Hossain Munier, Clutton Juliet, Ridgewell Mark, Lyons Kathleen, Perera Anthony
Cardiff Regional Foot and Ankle Unit, University Hospital of Wales, Cardiff CF14 4XW, UK.
Sports Medicine Department, Spire Cardiff Hospital, Croescadarn Road, Cardiff CF23 8XL, UK.
Clin Sports Med. 2015 Oct;34(4):769-90. doi: 10.1016/j.csm.2015.06.011.
Stress fractures of the foot and ankle may be more common among athletes than previously reported. A low threshold for investigation is warranted and further imaging may be appropriate if initial radiographs remain inconclusive. Most of these fractures can be treated conservatively with a period of non-weight-bearing mobilization followed by gradual return to activity. Early surgery augmented by bone graft may allow athletes to return to sports earlier. Risk of delayed union, nonunion, and recurrent fracture is high. Many of the patients may also have risk factors for injury that should be modified for a successful outcome.
足踝应力性骨折在运动员中可能比之前报道的更为常见。有必要保持较低的检查门槛,如果最初的X线片结果不明确,进一步的影像学检查可能是合适的。这些骨折大多可通过一段时间的非负重活动进行保守治疗,随后逐渐恢复活动。早期手术并辅以骨移植可能使运动员更早重返运动。延迟愈合、不愈合和再发骨折的风险很高。许多患者可能还有导致损伤的风险因素,为获得成功的治疗结果应加以改善。