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门诊环境下的足踝部损伤处理

Approaching Foot and Ankle Injuries in the Ambulatory Setting.

作者信息

Albano Andrew W, Nelson Vicki

机构信息

Quality & Medical Affairs, Department of Family Medicine, Prisma Health, 877 West Faris Road, Greenville, SC 29605, USA; University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.

University of South Carolina School of Medicine-Greenville, Greenville, SC, USA; Department of Family Medicine, Prisma Health, 877 West Faris Road, Greenville, SC 29605, USA.

出版信息

Prim Care. 2020 Mar;47(1):133-145. doi: 10.1016/j.pop.2019.10.007. Epub 2019 Oct 17.

Abstract

Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of key anatomic structures with an appropriately gathered history can help to quickly narrow the differential diagnosis in this clinical presentation. This article focuses on key elements from the history and physical examination as well as provides a concise review of imaging modalities and recommended treatment strategies.

摘要

每年,足踝部损伤占基层医疗门诊就诊量的很大一部分。鉴于损伤的发生率以及对长期后遗症的担忧,基层医疗医生必须熟悉常见的足踝部损伤。将对关键解剖结构的充分了解与适当收集的病史相结合,有助于快速缩小这种临床表现的鉴别诊断范围。本文重点介绍病史和体格检查的关键要素,并简要回顾影像学检查方法和推荐的治疗策略。

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