Comparison of analgesic treatments used for ankle sprains in the emergency department.
Emine Sarcan, Ahmet B Erdem, Merve Yazla et al.
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In 30 seconds
This randomized controlled trial evaluated the effectiveness of intravenous paracetamol, ibuprofen, and dexketoprofen in treating grade 1-2 ankle sprains in an emergency department setting. The study found no significant differences in pain reduction or range of motion improvement among the three analgesics, although ibuprofen resulted in the lowest Wong-Baker FACES Pain Scale scores. All treatments significantly reduced pain and improved range of motion compared to baseline.
Key findings
- No significant difference in NRS scores among the analgesic groups (p=0.352).
- Group I (ibuprofen) had the lowest WBS scores (p<0.001).
- Post-treatment d-ROM was lower in Group I (p=0.034).
- All groups showed significant improvement in pain and ROM compared to pre-treatment values (p<0.001).
Why it matters
Understanding the comparative effectiveness of common analgesics for ankle sprains can guide emergency department practices, ensuring optimal pain management and functional recovery for patients presenting with this common injury.