慢性外侧踝关节不稳的现代开放与微创稳定术
Modern Open and Minimally Invasive Stabilization of Chronic Lateral Ankle Instability.
作者信息
Allen Tyler, Kelly Meghan
机构信息
University of Nevada Reno School of Medicine, 1890 Van Ness Avenue, Reno, NV 89503, USA.
Department of Orthopedic Surgery University of California at Davis; Department of Orthopedic Surgery, Mount Sinai Icahn School of Medicine, 425 West 59th Street 5th Floor, New York, NY 10019, USA.
出版信息
Foot Ankle Clin. 2021 Mar;26(1):87-101. doi: 10.1016/j.fcl.2020.11.003. Epub 2021 Jan 19.
Chronic lateral ankle instability is the sensation of the ankle giving way along with recurrent sprains, chronic pain and swelling of the ankle for 1 year. The lateral ankle complex comprises the anterior talofibular ligament, calcaneofibular ligament, and posterior talofibular ligament. The anterior talofibular ligament is the most commonly injured ligament of the lateral ankle. Evaluation comprises a history and physical with concomitant imaging to confirm the diagnosis and can be used to evaluate for concurrent pathology. The most popular treatment is a direct anatomic repair; however, additional options can be used in specific patient populations.
慢性外侧踝关节不稳定是指踝关节有松垮感，伴有反复扭伤、踝关节慢性疼痛和肿胀达1年之久。外侧踝关节复合体包括距腓前韧带、跟腓韧带和距腓后韧带。距腓前韧带是外侧踝关节最常受伤的韧带。评估包括病史、体格检查及相关影像学检查以确诊，还可用于评估并发的病变情况。最常用的治疗方法是直接进行解剖修复；不过，针对特定患者群体也可采用其他治疗方案。
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