Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

Br J Sports Med. 2016 Dec;50(24):1496-1505. doi: 10.1136/bjsports-2016-096189. Epub 2016 Jun 3.


Lateral ankle sprains (LASs) are the most prevalent musculoskeletal injury in physically active populations. They also have a high prevalence in the general population and pose a substantial healthcare burden. The recurrence rates of LASs are high, leading to a large percentage of patients with LAS developing chronic ankle instability. This chronicity is associated with decreased physical activity levels and quality of life and associates with increasing rates of post-traumatic ankle osteoarthritis, all of which generate financial costs that are larger than many have realised. The literature review that follows expands this paradigm and introduces emerging areas that should be prioritised for continued research, supporting a companion position statement paper that proposes recommendations for using this summary of information, and needs for specific future research.

Keywords: Ankle; Public health.

Publication types

  • Review

MeSH terms

  • Ankle Injuries / complications
  • Ankle Injuries / epidemiology*
  • Athletic Injuries / complications
  • Athletic Injuries / epidemiology*
  • Consensus
  • Cost of Illness
  • Humans
  • Joint Instability / complications
  • Osteoarthritis / complications
  • Prevalence
  • Quality of Life
  • Recurrence
  • Sprains and Strains / complications
  • Sprains and Strains / epidemiology*