Under what condition should an ankle injury be referred?

A referral for an ankle injury is most appropriate based on the grade of the strain. Ankle injuries can range from mild sprains to severe ligament tears or fractures, which are classified by the severity of the damage to the soft tissue structures.

A strain graded as severe (often classified as a Grade III strain) indicates a significant tear in the ligament or muscle, resulting in instability and dysfunction of the ankle joint. This level of injury often necessitates further evaluation and possible intervention by a specialist, such as an orthopedic surgeon. Identifying the grade of the strain helps guide the clinical decision-making process regarding the potential need for imaging studies, treatment options, and rehabilitation protocols.

While visible swelling, presence of bruising, and a history of previous injuries may raise concern, they do not provide the same direct information about the severity of the current injury that the grading of a strain does. The grade gives a clear indication of whether the injury could result in complications if not properly addressed, making it the key factor for determining the need for a referral.