Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
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Randomized Controlled Trial
Periarticular hyaluronic acid in acute ankle sprain.
To determine the efficacy and safety of periarticular hyaluronic acid injections in acute lateral ankle sprain during 9 months at a sports injuries center. ⋯ HA treatment for acute ankle sprain was highly satisfactory in the short term and the long term versus PL. This was associated with reduced pain and more rapid return to sport, with few associated adverse events.
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Foot injuries are common in athletes. Injuries to the midfoot and, particularly, the Lisfranc joint are less common, but they have a high risk of ending the athlete's season or even career. Lisfranc injuries can be difficult to diagnose, and they often lead to a disastrous outcome when missed. ⋯ Lisfranc injuries with more significant displacement or instability require operative intervention. Physicians who evaluate athletic injuries should be vigilant not to miss these injuries. Familiarity with the subtle clinical signs of a Lisfranc injury and knowledge of the basic treatment algorithm will help clinicians manage these injuries successfully.