Evidence map›Paper›PMID 34375983›Full record

SynthesisJournal of athletic training2021

Lateral Ankle Sprain and Subsequent Ankle Sprain Risk: A Systematic Review.

Erik A Wikstrom, Mary Spencer Cain, Avinash Chandran, Kyeongtak Song, Tasha Regan, Kimmery Migel, Zachary Y Kerr

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Journal of athletic training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  10. New insights into chronic ankle instability: anFrontiers in bioengineering and biotechnology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Erik A WikstromUniversity of North Carolina at Chapel Hill.
Mary Spencer CainUniversity of North Carolina at Chapel Hill.
Avinash ChandranDatalys Center for Sports Injury Research and Prevention, Indianapolis, IN.
Kyeongtak SongUniversity of North Carolina at Chapel Hill.
Tasha ReganUniversity of North Carolina at Chapel Hill.
Kimmery MigelUniversity of North Carolina at Chapel Hill.
Zachary Y KerrUniversity of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · USDatalys Center for Sports Injury Research and Prevention · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the evidence regarding the association between lateral ankle sprain (LAS) history and the subsequent LAS risk, as well as sex differences in the observed associations. DATA SOURCES: PubMed, CINAHL, and SPORTDiscus were searched through July 2020 for articles on LAS history and incidence during the study period. STUDY SELECTION: Studies were included if they were prospective in nature and the authors reported the number of participants with and those without a history of LAS at study initiation as well as the number of participants in each group who sustained an LAS during the investigation. DATA EXTRACTION: Data were study design parameters as well as the number of participants with and those without an LAS history and the number of subsequent LASs that occurred in both groups. Risk ratios (RRs) with 95% CIs compared the risk of LAS during the study period between those with and those without an LAS history for each investigation. DATA SYNTHESIS: A total of 19 studies involving 6567 patients were included. The follow-up periods ranged from 14 weeks to 2 years. Assessment scores indicated the studies were of moderate to high quality. A significantly higher risk of LAS during the study period was observed among those with a history of LAS in 10 of 15 studies (RR range = 1.29-6.06). Similar associations were seen in 4 of 6 studies of all-male samples (RR range = 1.38-8.65) and 1 of 4 studies with an all-female sample (RR = 4.28).

conclusionsStrong evidence indicates that a previous LAS increased the risk of a subsequent LAS injury. Men with a history of LAS appeared to be at a higher risk of sustaining a subsequent LAS, but women were not. However, further data are needed to draw definitive conclusions from the limited number of sex-specific studies.

Indexed as

Ankle InjuriesSprains and StrainsFemaleHumansIncidenceMaleepidemiologyrisk factorrisk ratiossex

Identifiers

PMID34375983
PMCPMC8223615
OpenAlexW3176870927

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.