Teh James, Suppiah Ravi, Sharp Robert, Newton Julia
Department of Radiology, Nuffield Orthopaedic Centre NHS Trust, Headington, Oxford, United Kingdom.
Semin Musculoskelet Radiol. 2011 Feb;15(1):101-14. doi: 10.1055/s-0031-1271962. Epub 2011 Feb 17.
Overuse injuries of the ankle and foot are common in the general and athletic populations. The wide spectrum of overuse injuries includes ligamentous injuries, soft tissue and osseous impingement, osteochondral lesions, tendon injuries, and stress fractures. Some conditions such as impingement syndromes and stress fractures may be missed on initial physical examination, and patients with such injuries often present to a sports or orthopedic clinic with persistent symptoms. With the increasing participation in sports, health-care professionals involved in the care of athletes at all levels must have a thorough understanding of overuse conditions of the foot and ankle, and the use of imaging in the management of these conditions. This article covers the clinical presentation, pertinent anatomy, imaging features, and management of overuse injuries of the foot and ankle.
踝关节和足部的过度使用损伤在普通人群和运动员群体中都很常见。过度使用损伤的范围广泛，包括韧带损伤、软组织和骨撞击、骨软骨损伤、肌腱损伤以及应力性骨折。某些情况，如撞击综合征和应力性骨折，在初次体格检查时可能会被漏诊，患有此类损伤的患者常常因持续症状而前往运动或骨科诊所就诊。随着参与体育运动的人数不断增加，各级参与运动员护理的医疗保健专业人员必须全面了解足部和踝关节的过度使用情况，以及影像学在这些情况管理中的应用。本文涵盖了足部和踝关节过度使用损伤的临床表现、相关解剖结构、影像学特征及管理。
