急诊科踝关节损伤的处理

Managing ankle injuries in the emergency department.

作者信息

Birrer R B, Fani-Salek M H, Totten V Y, Herman L M, Politi V

机构信息

Catholic Medical Center of Brooklyn and Queens, Inc., Jamaica, New York 11432, USA.

出版信息

J Emerg Med. 1999 Jul-Aug;17(4):651-60. doi: 10.1016/s0736-4679(99)00060-8.

DOI:10.1016/s0736-4679(99)00060-8

PMID:10431956

Abstract

We review the anatomy and physiology of the ankle joint with attention to the structures most likely to be injured. We discuss the epidemiology of ankle injuries and their physical and radiographic evaluation, including the Ottawa Ankle Rules. Treatment, consultation, and pitfalls are followed by more specific discussions of tendonitis, Achilles tendon injury, tendonous subluxations, tarsal tunnel syndrome, sonovial impingement, and injury to the os trigonum. The references provide a guide for further reading.

摘要

我们回顾踝关节的解剖学和生理学，重点关注最易受伤的结构。我们讨论踝关节损伤的流行病学及其体格检查和影像学评估，包括渥太华踝关节规则。随后是关于治疗、会诊及陷阱的内容，接着更具体地讨论肌腱炎、跟腱损伤、肌腱半脱位、跗管综合征、滑膜撞击以及距三角骨损伤。参考文献提供了进一步阅读的指南。