The Rothman Institute, University of Pennsylvania, Philadelphia, PA.
Phys Sportsmed. 2013 Sep;41(3):110-4. doi: 10.3810/psm.2013.09.2029.
When can the athlete with a sprained ankle to return to play? The medical literature provides no definitive answer to this question, so we surveyed 500 experts in sports medicine, and asked them if they agree with the following statement: "For patients with an acute ankle injury, the ability to hop on the sidelines is sufficient evidence to allow the athlete to return to the field." Overall, the experts did not endorse this statement. Further, a review of the medical literature failed to lend support for the statement. Taken together, some level V (expert opinion) evidence emerges, namely, that a patient's ability to successfully complete the hop test is not necessarily sufficient evidence to allow a return to play. That finding does not mean that a physician must shun the test; rather, the conclusion is that it cannot be relied on in isolation. The hop test, used in context with other findings, along with a consideration of the risks and benefits of continued play, may help the physician on the field reach a reasonable conclusion. To date, however, there is no single, easily applied test that can correctly determine whether an athlete is safe to return to the field.
运动员踝关节扭伤后何时可以重返赛场？医学文献对此问题没有明确的答案，因此我们调查了 500 名运动医学专家，询问他们是否同意以下说法：“对于急性踝关节损伤患者，能够在 sidelines单脚跳跃是足以允许运动员重返赛场的证据。”总体而言，专家们不同意这一说法。此外，对医学文献的回顾也没有支持这一说法。综合来看，出现了一些 V 级（专家意见）证据，即患者成功完成跳跃测试的能力不一定足以允许其重返赛场。这一发现并不意味着医生必须回避该测试；相反，结论是不能单独依赖该测试。跳跃测试与其他发现一起使用，并考虑继续比赛的风险和收益，可能有助于场边的医生得出合理的结论。然而，迄今为止，没有一种简单易用的测试可以正确确定运动员是否安全返回赛场。
