MétaCan
Menu
Back to cohort
Record W4412362998 · doi:10.12775/qs.2025.43.62354

Ankle Sprains: Clinical Practice and Guideline-Based Treatment Strategies

2025· article· en· W4412362998 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueQuality in Sport · 2025
Typearticle
Languageen
FieldMedicine
TopicFoot and Ankle Surgery
Canadian institutionsnot available
Fundersnot available
KeywordsGuidelineAnkleClinical PracticeMedicinePhysical therapyPhysical medicine and rehabilitationSurgeryPathology

Abstract

fetched live from OpenAlex

Ankle sprains, particularly lateral sprains involving the anterior talofibular ligament (ATFL), represent up to 85% of ankle injuries and are common in both athletic and general populations. Despite their prevalence, misdiagnosis and inadequate treatment can lead to chronic ankle instability and post-traumatic osteoarthritis. This narrative review synthesizes current clinical guidelines and evidence-based practices for diagnosis and treatment. Clinical assessment, supported by the Ottawa Ankle Rules, ultrasound, and MRI, enables accurate injury classification. Conservative treatment is preferred for Grade I and II injuries, with early mobilization and functional support—especially within the POLICE protocol—demonstrating superior outcomes. Exercise therapy effectively reduces recurrence, while surgical intervention is reserved for Grade III injuries or chronic instability in high-demand patients. Timely and structured rehabilitation remains key to restoring ankle function.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.447
Threshold uncertainty score0.408

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.090
GPT teacher head0.490
Teacher spread0.400 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it