Ankle Sprain Research Articles

Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques.

Chronic lateral ankle instability is a relatively frequent consequence after acute ankle sprain. In case of unsuccessful conservative treatment, surgical therapy is recommended to prevent osteoarthritis of the ankle joint. To date, different surgical methods have evolved. Yet, it remains unclear which approach reveals the best results. We hypothesized that the modified Broström-Gould procedure with suture anchor ligament fixation leads to superior postoperative results compared to the Broström-Gould procedure or the periosteal flap technique. In a prospective study, we examined the three surgical techniques. For this purpose, we performed a matched-pair analysis with four groups according to age, sex, and body mass index: periosteal flap technique (G1), Broström-Gould procedure (G2), modified Broström-Gould procedure with suture anchor ligament fixation (G3), and a control group (G4). Results were compared with the American Orthopaedic Foot & Ankle Society (AOFAS) score, a functional analysis as well as measuring postural stability with the Biodex balance system. No significant differences were found between all four groups concerning AOFAS score, functional results, as well as postural stability. All three surgical methods revealed satisfactory results. No significant differences could be detected in clinical and functional categories. The Broström-Gould method as well as the modified procedure with anchor can be recommended as surgical therapy for chronic lateral ankle instability. Additional anchors do not seem to have a significant positive impact on the results.

Effects of Manual Therapy on Fascial Distortion Model in Adolescent Ankle Sprain: A Pilot Study

ObjectivesThe present study aimed to assess the feasibility of investigating the effects of manual therapy on ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain. MethodsThe study was a nonrandomized prepost clinical feasibility trial. From September 2021 to February 2022, 31 patients with ankle sprain received manual therapy. Functional muscle strength of plantar flexor muscles and static balance were evaluated using the standing heel-rise and unipedal stance tests on the injured and healthy legs before and after the first and second sessions. Foot and Ankle Disability Index (FADI) assessed the disability at baseline, after the first and second sessions, in the third and sixth weeks. ResultsWithin-group analysis of the unipedal stance test with open and closed eyes and the standing heel-rise test showed that injured legs significantly improved after the first and second sessions, compared to uninjured legs (P < .05). Furthermore, there were significant differences among all repeated FADI measures (P < .05). ConclusionsThis study demonstrated that a study was feasible to measure ankle functional muscle strength, static balance, and disability in adolescent patients with an ankle sprain.

Relationship Between Ankle Ligamentous Injuries and Osteochondral Lesions in a Saudi Arabian Population: A Retrospective Cohort Study.

Objectives This study aimed to investigate the relationship between ankle ligamentous injuries and osteochondral defects (OCDs) and to determine the incidence of these conditions within the Saudi Arabian population. Methods This retrospective cohort study included 215 patients (110 males and 105 females) who sought medical advice for an ankle injury at our institute from January 2017 to August 2022. The patients were divided according to age, sex, presence and type of ligamentous injury, and status of OCDs. Patients' ages were categorized into three groups: younger than 30 years (48 patients), 30-60 years (145 patients), and older than 60 years (22 patients). The patients were assessed for ligamentous ankle sprains, tears, and OCDs by reviewing their magnetic resonance imaging reports from radiology records. The exclusion criteria included ankle fracture, ankle surgery, osteoarthritis of the ankle joint, inflammatory arthritis, and congenital deformity of the ankle. The data were collected using a simple questionnaire created via Google Forms. Results Of the 24 patients with OCD, 23 had OCD of the talus. Anterior talofibular ligament (ATFL) injury was the most common injury (75 patients), whereas posterior talofibular ligament (PTFL) injury was the least common. The only significant relationship between ligamentous injury and OCD was observed between PTFL injury and OCD of the talus (P = 0.041). Conclusions In patients with an ankle injury, the most common OCDs occur at the talus, whereas the most injured ligament is the ATFL. Nevertheless, a significant relationship was observed between PTFL injury and OCD of the talus. The findings underscore the importance of considering specific ligament injuries when diagnosing and managing OCDs, especially in patients with chronic ankle pain.

Nonoperative Management of High Ankle Sprains: A Case Series With ≥18-Year Follow-up

Background: High ankle sprains are common athletic injuries and can be associated with long-term sequelae. Regardless of operative or nonoperative treatment, there is a paucity of data in the literature about the long-term outcomes of high ankle sprains. Hypothesis: Nonoperative treatment of high ankle sprains utilizing a standardized protocol will result in good long-term outcomes. Study Design: Case series; Level of evidence, 4. Methods: Patients who experienced a high ankle sprain without radiographic diastasis of the syndesmosis were identified from a previous study database and contacted for long-term follow-up. All patients were high school or National Collegiate Athletic Association Division IA athletes at initial injury and were treated nonoperatively with the same standardized protocol. Patients completed a questionnaire that included documentation of any interim ankle injuries, 2 different patient-reported outcome scores, and ankle radiographs to conduct Kellgren-Lawrence scoring for ankle osteoarthritis. Results: In total, 76 cases in 74 patients were identified in the database. A total of 40 patients were successfully contacted, and 31 patients (24 collegiate and 7 high school athletes) with 33 high ankle sprains completed the survey (31/40; 77.5%). The mean age at follow-up was 45 years (range, 34-50 years), with a mean time from injury to follow-up of 25 years. Overall, 93.5% (n = 29) of the respondents were male, and 42% (n = 13) of the respondents reported an ipsilateral ankle injury since their initial injury, with 16% (n = 5) having ankle or Achilles surgery. The mean Patient-Reported Outcomes Measurement Information System-10 score was 53.4 (SD, 8.3; range, 37.4-67.7), PROMIS median (IQR), 54.1 (39.9, 68.3), and the mean Self-reported Foot and Ankle Score score was 42.7 (SD, 5.86). Follow-up ankle radiographs were obtained in 11 (35%) of the respondents; 27% had Kellgren-Lawrence grade >2 osteoarthritis, and 36% had signs of heterotopic ossification on imaging. The mean tibiofibular clear space was 4.5 mm, and the mean tibiofibular overlap was 7.15 mm, with 27% of patients demonstrating some tibiotalar narrowing. Conclusion: At long-term follow-up, nonoperative management of high ankle sprains without diastasis on imaging was associated with acceptable patient-reported functional outcomes and low rates of subsequent ankle injuries. There was a high incidence of arthritis, but most cases were not clinically significant. This case series shows the natural history of nonoperatively treated high ankle sprains and may serve as a comparison for different management techniques in the future.

Diagnostic accuracy of ultrasonography in acute lateral ankle ligament injury: A systematic review and meta-analysis

BackgroundThe gold standard diagnostic method for acute lateral ankle ligament sprain is magnetic resonance imaging (MRI). However, it is hardly accessible and is time-consuming. Therefore, additional diagnostic methods are warranted. Point-of-care ultrasound, on the other hand, is inexpensive, widely available, time-efficient testing method. PurposeTherefore, the aim of this meta-analysis is to determine the diagnostic accuracy of ultrasound for acute ankle ligament injuries compared to MRI. MethodsIn our systematic review and meta-analysis, we followed the recommendations of the Cochrane Handbook. We searched the following databases from inception to March 31, 2022: Medline (PubMed), EMBASE, and Cochrane Library. Eligible studies investigated the diagnostic accuracy of US compared to MRI for diagnosing acute lateral ankle ligament injuries. Finally, we calculated pooled sensitivity and specificity with a 95 % confidence interval (CI). ResultsEight studies met our eligibility criteria, involving 434 patients. For anterior tibiofibular ligament (ATFL) injury, the summary sensitivity and specificity were Se = 0.97 (CI: 0.89–0.99) and Sp = 0.93 (CI: 0.84–0.97). For calcaneofibular ligament (CFL) injury, the summary sensitivity and specificity were Se.: Se = 0.81 (CI: 0.58–0.93) and Sp = 0.92 [0,81;0,97]. In addition, subgroup analysis based on US performed by different types of investigators was comparable between each other (radiologist group Se = 0.98, CI: 0.24–1, and Sp = 0.91, CI: 0.74–0.97, and the orthopedic/ emergency department group Se = 0.96, CI: 0–1, and Sp = 0.97, CI: 0–1). ConclusionUltrasound showed high diagnostic accuracy for acute lateral ankle ligament injury, irrespective of the investigator. Therefore, based on the current available data, it could be used in primary diagnostics of acute lateral ankle ligament injury.

Lower limb injuries in american football players in Poland.

The aim of the study was to determine the location and types of injuries in the lower limbs in American football players in Poland. The circumstances of the injuries were identified, with particular emphasis on the player's position on the field. Original questionnaire to investigate 70 consecutive Polish players was used. Analyses as a whole and divided into offensive and defensive players were carried out. Overall, injuries to both lower limbs accounted for 17.1%, injuries to the right lower limb to 37.2%, and injuries to the left limb to 29%. Ankle injuries were the most common, both offensive and defensive, accounting for 58.5% and 48.3% of lower limb injuries, respectively. Injuries to muscles, tendons and ligaments were more common in defensive players (55.2%), while in offensive sprains (52.5%), fractures (19.5%), and contusions (17.1%). The incidence of lower limb injuries was higher in general during training than competitions and in the case of offensive players (14.6%). Coaching American football increases the risk of foot injury, accounting for 10% of lower limb injuries. The obtained results indicate the need to strengthen the ligamentous-muscular complex of the lower limbs. Lower limb injuries are more common among offensive players than defensive. Offensive players are twice as likely to suffer from foot injuries. Lower limb injuries are more common during training, compared to competitions, both offensively and defensively.

Severe Knee, Ankle, and Shoulder Injuries among Korean Men and Women Freestyle Wrestlers: A Survey-based Cross-Sectional Study

Severe Knee, Ankle, and Shoulder Injuries among Korean Men and Women Freestyle Wrestlers: A Survey-based Cross-Sectional Study

Blood Flow Restriction Training Improves Muscular Outcomes in Patients With Chronic Ankle Instability: A Critically Appraised Topic

Clinical Scenario: The high recurrence of lateral ankle sprains progresses to chronic ankle instability (CAI) and can affect many athletes in all sports. CAI is often associated with a decrease in muscle strength, an increase in pain, a decrease in the range of motion, and a decrease in balance or neuromuscular control. The use of blood flow restriction (BFR) with CAI can increase muscular outcomes and be used as a rehabilitation tool. Clinical Question: Is there evidence to suggest that BFR improves strength, muscle activation, and/or cross-sectional area of the lower leg musculature in those with CAI? Clinical Bottom Line: There is moderate evidence to support therapeutic exercise with low-intensity BFR in patients with CAI. The evidence concluded a significant improvement in BFR to increase muscle activation of the fibularis longus, anterior tibialis, vastus lateralis, and soleus. There is moderate evidence suggesting BFR can induce strength gains in the muscles of the lower extremity in patients with CAI. Strength of Recommendation: The comprehensive evidence is a Strength of Recommendation Taxonomy (SORT) Grade B, with a level of evidence of 2, according to the Centre for Evidence-Based Medicine (CEBM) for the studies included.

The Impact of Ankle Mobilization Techniques on Static Stability in Individuals With Acute Inversion Ankle Sprain: A Randomized Clinical Trial

ObjectiveThe purpose of the study was to compare the impact of the mobilization techniques and mobilization with movement techniques on static balance in individuals with acute inversion ankle sprain. MethodsVolunteers with acute inversion ankle sprain (N = 40) were equally and randomly assigned to 2 groups. Participants in intervention group I received the Mulligan mobilization with movement techniques, whereas participants in intervention group II underwent the Maitland mobilization techniques. Each participant received the intervention every other day for 2 consecutive weeks. To assess static balance, participants assumed a single-leg stance on the affected leg at the center of a force plate with eyes open or closed plate for 20 seconds. The displacement, velocity, and area of the center of pressure were recorded 1 day before and after the intervention. ResultsThe velocity of the center of pressure in the anterior-posterior direction was significantly reduced only in group I during eyes open (P = .043) and closed (P = .004). However, the displacement of the center of pressure in the anterior-posterior direction was significantly decreased in both group I (P = .024) and group II (P = .028) with eyes open. No significant changes were found in the area of the center of pressure in either group during eyes open or closed (P > .053). ConclusionsBoth Mulligan's and Maitland's approaches significantly improved sway displacement. For the individuals with acute inversion ankle sprain who were included in this study, the Mulligan technique were more effective in improving static balance indicators compared to the Maitland technique. Clinical TrialThe study was then registered in the Iranian Registry of Clinical Trials (17/02/2019) (IRCT20190108042292N2).

BANDHANA WITH BIBHITAKPHALA MAJJA LEPA IN THE MANAGEMENT OF ANKLE SPRAIN WITH SPECIAL REFERENCE TO SPORTS INJURIES: A CASE STUDY

Introduction: Any form of bodily harm, pain, or injury sustained when participating in sports, exercising, or engaging in any other physical activity is referred to as a sports injury. The most frequent kinds of injuries are musculoskeletal, which affect the muscles, ligaments, bones, cartilage, and related tissue. According to estimates, up to 30% of injuries encountered in sports medical clinics are sprained ankles. It is one of the most frequent injuries for athletes, dancers, sportspeople, etc. Correlations: In Ayurveda, gulpha marma is one among 20 sandhi marma (vital points related to joints) and one of the 8 rujakara marma according to its traumatic effect of pain the sense of distress or pain is more over here compared to other parts of the body. A sprain injury usually happens suddenly due to injury around a joint, so they can be under agantuj vyadhi. Sports Injuries can be related to abhighataj shotha or agantuj shotha, and alepa is the first upakrama in sarvasotha. Case Study: A 22-year-old sports person complain of pain and difficulty in movement of the right ankle joint. Before one day, his foot was twisted while playing football, and he was diagnosed with an ankle sprain (gulpha sandhi aghata) and treated with Bibhitakphala majja lepa and bandhan for 15 days. Result: After completion of treatment, significant relief was observed in subjective and objective criteria.

Efficacy and safety of serrapeptase on ankle sprain cases: A single center prospective comparative study

BackgroundNon-steroid anti-inflammatory drugs (NSAIDs) rank among the frequently prescribed medications for addressing pain and inflammation. Although they are powerful pain relievers, their side effects are indisputable. Serrapeptase, a serine protease, exhibits anti-inflammatory and anti-oedemic activity without the side effects of NSAIDs. We aim to assess the efficacy and safety of serrapeptase in the treatment of pain and edema in ankle sprains. MethodsIn a single-centre prospective comparative study, 76 patients aged 18–53 with Grade II ankle sprains were assigned to either a serrapeptase intervention group (n = 38) receiving 5 mg serrapeptase (two tablets, three times per day) for ten days, or a control group (n = 38) receiving 500 mg paracetamol (three times per day) for the same duration. Ankle joint edema was assessed using both Figure-of-Eight and water-displacement methods. Pain was assessed with Visual Analogue Scale (V.A.S.). Within-groups and between-groups analyses were performed in the 3rd and 10th day. ResultsBoth groups exhibited reduced edema and pain over time. Serrapeptase demonstrated a superior reduction in ankle joint edema on the third and tenth day compared to paracetamol, while pain management did not differ significantly. ConclusionSerrapeptase exhibited better efficacy than paracetamol in reducing ankle joint edema, highlighting its potential as an alternative treatment. Level of evidenceLevel II, prospective comparative trial without randomization.

Sensor-based isometric contraction examination tool after ankle sprain injury and ankle instability

Background. Previous studies have examined the application and benefits of sensors, both in sports and health. Unfortunately, the design of sensor-based isometric contraction examination tools after ankle sprain injuries and ankle instability is still rarely carried out. Purpose. The aim of this research is to design a sensor-based isometric contraction examination tool after ankle sprain injury and ankle instability. Material and Methods. The design used is research and development involving experts, namely instrumentation physics, sports physiology, and physiotherapy to assess the suitability of the tool before field trials. The tool developed is the “Isometric Contractions Test”, which is designed in the form of a box with dimensions of 10 cm (height) x 10 cm (width) x 25 cm (length). Various electronic components are also used, such as Arduino Pro Mini, Flexi Sensors, switch buttons, and OLED LCD as digital reading output. A total of 10 participants aged 18-23 years participated voluntarily for the field trial. Participants were men and women who had experienced sub-acute or chronic ankle sprains and ankle instability. The data obtained were analyzed using the correlation method. Result. The results of this study report that this sensor-based isometric contraction examination tool is valid, reliable, effective, and practical in detecting and treating post-injury healing of ankle sprains and ankle instability. Conclusions. This tool can be used to assist physiotherapists in carrying out observations and evaluations to treat healing quickly and precisely, both in athletes and non-athletes.

Lateral Ankle Instability

Ankle sprains are frequent injuries among athletes and the general population, making them one of the most prevalent sports-relatedinjuries. While most lateral ankle ligament injuries typically respond well to conservative treatment, a significant portion evolves intochronic lateral ankle instability, which may require surgical intervention. Recently, new anatomical insights regarding the lateral ankleligaments have emerged, enhancing the advancement of innovative diagnostic and treatment approaches. The objective of this articlewas to discuss the latest trends in lateral ankle instability. Level of evidence V; Expert opinion.

Health And Performance Promotion in Youth (HAPPY) hybrid effectiveness-implementation cluster randomised trial: comparison of two strategies to implement an injury prevention exercise programme in Danish youth handball

ObjectiveTo investigate if a combination of an online and onsite implementation strategy was superior to an online-only strategy in enhancing the use of an injury prevention exercise programme (IPEP) and...

Event Profile of Ankle Sprain Injury at Athletes in East Java Puslatda

Background: Ankle injuries are the most common injuries in sports and often cause chronic pain, swelling, and functional instability. Ankle injuries (sprains) are acute injuries that athletes often experience. This acute injury is caused by a pressure force, for example, when making a sudden turning motion. Sprains can affect the ankle's side and damage the outside (lateral) ligament; ankle injuries were reported at the Sports Clinic RSUD Dr. Soetomo Surabaya . Aims: To understand the profile of ankle injuries suffered by East Java Puslatda athletes and investigate the risk factors for these injuries. Material and methods: The study was conducted using a retrospective approach with an analytic observational design in the form of a cross-sectional study because the researchers did not provide intervention to the research subjects and only made observations and secondary data profiling. Result: The data collection and analysis found that ankle injuries in East Java Puslatda athletes most often occur in the late adolescent age range (17-23 years), which is as high as 35.8%. Conclusions: There is no relationship between extrinsic and intrinsic factors on the risk of ankle injury for Puslatda East Java athletes.

Model Terapi Latihan Pasca Cedera Ankle pada Atlet Taekwondo Klub KBTC

This research aims to create and develop a form of exercise therapy after ankle injury that can help recovery. Activities that have been carried out using the RND method will produce a product in the form of a model of exercise therapy after ankle injury. Subjects who were targeted in research on the development of post-injury exercise therapy models for KBTC club taekwondo athletes. Of the ten steps of Sugiyono's research model, this research only reaches the sixth stage, namely: (1) potential and problems, (2) data collection, (3) initial product design, (4) design validation, (5) design revision, (6) Product trial. The results of this action research will produce a complete exercise therapy design product that is more specific to the sport of taekwondo.In this study, researchers collaborated with experts in the field of physiotherapy, experts in injury management as expert judgment. The validation test used in this study used an expert justification test, where the exercise therapy model after ankle injury used 14 validated models.This post-ankle injury exercise therapy model can also be used as reference material for other researchers in post-ankle injury exercise therapy in KBTC club athletes. The results of this research can be concluded that after going through validation tests with expert justification, 14 models of post-ankle injury training therapy models were produced for KBTC club taekwondo athletes.

Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound.

Foot and ankle disorders are common during pregnancy, driven by significant physiological changes including weight distribution, hormonal fluctuations, and fluid balance. These changes often result in conditions such as varicose veins, thrombophlebitis, deep vein thrombosis (DVT), edema, overpronation, ankle sprains, metatarsalgia, stress fractures, ligament tears, synovitis, tendon tears, tenosynovitis, paratenonitis, plantar fasciitis, and Morton's neuroma. This paper emphasizes the diagnostic utility of ultrasound for these conditions, given its safety, non-invasiveness, and real-time imaging capabilities without ionizing radiation. Ultrasound is particularly effective for diagnosing venous disorders like varicose veins and thrombophlebitis, leveraging Doppler ultrasound to assess vein structure and function. It is also instrumental in identifying DVT, detecting vein dilation, reflux, and thrombosis. For conditions such as edema, ultrasound helps differentiate physiological from pathological causes, ensuring accurate diagnosis and management. In cases of musculoskeletal issues like overpronation, ankle sprains, ligament tears, and tendon pathologies, ultrasound provides detailed images of soft tissues, allowing for precise diagnosis and effective treatment planning. It is equally useful for detecting metatarsalgia, plantar fasciitis, and Morton's neuroma, offering insights into soft tissue abnormalities and guiding therapeutic interventions. Ultrasound's role extends to diagnosing foreign bodies in the foot and ankle, where it demonstrates high sensitivity and specificity. The accessibility and cost-effectiveness of ultrasound make it an invaluable tool in various healthcare settings, ensuring timely and accurate diagnosis and management of foot and ankle disorders during pregnancy, ultimately enhancing patient outcomes and quality of life.

Emerging Patterns of Foot and Ankle Injuries in Pickleball Players: A Short Report.

Pickleball's surging popularity has driven an increase in injuries presenting to medical providers. This study seeks to describe the epidemiology of pickleball foot and ankle injuries including patient demographics, diagnoses, and mechanism of injury. A retrospective review from our institutional database identified patients treated in the foot and ankle clinic whose medical records included the search terms "pickleball" and "pickle ball." Only injuries sustained while playing pickleball were included. Patient demographics, diagnosis, mechanism of injury, and treatment were collected. Injury incidence and descriptive analyses were calculated. A total of 198 patients with pickleball foot and ankle injuries were identified. The incidence of injuries increased 6.5-fold from 2019 to 2023. The mean age of patients was 58.3 years (SD = 12.2). Most patients were male (58.6%) and reported a traumatic injury (77.8%). The most common diagnosis was Achilles tendon rupture (39.4%). The most common mechanisms of injury were running or lunging forward (30.9%), planting the foot (16.5%), and inverting the foot and ankle (15.5%). Most injuries were treated nonoperatively (71.2%); however, 62.8% of Achilles tendon ruptures were treated surgically. The incidence of pickleball foot and ankle injuries increased dramatically from 2015 to 2023. Injuries occurred more frequently in older, male patients, with Achilles tendon rupture being the most common diagnosis.

Analysis of the Influence of Traditional Bone Setting and Loosening Manipulation of Traditional Chinese Medicine on Sports Rehabilitation after Ankle Operation

To explore the clinical effect of traditional Chinese osteosetting and loosening manipulation after ankle surgery and its influence on rehabilitation. Methods: From September 2022 to March 2023, 70 patients with ankle joint injuries admitted to Longzihu Campus Branch of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine were selected, all of whom received surgical treatment. They were divided into the research group and the control group according to the digital double-blind grouping method, with 35 patients in each group. After the operation, traditional bone setting relaxation and conventional rehabilitation therapy were adopted respectively. The effects of rehabilitation therapy, clinical symptom scores and quality of life of the two groups were compared. Results: The excellent and good rate of the study group was 94.29%, which was significantly higher than that of the control group (77.14%); After treatment, the clinical symptom score of the control group was higher than that of the study group, and the quality of life score was lower than that of the study group (P&lt;0.05), which was statistically significant. Conclusion: The application of traditional Chinese medicine bone setting relaxation method in the postoperative rehabilitation treatment of patients with ankle joint injury can improve the treatment effect, improve the ankle joint function of patients, and accelerate the recovery of patients, which is worthy of promotion.

Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial.

Background: There is a lack of randomized controlled trials focusing on orthopedic telemedicine (TM). The objective of this research was to compare the diagnostic accuracy and pattern of TM consultations of low-risk orthopedic patients performed by general practitioners (GPs) with those of face-to-face evaluations by orthopedists at an emergency department (ED). Methods: This randomized, single-center study was conducted between October 2021 and November 2022 on patients at an ED. Inclusion criteria were age >18 years, low back pain, extremity contusion, ankle sprain, or neck pain. Eligible patients were randomized 1:1 for TM consultations by generalist physicians with subsequent face-to-face orthopedic evaluations (TM-ED group) or face-to-face evaluations by orthopedic physicians (ED group). Primary outcomes were syndromic diagnosis, physical examination, and tests ordered. Secondary analysis included a satisfaction survey. Results: A total of 99 patients were enrolled; mean age was 41 ± 10.1 years, and 62.6% were female. The most common conditions were foot contusion (28.3%), ankle sprain (27.3%), hand contusion (19.2%), low back pain (19.2%), and neck pain (6.1%). Syndromic diagnosis showed no difference between groups (p = 0.231). In the TM-ED group (n = 51), self-examination demonstrated moderate to good agreement with face-to-face evaluations in several areas. Both groups showed similar tests practices. Patient satisfaction was higher in the TM-ED group across multiple measures. Conclusion: TM consultations for low-risk orthopedic patients by GPs are not inferior to face-to-face specialist evaluations at the ED. Virtual assessments are associated with higher patient satisfaction. Clinical Trial Identifier: NCT04981002.