TITLE

The Epidemiology of Ankle Sprains in the United States

AUTHOR(S)
Waterman, Brian R.; Owens, Brett D.; Davey, Shaunette; Zacchilli, Michael A.; Belmont, Philip J.
PUB. DATE
October 2010
SOURCE
Journal of Bone & Joint Surgery, American Volume;10/6/2010, Vol. 92-A Issue 13, p2279
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Ankle sprain has been studied in athletic cohorts, but little is known of its epidemiology in the general population. A longitudinal, prospective epidemiological database was used to determine the incidence and demographic risk factors for ankle sprains presenting to emergency departments in the United States. It was our hypothesis that ankle sprain is influenced by sex, race, age, and involvement in athletics. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for all ankle sprain injuries presenting to emergency departments between 2002 and 2006. Incidence rate ratios were then calculated with respect to age, sex, and race. Results: During the study period, an estimated 3,140,132 ankle sprains occurred among an at-risk population of 1,461,379,599 person-years for an incidence rate of 2.15 per 1000 person-years in the United States. The peak incidence of ankle sprain occurred between fifteen and nineteen years of age (7.2 per 1000 person-years). Males, compared with females, did not demonstrate an overall increased incidence rate ratio for ankle sprain (incidence rate ratio, 1.04; 95% confidence interval, 1.00 to 1.09). However, males between fifteen and twenty-four years old had a substantially higher incidence of ankle sprain than their female counterparts (incidence rate ratio, 1.53; 95% confidence interval, 1.41 to 1.66), whereas females over thirty years old had a higher incidence compared with their male counterparts (incidence rate ratio, 2.03; 95% confidence interval, 1.65 to 2.65). Compared with the Hispanic race, the black and white races were associated with substantially higher rates of ankle sprain (incidence rate ratio, 3.55 [95% confidence interval, 1.01 to 6.09] and 2.49 [95% confidence interval, 1.01 to 3.97], respectively). Nearly half of all ankle sprains (49.3%) occurred during athletic activity, with basketball (41.1%), football (9.3%), and soccer (7.9%) being associated with the highest percentage of ankle sprains during athletics. Conclusions: An age often to nineteen years old is associated with higher rates of ankle sprain. Males between fifteen and twenty-four years old have higher rates of ankle sprain than their female counterparts, whereas females over thirty years old have higher rates than their male counterparts. Half of all ankle sprains occur during athletic activity. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence.
ACCESSION #
54337285

 

Related Articles

  • PRONE TO SPRAINS? DATA ON FOOT POSITION COULD HELP.  // Running & FitNews;Jul/Aug2011, Vol. 29 Issue 4, p1 

    The article focuses on a study conducted by the University of Georgia's Department of Kinesiology on proper foot position to prevent ankle sprains. It mentions the use of a motion capture equipment to examine joint movements and forces in over 30 male recreational athletes. Results show that...

  • Different strengths in each foot may lead to ankle sprains.  // Podiatry Now;Oct2012, Vol. 15 Issue 10, p12 

    The article focuses on how different strengths in each foot could lead to ankle sprains. Tests were carried out on football players and researches found that if one ankle is stronger than the other, chances of ankle sprains are great, besides age and ankle laxity which are potential factors.

  • Difference in Response Latency of the Peroneus Longus Between the Dominant and Nondominant Legs. Knight, Adam C.; Weimar, Wendi H. // Journal of Sport Rehabilitation;Aug2011, Vol. 20 Issue 3, p321 

    Context: The latency of the peroneus longus in response to an inversion perturbation is a key component in the prevention of lateral ankle sprains. In addition, the dominant ankle is sprained more frequently than the nondominant ankle, but thecause of this has not been examined. Objective: To...

  • Commentary on an Article by Captain Brian R. Waterman, MD, et al.: "The Epidemiology of Ankle Sprains in the United States" Watson, Anthony D. // Journal of Bone & Joint Surgery, American Volume;10/6/2010, Vol. 92-A Issue 13, pe20-1 

    The author comments on a report within the issue, "The Epidemiology of Ankle Sprains in the United States," by Brian R. Waterman and colleagues, which looked at the United States Consumer Product Safety Commission National Electronic Injury Surveillance System (NEISS) database to track the...

  • Peroneal Reaction Time and Ankle Sprain Risk in Healthy Adults: A Critically Appraised Topic. Hoch, Matthew C.; McKeon, Patrick O. // Journal of Sport Rehabilitation;Nov2011, Vol. 20 Issue 4, p505 

    The article presents a study which discusses the ankle sprain risk in healthy adults. It mentions that it is important to identify risk factors for sustaining ankle sprains in order to develop effective injury-prevention strategies. It investigates whether peroneal reaction time in response to...

  • Ankles: A twist of fate.  // Joe Weider's Muscle & Fitness;Apr92, Vol. 53 Issue 4, p46 

    Discusses the injuries common to the ankle such as the aprain, strain, and other bad turns. Description of a sprain; How to manage an acute injury of this type; Casssification; R.I.C.E.--rest, ice, compression, and elevation; Evaluation and X-rays; How these injuries are often caused.

  • Bracing news on ankles.  // Men's Health;Jan/Feb96, Vol. 11 Issue 1, p90 

    Reports that high-tops shoes prevent the risks of ankle injuries.

  • Understanding ankle pain. Hoffman, Douglas G. // Physician & Sportsmedicine;Aug96, Vol. 24 Issue 8, p36k 

    Comments on a review article on osteochondral lesions of the talar dome by J. W. Stone. Author's recommendations include initial diagnosis through plain radiography; Nonoperative management through restricted weight-bearing and immobilization for several weeks to a few months.

  • Managing `snowboarder's ankle'.  // Physician & Sportsmedicine;Jun96, Vol. 24 Issue 6, p42p 

    Focuses on an article by P. McCrory and C. Bladdin in the `Clinical Journal of Sports Medicine' which presents a clinical review of fractures of the lateral process of the talus.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics