Department of Physical Education, Athletics, and Recreation, Tufts University, Medford, MA.
J Athl Train. 1999 Jan;34(1):15-8.
To obtain information regarding syndesmotic ankle sprains and to identify a specific treatment modality that reduces the recovery time for syndesmotic ankle sprains.
A mailed survey conducted from the Sports Medicine Department of Tufts University.
I sent a survey to the head athletic trainers of all 30 National Football League teams. Of the surveys mailed, 23 (77%) were returned.
The survey consisted of 8 questions pertaining to syndesmotic ankle sprains with respect to mechanism of injury, playing surface, diagnostic tests, immediate and follow-up treatment modalities, best treatment, recovery time, and taping procedure.
A variety of causes were noted as being responsible for syndesmotic ankle sprains; the most frequently described mechanism of injury involved a rotational component. Playing surface was not thought to be a factor in the incidence of syndesmotic ankle sprains. Most athletic trainers (96%) indicated that plain radiographs were part of the diagnostic process, while 52% noted that magnetic resonance imaging was also ordered for suspected syndesmotic ankle sprains. The most frequently used modalities during the acute stage were ice, electrical muscle stimulation, casting or bracing (or both), and nonsteroidal anti-inflammatory drugs. Proprioception training, ultrasound, and taping were the most commonly used modalities during follow-up treatment. Immobilization, cortico-steroid injection, and ice and exercise were reported to be the best treatments for reducing recovery time of syndesmotic ankle sprains.
To date, no treatment plan or modality for syndesmotic ankle sprains has been shown to effectively provide an early and safe return to football. Therefore, the need is clear for prospective studies comparing treatment protocols and severity of injury.
获取关于下胫腓联合踝关节扭伤的信息，并确定一种可缩短下胫腓联合踝关节扭伤康复时间的特定治疗方法。
塔夫茨大学运动医学系进行的邮寄调查。
我向所有 30 支美国国家橄榄球联盟球队的首席运动训练师发送了一份调查问卷。在寄出的调查问卷中，有 23 份（77%）被退回。
调查问卷共包含 8 个关于下胫腓联合踝关节扭伤的问题，涉及损伤机制、比赛场地、诊断测试、即刻和后续治疗方法、最佳治疗方法、康复时间和贴扎程序。
各种原因被认为是导致下胫腓联合踝关节扭伤的原因；最常描述的损伤机制涉及旋转成分。运动场地被认为不是导致下胫腓联合踝关节扭伤的一个因素。大多数运动训练师（96%）表示，普通 X 光片是诊断过程的一部分，而 52%的人表示，对于疑似下胫腓联合踝关节扭伤，也会同时进行磁共振成像检查。在急性期最常使用的治疗方法是冰敷、电肌肉刺激、石膏固定或支具（或两者兼用）和非甾体类抗炎药。本体感觉训练、超声波和贴扎是随访治疗中最常用的方法。固定、皮质类固醇注射、冰敷和运动被报道是缩短下胫腓联合踝关节扭伤康复时间的最佳治疗方法。
迄今为止，还没有一种治疗方案或方法被证明能有效地使下胫腓联合踝关节扭伤患者早期、安全地重返赛场。因此，需要进行前瞻性研究，比较治疗方案和损伤严重程度。
