Grades of Ankle Sprain

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Management of Ankle Sprains

TABLE 1
Classification of Ankle Sprains

GRADE SIGNS AND SYMPTOMS

I: partial tear of a ligament Mild tenderness and swelling

Slight or no functional loss (i.e., patient is able to bear weight and ambulate
with minimal pain)

No mechanical instability (negative clinical stress examination)

II: incomplete tear of a ligament, with moderate Moderate pain and swelling
functional impairment
Mild to moderate ecchymosis

Tenderness over involved structures

Some loss of motion and function (i.e., patient has pain with weight-bearing
and ambulation)

Mild to moderate instability (mild unilateral positivity of clinical stress


examination)

III: complete tear and loss of integrity of a ligament Severe swelling (more than 4 cm about the fibula)

Severe ecchymosis

Loss of function and motion (i.e., patient is unable to bear weight or ambulate)

Mechanical instability (moderate to severe positivity of clinical stress


examination)

Adapted with permission from Lateral ankle pain. Park Ridge, Ill.: American College of Foot and Ankle Surgeons, 1997: preferred practice
guideline no. 1/97. Retrieved September 2000, from:http://www.guidelines.gov/FRAMESETS/guideline_fs.asp?
view=full_summary&guideline:000854&sSearch_string+ankle+sprains.
Copyright © 2001 by the American Academy of Family Physicians.
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