Carolinas Medical Center, OrthoCarolina Foot & Ankle Institute, Charlotte, NC, USA.
J Am Acad Orthop Surg. 2010 Sep;18(9):546-56. doi: 10.5435/00124635-201009000-00006.
Foot and ankle injuries are commonplace in competitive sports. Improvements in injury surveillance programs and injury reporting have enabled physicians to better recognize and manage specific foot and ankle injuries, with a primary goal of efficient and safe return to play. Athletes are becoming stronger, faster, and better conditioned, and higher-energy injuries are becoming increasingly common. Close attention is required during examination to accurately identify such injuries as turf toe, ankle injuries, tarsometatarsal (ie, Lisfranc) injuries, and stress fractures. Early diagnosis and management of these injuries are critical. Ultimately, however, pressure to return to play must not compromise appropriate care and long-term outcomes.
足部和踝关节损伤在竞技运动中很常见。随着损伤监测计划和损伤报告的改进,医生能够更好地识别和处理特定的足部和踝关节损伤,主要目标是高效、安全地重返赛场。运动员变得更强壮、更快、状态更好,高能量损伤也越来越常见。在检查过程中需要密切注意,以准确识别趾间球部损伤、踝关节损伤、跗跖(即 Lisfranc)损伤和应力性骨折等损伤。这些损伤的早期诊断和治疗至关重要。然而,最终,重返赛场的压力绝不能影响到适当的治疗和长期结果。