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踝关节纤维性关节病

Arthrofibrosis of the Ankle.

作者信息

Velasco Brian Timothy, Patel Shalin S, Broughton Kimberly K, Frumberg David B, Kwon John Y, Miller Christopher P

机构信息

Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA, USA.

Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, MA, USA.

出版信息

Foot Ankle Orthop. 2020 Nov 27;5(4):2473011420970463. doi: 10.1177/2473011420970463. eCollection 2020 Oct.

Abstract

Arthrofibrosis is a common, but often overlooked, condition that imparts significant morbidity following injuries and surgery to the foot and ankle. The most common etiologies are related to soft tissue trauma with subsequent fibrotic and contractile scar tissue formation within the ligaments and capsule of the ankle. This leads to pain, alterations in gait, and ankle dysfunction. Initial treatment often includes extensive physical therapy, however, if severe enough surgical options exist. Although the literature regarding ankle arthrofibrosis is scarce, this review article provides a greater understanding of the pathogenesis of arthrofibrosis and describes the current and future therapeutic options to treat fibrotic joints. Level of Evidence: Level V, expert opinion.

摘要

关节纤维化是一种常见但常被忽视的病症,在足踝部受伤和手术后会导致明显的发病率。最常见的病因与软组织创伤有关,随后在踝关节的韧带和关节囊内形成纤维化和收缩性瘢痕组织。这会导致疼痛、步态改变和踝关节功能障碍。初始治疗通常包括广泛的物理治疗,然而,如果病情足够严重则存在手术选择。尽管关于踝关节纤维化的文献较少,但这篇综述文章能让人们更好地理解关节纤维化的发病机制,并描述了治疗纤维化关节的当前和未来治疗选择。证据级别:V级,专家意见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d931/8564948/123e9b4d28dc/10.1177_2473011420970463-fig2.jpg

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