Nussbaum E D, Hosea T M, Sieler S D, Incremona B R, Kessler D E
Division of Athletics, Rutgers University, Piscataway, New Jersey, USA.
Am J Sports Med. 2001 Jan-Feb;29(1):31-5. doi: 10.1177/03635465010290011001.
Sixty consecutive collegiate athletes with "high" ankle symptoms were prospectively evaluated over a 3-year period in an effort to better define this debilitating ankle injury. All athletes included in this study had tenderness over the distal anterior tibiofibular ligament, tenderness proximally along the interosseous membrane, and functional disability. No study subject had a fracture or frank tibia-fibula diastasis. The severity of the sprain was quantified using the interosseous "tenderness length." A standard rehabilitation protocol was followed by all patients. Athletes returned to competition when they could perform all functional testing without difficulty. Time to return to full competitive activity averaged 13.4 days. The number of days missed from competition was statistically related to the interosseous tenderness length (P = 0.0001) and to positive results on the squeeze test (P = 0.03). Fifty-three of the 60 injured athletes were evaluated at least 6 months after injury. Patients rated their outcomes as good or excellent. Six of the patients experienced occasional ankle pain and stiffness, four patients reported recurrent ankle sprains, and one patient had heterotopic ossification formation.
在三年时间里，对60名连续出现“高位”踝关节症状的大学运动员进行了前瞻性评估，以更好地界定这种使人衰弱的踝关节损伤。本研究纳入的所有运动员均有胫腓前韧带远端压痛、沿骨间膜近端压痛以及功能障碍。研究对象均无骨折或明显的胫腓骨分离。使用骨间膜“压痛长度”对扭伤的严重程度进行量化。所有患者均遵循标准康复方案。运动员在能够毫无困难地完成所有功能测试后重返比赛。恢复到完全竞技活动的平均时间为13.4天。错过比赛的天数与骨间膜压痛长度（P = 0.0001）和挤压试验阳性结果（P = 0.03）在统计学上相关。60名受伤运动员中有53名在受伤后至少6个月接受了评估。患者对其结果的评价为良好或优秀。6名患者偶尔出现踝关节疼痛和僵硬，4名患者报告反复出现踝关节扭伤，1名患者有异位骨化形成。
