Retrospective medical studies tell us that, statistically, the most mismanaged emergency-department problem presented for care is the ankle sprain. This is concerning, since the vast majority of these injuries, when presented for care, are presented in the E.D.
Correct initial evaluation of the mechanism of injury is critical to the appropriate treatment selection, whether conservative or surgical. These mechanisms of injury are complicated and require a specialist with a specific knowledge to appropriately evaluate, diagnose and treat them. If less than optimum treatment is rendered, the potential for lifelong debility will increase.