an injury of such soft tissues as muscles, ligaments, tendons, and nerves, caused by the impact of a force that stretches them but does not disrupt their anatomic integrity. Sprains occur when abrupt movements exceed a joint’s normal range of movement, as when a foot is twisted or when an athlete throws an object.
Sprains are most common in the ligaments of the ankle and knee joints. The sprain is not caused by stretching of the ligament, which is tissue with a very small reserve of elasticity. Rather, the cause is rupture of some of the ligament’s fibers and hemorrhage within the tissues. The degree of sprain varies from slight soreness lasting one to two days to severe sprain bordering on rupture of the ligament, with edema, hemorrhage, and soreness continuing for two to three weeks. In sprain, the joint’s movements are limited. Sprains of nerve trunks, which sometimes accompany dislocations of the joints, temporarily disrupt the nerve’s conductivity and consequently cause loss of motor and sensory functions. With all types and degrees of sprain, X rays are used to ascertain whether a bone has been fractured.
In the case of slight sprains, the area is bandaged tightly and the patient rests for one to three days. In severe cases, a plaster cast is used to immobilize the joint for three weeks. Subsequent treatment consists of physiotherapy and therapeutic exercise.
V. F. POZHARISKII