U-M Medical School
U-M School of Nursing
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CONSULT REQUEST GUIDELINES
Suggested Pre-Referral Evaluation and Management Guidelines
X-rays ankle and foot with weight
If no fracture - then ankle stirrup orthosis (ASO) or controlled ankle motion (CAM) walker for 2 to 4 weeks
PT for ankle sprain protocol as soon as possible, patient tolerance permitting.
Convert to ankle stirrup orthosis (AS0) as soon as possible, patient tolerance permitting.
Suggested Additional Test/Management Prior to Specialty Visit
If pain with weight bearing in boot, then keep patient non-weight-bearing initially.
MRI may be needed but not until at least 6 weeks after injury.
Patient Education/Information (includes preps)
Over 90% ankle sprains resolve with appropriate non-operative care.
PT is essential to recovery
Recurrent sprains may require surgery
Within 2 weeks
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Patients must obtain and hand carry hardcopy radiographic studies (MRI/CT/X-rays)
Clinic Contact Information
Clinic Location Sites
Ann Arbor - South Main Orthopedics
UM Consulting Physician
James Robert Holmes MD
Todd Andrew Irwin MD
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