Diagnostic Accuracy in Ankle Injury Assessment: Integrating Evidence, Reliability, and Clinical Decision-Making
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Abstract:
For many commonly used clinical orthopedic tests, there has historically been a lack of empirical, peer-reviewed evidence documenting their efficacy and utility⁵ This presentation aims to address that gap by providing the most recent evidence on several tests frequently used in athletic training to assess ankle injuries. Although clinicians routinely use these tests to grade ankle sprains, traditional methods may be unreliable and may not accurately reflect damage to the lateral ligaments. Consequently, clinicians may struggle to accurately assess injuries and their impairments, contributing to the high rate of recurrence. Current literature suggests that some newer or modified tests, many of which are not traditionally taught, may offer improved options for clinical assessment. This presentation will review the latest evidence regarding the diagnostic accuracy of orthopedic tests used to evaluate ankle injuries, including sprains, chronic ankle instability, and common fractures.
Learning Objectives:
- Explain the available evidence for the diagnostic utility of clinical orthopedic tests of the ankle.
- Select the most useful clinical tests to assess acute lateral ankle sprains and chronic ankle instability.
- Improve clinical decision making regarding the assessment of ankle injuries.
Level:
Essential
Domain(s):
Domain 2: Assessment Evaluation and Diagnosis
Orthopedic Domain(s):
Domain 1: Medical Knowledge
Domain 2: Procedural Knowledge
CEUs:
0.75 Category A
Keywords:
Lateral ankle sprain, Syndesmotic Ankle Injury, fracture
Enhanced Access On-Demand Course Expiration:
Access to this course will expire at the end of the membership year on December 31 at 11:59 p.m. CST.
For full details, refer to the Expiration Date Policy on our FAQ page.
Adam B. Rosen, PhD, ATC
Dr. Adam B. Rosen is an Associate Professor and Director of the School of Health and Kinesiology at the University of Nebraska at Omaha, where he also co-directs the Omaha Sports Medicine and Biomechanics Laboratory. He earned his PhD in Kinesiology from the University of Georgia and previously served clinically as an athletic trainer at the University of Delaware and the University of Pennsylvania. Dr. Rosen has authored more than 70 peer-reviewed publications and secured funding from the NIH, the Department of Defense, and multiple regional agencies to advance evidence-based sports medicine practices.
A internationally recognized expert in chronic ankle instability and lower extremity biomechanics, Dr. Rosen’s research has helped define the clinical, biomechanical, neurocognitive, and sensory contributors to ankle injury and reinjury. His work includes the development and validation of functional performance tests, diagnostic tools, and rehabilitation strategies that address the complex neuromechanical deficits associated with ankle instability. Dr. Rosen frequently presents on ankle research, neurocognitive assessment, and evidence-based approaches to sports injury prevention and rehabilitation.
