Kim S H, Ha K I
Department of Orthopaedic Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Centre, Seoul, Korea.
J Bone Joint Surg Br. 2000 Sep;82(7):1019-21. doi: 10.1302/0301-620x.82b7.9870.
We treated 52 patients with impingement of the anterolateral soft tissues of the ankle by arthroscopic debridement. All had a history of single or multiple inversion injuries, without instability. One half had negative stress radiographs (stable group), while the others were positive (unstable group). Their mean age was 31 years and there were 35 men and 17 women. The results were assessed at a mean follow-up of 30 months. Three patients (6%) had a fair result, while 49 (94%) had an excellent or good outcome. No difference was found in the final results between the two groups (p > 0.05). We conclude that anterolateral impingement of the ankle should be considered in a patient with chronic anterolateral pain after an injury, regardless of the stability of the ankle.
我们采用关节镜清创术治疗了52例踝关节前外侧软组织撞击患者。所有患者均有单次或多次内翻损伤史,但无踝关节不稳。其中一半患者应力X线片阴性(稳定组),另一半为阳性(不稳定组)。他们的平均年龄为31岁,男性35例,女性17例。平均随访30个月时评估结果。3例患者(6%)结果为尚可,49例(94%)结果为优或良。两组最终结果无差异(p>0.05)。我们得出结论,对于受伤后有慢性前外侧疼痛的患者,无论踝关节是否稳定,均应考虑踝关节前外侧撞击。