UT Southwestern Medical Center School of Health Professions, Department of Physical Therapy, 5323 Harry Hines Blvd, Dallas, TX 75390-8876, United States.
Phys Ther Sport. 2011 May;12(2):57-69. doi: 10.1016/j.ptsp.2011.03.001. Epub 2011 Apr 2.
Ankle injuries are common in sporting activities with damage to the inferior tibiofibular ligaments being notable for their resultant disability and prolonged recovery.
To provide a synopsis of the current best evidence regarding the recognition and treatment of injury to the syndesmotic ligaments of the ankle.
Structured narrative overview.
Keyword search of Medline, CINAHL, and PEDro databases for studies published in English from January 1985 to July 2010. In addition, the reference lists from articles obtained were manually searched for relevant literature.
This manuscript provides an overview of the distal tibiofibular pathologies, discusses the accuracy, limitations, and prognostic ability of clinical and radiographic examination techniques, and presents a philosophical approach to the rehabilitative management of syndesmotic injuries that integrates known biomechanical influences.
An appreciation for the mechanism of injury and a careful examination can distinguish these injuries from other forms of ankle instability. Proper recognition and immediate attention to the unique complexities of this joint can minimize morbidity and prevent a delayed return to sports.
踝关节损伤在体育运动中很常见，下胫腓联合韧带损伤较为显著，其导致的残疾和恢复时间较长。
概述当前关于踝关节联合韧带损伤的识别和治疗的最佳证据。
有结构的叙述性综述。
对 1985 年 1 月至 2010 年 7 月发表的英文文献，在 Medline、CINAHL 和 PEDro 数据库中进行关键字搜索。此外，还从获得的文章的参考文献列表中手动搜索相关文献。
本文概述了远端胫腓联合的病理变化，讨论了临床和影像学检查技术的准确性、局限性和预后能力，并提出了一种哲学方法来康复管理联合损伤，该方法整合了已知的生物力学影响。
对损伤机制的认识和仔细的检查可以将这些损伤与其他形式的踝关节不稳定区分开来。正确识别和立即关注这个关节的独特复杂性，可以最大限度地减少发病率，并防止运动延迟恢复。
