Abstract
Hiller CE, Nightingale EJ, Raymond J, Kilbreath SL, Burns J, Black DA, Refshauge KM.
Prevalence and impact of chronic musculoskeletal ankle disorders in the community.
Objective
To determine the point prevalence of chronic musculoskeletal ankle disorders in the
community.
Design
Cross-sectional stratified (metropolitan vs regional) random sample.
Setting
General community.
Participants
Population-based computer-aided telephone survey of people (N=2078) aged 18 to 65
years in New South Wales, Australia. Of those contacted, 751 participants provided
data.
Interventions
Not applicable.
Main Outcome Measures
Point prevalence for no history of ankle injury or chronic ankle problems (no ankle
problems), history of ankle injury without residual problems, and chronic ankle disorders.
Chronic musculoskeletal ankle disorders due to ankle sprain, fracture, arthritis,
or other disorder compared by chi-square test for the presence of pain, weakness,
giving way, swelling and instability, activity limitation, and health care use in
the past year.
Results
There were 231 (30.8%) participants with no ankle problems, 342 (45.5%) with a history
of ankle injury but no chronic problems, and 178 (23.7%) with chronic ankle disorders.
The major component of chronic ankle disorders was musculoskeletal disorders (n=147,
19.6% of the total sample), most of which were due to ankle injury (n=117, 15.6% of
the total). There was no difference among the arthritis, fracture, sprain, and other
groups in the prevalence of the specific complaints, or health care use. Significantly
more participants with arthritis had to limit activity than in the sprain group (Chi-square
test, P=.035).
Conclusions
Chronic musculoskeletal ankle disorders affected almost 20% of the Australian community.
The majority were due to a previous ankle injury, and most people had to limit or
change their physical activity because of the ankle disorder.
Key Words
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References
- A systematic review on ankle injury and ankle sprain in sports.Sports Med. 2007; 37: 73-94
- Review of sports injuries presenting to an accident and emergency department.Emerg Med J. 2004; 21: 704-706
- The epidemiology of ankle sprains in the United States.J Bone Joint Surg Am. 2010; 92: 2279-2284
- Population-based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains.Emerg Med J. 2003; 20: 508-510
- Epidemiology of sprains in the lateral ankle and foot.Foot Ankle Int. 1994; 15: 72-74
- Epidemiology of ankle fractures: a prospective population-based study of 212 cases in Aalborg, Denmark.Acta Orthop Scand. 1998; 69: 48-50
- Risk factors for sports injuries–a methodological approach.Br J Sports Med. 2003; 37: 384-392
- Ankle injuries in basketball: injury rate and risk factors.Br J Sports Med. 2001; 35: 103-108
- Ambulatory medical care utilization estimates for 2007.Vital Health Stat 13. 2011; : 1-38
- Five-year functional outcome analysis of ankle fracture fixation.Injury. 2007; 38: 1308-1312
- Ankle fractures: functional and lifestyle outcomes at 2 years.ANZ J Surg. 2002; 72: 724-730
- Operative treatment of ankle fractures: a minimum ten-year follow-up.Foot Ankle Int. 2001; 22: 102-106
- What is the clinical course of acute ankle sprains?.Am J Med. 2008; 121: 324-331
- Long-term follow-up of inversion trauma of the ankle.Arch Orthop Traum Surg. 1995; 114: 92-96
- Seven years follow-up after ankle inversion trauma.Scand J Med Sci Sports. 2002; 12: 129-135
- Etiology of ankle osteoarthritis.Clin Orthop Relat Res. 2009; 467: 1800-1806
- Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis.J Bone Joint Surg Am. 2008; 90: 499-505
- Epidemiology of ankle arthritis: a report of a consecutive series of 639 patients from a tertiary orthopaedic center.Iowa Orthop J. 2005; 25: 44-46
- Ligamentous posttraumatic ankle osteoarthritis.Am J Sports Med. 2006; 34: 612-620
- Sports and recreation activity of ankle arthritis patients before and after total ankle replacement.Am J Sports Med. 2006; 34: 993-999
- Prevalence of foot and ankle conditions in a multiethnic community sample of older adults.Am J Epidemiol. 2004; 159: 491-498
- Changes in telephone survey nonresponse over the past quarter century.Public Opinion Q. 2005; 69: 87-98
- Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study.J Foot Ankle Res. 2008; 1: 2
- Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study.Pain. 2003; 102: 167-178
- Epidemiology of musculoskeletal impairments and associated disability.Am J Public Health. 1984; 74: 574-579
- Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale.Ann Rheum Dis. 1992; 51: 366-371
- Musculoskeletal status of men and women who entered a fitness programme.Med J Aust. 1988; 148 (388-91): 385
- Study of 500 patients with limb joint osteoarthritis, I: analysis by age, sex, and distribution of symptomatic joint sites.Ann Rheum Dis. 1991; 50: 8-13
- Long-term outcome after 1822 operatively treated ankle fractures: a systematic review of the literature.Injury. 2011; 42: 119-127
Article info
Publication history
Published online: May 09, 2012
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Reprints are not available from the author
In-press corrected proof published online on Jun 8, 2012, at www.archives-pmr.org.
Identification
Copyright
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
