Boytim M J, Fischer D A, Neumann L
Braemar Sports Medicine Center, Minneapolis, Minnesota 55439.
Am J Sports Med. 1991 May-Jun;19(3):294-8. doi: 10.1177/036354659101900315.
In this study we reviewed ankle sprains in a professional football team over a 6 year period. Fifteen players who sustained syndesmotic ankle sprains were compared with 28 players who sustained significant lateral ankle sprains. Players with syndesmotic sprains missed significantly more games and practices and they received substantially more treatments than players with lateral ankle sprains. Physical examination findings, results of radiographic evaluations, and etiologic factors are discussed. The external rotation stress test, a clinical method for diagnosis of this type of sprain at the time of injury, is described. Results of this study clearly demonstrate a prolonged recovery time for syndesmotic ankle sprains. Physicians and trainers who are aware of this injury can differentially diagnose these two types of sprains in the early postinjury period by the method described.
在本研究中，我们回顾了一支职业足球队在6年期间内的踝关节扭伤情况。将15例发生下胫腓联合踝关节扭伤的球员与28例发生严重外侧踝关节扭伤的球员进行了比较。下胫腓联合扭伤的球员比外侧踝关节扭伤的球员错过的比赛和训练显著更多，接受的治疗也显著更多。本文讨论了体格检查结果、影像学评估结果及病因。文中描述了一种在损伤时诊断此类扭伤的临床方法——外旋应力试验。本研究结果清楚地表明，下胫腓联合踝关节扭伤的恢复时间延长。了解这种损伤的医生和训练师可以通过本文所述方法在伤后早期对这两种类型的扭伤进行鉴别诊断。
