Potential Savings of a Program to Prevent Ankle Sprain Recurrence: Economic Evaluation of a Randomized Controlled Trial- Maarten et al, AJSM 11-10.
A great, simple study with a large group of subjects comparing 2 groups of ankle sprain patients. One with just initial acute intervention, the other with some proprioceptive training added in (common place in the high school setting). The authors computed the cost of medical care/ lost productivity among the two groups. The mean costs per athlete in the intervention group was 81 euros ($112); and in the control group 149euros ($205). This is the kind of data we should be presenting when we make the case for a full time A.T. on staff in this economy. Overall it is just plain more cost effective.