Evaluation of Functional Outcomes at 2 Months According to Therapeutic Management, in Trauma With Low-grade Osteo-ligamentous Ankle Injury in Children (CHEVIPED)
Ankle Injuries, Ligament Injury
About this trial
This is an interventional treatment trial for Ankle Injuries focused on measuring low-grade, osteo-ligament injuries, children, soft resin ankle brace, Below-knee rigid resin cast
Eligibility Criteria
Inclusion Criteria:
- Walking child from 5 to 15 years old.
- From hour 0 to hour 48 of ankle trauma with torsion mechanism (inversion, eversion or rotation).
- Patient presenting for the first time to the emergency room for this traumatic episode.
- Possibility of carrying out an ultrasound during the passage to the emergency room.
- Child and parents' consent in the study participation
Exclusion Criteria:
- Direct shock on the foot without sprain mechanism.
- Fracture with deformation or open fracture.
- History of ankle trauma in the last 3 months.
- Neurological or neuromuscular pathology.
- Child with a delay in acquisitions and / or psychomotor development (difficulties in understanding and interacting to locate pain).
- Absence of a representative of parental authority.
- Constitutional bone disease or connective tissue.
- Acquired or congenital coagulopathy.
- Patient presenting beyond 48h of trauma.
- Polytraumatized.
- Dermabrasion, wound or sign of skin suffering next to the ankle requiring specific monitoring.
- Diagnosis after imaging: fracture or sprain of high grade.
- Child or parents refusal in study participation
Sites / Locations
- CHU de BrestRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Below-knee soft resin cast
Below-knee rigid resin cast
Below-knee soft resin cast is administered to participants in emergency department. Investigator puts three layers of jersey supplemented by strips of soft resins to be unrolled along the leg after immersion in warm water Duration to ankle immobilization with soft resin boot : 21 days.
Below-knee soft resin cast is administered to participants in emergency department. Investigator puts one layer of jersey and then one layer of foam composed by strips of cotton wool to be unrolled supplemented by strips of rigid resins to be unrolled along the leg after immersion in warm water. Duration to ankle immobilization with soft resin boot : 21 days.