Fukushima Yaeko
Graduate School of Medicine, Kansai Medical University, Health Science, Osaka, Japan.
Ultrasound Int Open. 2017 Apr;3(2):E69-E75. doi: 10.1055/s-0043-105069. Epub 2017 Jun 7.
The goal of the study was to survey ankle joint disorder in male senior high school and college student basketball players based on the results of an ultrasonographic medical check-up of the ankle joint.
The subjects were 17 senior high school student and 19 college student basketball players. Ultrasonography, evaluation of ATFL injury, and examination of the talocrural joint region were performed. The subjects were grouped based on the presence or absence of old ATFL injury, and subjects with ATFL injury were classified by the injured region: fibular insertion site, parenchyma, and talar insertion site. The talocrural joint region was evaluated based on the areas of the lateral margin, central region, and medial margin, and sites with an irregular bone contour and osteophyte were counted individually. The questionnaire asked about the patients' history of ankle injuries.
A questionnaire survey revealed that 70-79% of all subjects had experienced a sprain at least once and 21-29% had frequently sprained the left or right foot 10 or more times in the past. On ultrasonography, there was no significant difference in ligament injury or injured site between the senior high school and college students, but the number of osteochondral findings in the talocrural joint region was significantly higher in the college students. In addition, the number of injured sites significantly increased in those with 10 or more years of playing experience.
These results suggest that disorder of the talocrural joint region progresses with an increase in years of experience in student basketball players who do not take specific preventive measures against this injury.
本研究的目的是根据踝关节超声医学检查结果，调查男性高中和大学生篮球运动员的踝关节疾病。
受试者为17名高中学生和19名大学生篮球运动员。进行了超声检查、距腓前韧带（ATFL）损伤评估以及胫距关节区域检查。根据是否存在陈旧性ATFL损伤对受试者进行分组，对有ATFL损伤的受试者按损伤部位分类：腓骨附着点、实质部和距骨附着点。根据外侧缘、中央区域和内侧缘的面积评估胫距关节区域，并分别计数骨轮廓不规则和有骨赘的部位。问卷询问了患者的踝关节损伤史。
问卷调查显示，所有受试者中有70 - 79%至少经历过一次扭伤，21 - 29%在过去曾频繁扭伤左脚或右脚10次或更多次。在超声检查中，高中生和大学生在韧带损伤或损伤部位方面没有显著差异，但大学生胫距关节区域的骨软骨病变数量明显更高。此外，有10年或以上比赛经验的受试者损伤部位数量显著增加。
这些结果表明，在未针对这种损伤采取特定预防措施的学生篮球运动员中，胫距关节区域的疾病随着比赛经验年限的增加而进展。
