Brockwell Jason, Yeung Yeung, Griffith James F
Chinese University of Hong Kong, Hong Kong.
Sports Med Arthrosc Rev. 2009 Sep;17(3):149-59. doi: 10.1097/JSA.0b013e3181b12727.
Stress fractures are common athletic injuries of the foot and ankle, described in every bone except the lesser toes, and reviewed here. Early diagnosis usually allows for simpler treatment and quick recovery. Early clinical presentations can be subtle, so a high degree of suspicion and a systematic approach, coupled with an understanding of the diagnostic limitations present in early injury, is required. Such a rigorous approach ultimately pays dividends for these patients, who are usually keen to return quickly to athletic activity. "High-risk" fractures include the medial malleolus, the talus, the navicular bone, the base of the fifth metatarsal, and the hallux sesamoids. We support recommendations of early surgery in high-risk fractures.
应力性骨折是常见的足踝部运动损伤，除小趾外的每块骨头都有相关描述，本文将对此进行综述。早期诊断通常能使治疗更简单且恢复更快。早期临床表现可能不明显，因此需要高度的怀疑、系统的方法，以及对早期损伤中诊断局限性的理解。这种严谨的方法最终会给这些通常渴望迅速恢复运动的患者带来好处。“高风险”骨折包括内踝、距骨、舟骨、第五跖骨基底和拇籽骨。我们支持对高风险骨折进行早期手术的建议。
