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高中运动员的腓侧副韧带撕裂:病例报告。

Superior peroneal retinaculum tear in a high school athlete: a case report.

机构信息

University of Pittsburgh Medical Center Health Systems' Center for Sports Medicine and Keystone Oaks High School, Pittsburgh, PA.

出版信息

J Athl Train. 2000 Jan;35(1):100-2.

PMID:16558599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1323448/
Abstract

OBJECTIVE

To present the case of an 18-year-old football player who chose conservative treatment for a superior peroneal retinaculum tear and to review alternatives.

BACKGROUND

Superior peroneal retinaculum tears are often mistaken for lateral ankle instability. These tears often do not heal readily by themselves and must be identified so that proper treatment can begin.

DIFFERENTIAL DIAGNOSIS

Superior peroneal retinaculum tear, peroneal subluxation, peroneal retinacular avulsion, snapping ankle.

TREATMENT

This athlete chose conservative treatment, which may have cost him 4 weeks and the chance to return to his senior season. Surgical treatment can reduce recovery time.

UNIQUENESS

This case history presents an athlete who was thought to have a grade II lateral ankle sprain. After weeks of rehabilitation, pain and effusion diminished, but the athlete was still unable to perform any functional activity without symptoms of pain and catching.

CONCLUSIONS

Making the correct clinical diagnosis and understanding the time frame involved in rehabilitative versus surgical treatment are necessary to return the athlete to play in a timely manner.

摘要

目的

介绍一位 18 岁足球运动员的病例,该运动员选择保守治疗外侧腓骨支持带撕裂,并回顾替代治疗方案。

背景

外侧腓骨支持带撕裂常被误诊为外踝不稳定。这些撕裂通常不易自行愈合,必须加以识别,以便开始适当的治疗。

鉴别诊断

外侧腓骨支持带撕裂、腓骨外移、腓骨支持带撕脱、弹响踝。

治疗

该运动员选择保守治疗,这可能使他损失了 4 周时间和重返高年级赛季的机会。手术治疗可以缩短康复时间。

独特性

本病例报告介绍了一位被认为患有二级外踝扭伤的运动员。经过数周的康复,疼痛和肿胀减轻,但运动员在没有疼痛和卡住感的情况下仍无法进行任何功能性活动。

结论

做出正确的临床诊断并了解康复治疗与手术治疗之间的时间框架对于及时让运动员重返赛场是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb06/1323448/12f01a331897/jathtrain00001-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb06/1323448/f5437d257fa5/jathtrain00001-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb06/1323448/12f01a331897/jathtrain00001-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb06/1323448/f5437d257fa5/jathtrain00001-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb06/1323448/12f01a331897/jathtrain00001-0103-b.jpg

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