Table 5

Checklist. Essential information for healthcare professionals during referral of patient with LAI, ADL

Medical disciplineDiagnostic phaseAcute treatment phaseGuidance phase
Emergency physicianTime of accident(Differential) diagnosis
Trauma mechanism
Age, profession, hobbyTime schedule and treatment plan
Man, womanAdvise follow-up visit
Duration of rest
Ability to walk after traumaWhen normal weight-bearing allowed
Therapy until visitThrombosis prophylaxis yes/no
Concomitant symptomsWhat to do with deviant drift of symptoms
Sports masseur, physical therapistTime of accident(Differential) diagnosisDiagnosis
Trauma mechanismTime schedule and treatment planResult of treatment
Age, profession, hobbyAdvise follow-up visitAdvise on ADL and sports participation
Man, womanDuration of rest
Ability to walk after traumaWhen normal weight-bearing allowed
Therapy until visitThrombosis prophylaxis yes/no
Concomitant symptomsWhat to do with deviant drift of symptoms
Sports physician, general practitionerTime of accident(Differential) diagnosisDiagnosis
Trauma mechanismResult of treatment
Time schedule and treatment planAdvise on ADL and sports participation Medication
Age, profession, hobbyAdvise follow-up visit
Man, womanDuration of rest
Ability to walk after traumaWhen normal weight-bearing allowed
Therapy until visitThrombosis prophylaxis yes/no
Concomitant symptomsWhat to do with deviant drift of symptoms
Orthopaedic and trauma surgeonTime of accidentFracture yes/no
Trauma mechanismTreatment options
Age, profession, hobby
Man, woman
Ability to walk after trauma
Therapy until visit
Concomitant symptoms
RadiologistTime of accidentFracture yes/no
Trauma mechanismConcomitant pathology
Age, profession, hobby
Man, woman
Ability to walk after trauma
Therapy until visit
Concomitant symptoms
Medical officer, insurance medical officer, rehabilitation physicianDiagnosis
Therapy
Time schedule and treatment plan/result
Advise on ADL and sports participation
Advise follow-up visit
Medication
Prognosis
Reintegration protocol
  • ADL, activities of daily living; LAI, lateral ankle injury.