcludeFromFRIS | - |
dc.identifier.doi | 10.3109/13814788.2015.1102881 | - |
dc.identifier.isi | 000372190400006 | - |
item.accessRights | Open Access | - |
item.fullcitation | Jonckheer, Pascale; Willems, Tine; DE RIDDER, Roel; Paulus, Dominique; Henningsen, Kirsten Holdt; San Miguel, Lorena; De Sutter, An & Roosen, Philip (2016) Evaluating fracture risk in acute ankle sprains: Any news since the Ottawa Ankle Rules? A systematic review. In: EUROPEAN JOURNAL OF GENERAL PRACTICE, 22(1), p. 31-41. | - |
item.fulltext | With Fulltext | - |
item.contributor | Jonckheer, Pascale | - |
item.contributor | Willems, Tine | - |
item.contributor | DE RIDDER, Roel | - |
item.contributor | Paulus, Dominique | - |
item.contributor | Henningsen, Kirsten Holdt | - |
item.contributor | San Miguel, Lorena | - |
item.contributor | De Sutter, An | - |
item.contributor | Roosen, Philip | - |
crisitem.journal.issn | 1381-4788 | - |
crisitem.journal.eissn | 1751-1402 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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Evaluating fracture risk in acute ankle sprains Any news since the Ottawa Ankle Rules A systematic review.pdf | Published version | 1.56 MB | Adobe PDF | View/Open |
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