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使用关节角度计量化踝关节松弛度:信息图总结。

Using an Arthrometer to Quantify Ankle Laxity: An Infographic Summary.

机构信息

Widener University, Chester, Pennsylvania, USA.

出版信息

Sports Health. 2024 Jan-Feb;16(1):26-28. doi: 10.1177/19417381221147511. Epub 2023 Jan 23.


DOI:10.1177/19417381221147511
PMID:36691697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10732107/
Abstract

Lateral ankle sprains are a common musculoskeletal injury. The anterior talofibular ligament (ATFL) is the primary ligament involved and is assessed via an anterior drawer test. Clinically assessing joint laxity has been a subjective task. Evaluating both magnitude of translation and quality of the endfeel has presented challenges. Until recently, a reliable and valid arthrometer to test joints other than the knee has not been available. The Mobil-Aider arthrometer has undergone bench testing for validity, reliability testing in healthy persons, and most recently the testing of participants for pathology. A summary of these studies is available in the Online Supplement. The goal of this study was to determine the ability of the arthrometer to objectively identify the anterior translation of the ankle and the relationship to the clinical diagnosis. The participant was evaluated by a physician and magnitude of ankle sprain was determined. An arthrometer was used to perform an anterior drawer test (uninjured before injured, 3 measures each) in the prone position. Both clinicians were blinded to the data of the other. There were 30 participants, 10 per group (uninjured, 1° sprain, 2° sprain). Mann-Whitney U testing found significant differences between the control and grade 1 ankle sprain groups ( < .001), the control and grade 2 ankle sprain groups ( < .001), and the grade 1 and grade 2 ankle sprain groups ( = .004). There was ± 0.31 mm difference in anterior translation between healthy ankles, whereas there was 1.11 mm and 2.16 mm difference between ankles in grade 1 and grade 2 sprains, respectively. The anterior drawer test is the gold standard for clinical ATFL testing, but the subjective nature of this test poses challenges. Technology is available to assess ankle joint laxity and enhance the objectivity of patient assessment and throughout the recovery process. An arthrometer is a valuable tool in quantifying orthopaedic examination.

摘要

外侧踝关节扭伤是一种常见的肌肉骨骼损伤。距腓前韧带(ATFL)是主要涉及的韧带,并通过前抽屉试验进行评估。临床评估关节松弛度一直是一项主观任务。评估平移的幅度和终末感觉的质量都具有挑战性。直到最近,一种可靠和有效的关节测量仪还无法用于测试除膝关节以外的关节。Mobil-Aider 关节测量仪已经经过了有效性的台架测试、健康人群的可靠性测试,以及最近对有病理患者的测试。这些研究的摘要可在在线补充材料中找到。本研究的目的是确定关节测量仪客观识别踝关节前向平移的能力及其与临床诊断的关系。研究对象由医生进行评估,并确定踝关节扭伤的程度。使用关节测量仪在俯卧位进行前抽屉试验(未受伤前、受伤后各进行 3 次测量)。两位临床医生都对对方的数据进行了盲法处理。共有 30 名参与者,每组 10 名(未受伤、1 度扭伤、2 度扭伤)。Mann-Whitney U 检验发现,对照组和 1 度踝关节扭伤组之间( <.001)、对照组和 2 度踝关节扭伤组之间( <.001)以及 1 度和 2 度踝关节扭伤组之间( =.004)存在显著差异。健康踝关节之间的前向平移差异为±0.31mm,而 1 度和 2 度扭伤踝关节之间的差异分别为 1.11mm 和 2.16mm。前抽屉试验是临床 ATFL 测试的金标准,但该测试的主观性带来了挑战。目前已有技术可用于评估踝关节松弛度,并提高患者评估和整个康复过程的客观性。关节测量仪是量化骨科检查的有价值工具。

相似文献

[1]
Using an Arthrometer to Quantify Ankle Laxity: An Infographic Summary.

Sports Health. 2024

[2]
Assessing Lateral Ankle Sprains With a New Arthrometer.

Foot Ankle Spec. 2024-6

[3]
An accuracy evaluation of clinical, arthrometric, and stress-sonographic acute ankle instability examinations.

Foot Ankle Surg. 2015-3

[4]
Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain.

J Athl Train. 2021-4-1

[5]
New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound.

Knee Surg Sports Traumatol Arthrosc. 2013-9-26

[6]
Talofibular interval changes after acute ankle sprain: a stress ultrasonography study of ankle laxity.

J Sport Rehabil. 2013-5-20

[7]
Reverse anterolateral drawer test is more sensitive and accurate for diagnosing chronic anterior talofibular ligament injury.

Knee Surg Sports Traumatol Arthrosc. 2019-9-26

[8]
Physical Examination of Ankle Sprain and Ankle Instability: Can We Really Divide It into Low and High Ankle Sprains?

Foot Ankle Clin. 2023-6

[9]
Reliability and validity of physical examination tests for the assessment of ankle instability.

Chiropr Man Therap. 2022-12-19

[10]
Differences in lateral ankle laxity measured via stress ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and healthy individuals.

J Orthop Sports Phys Ther. 2012-3-23

引用本文的文献

[1]
Severity-dependent recovery time in acute lateral ankle sprains: An ultrasonographic assessment of talofibular displacement.

J Exp Orthop. 2025-3-22

[2]
Current concepts in ankle microinstability and ankle functional instability.

J Clin Orthop Trauma. 2024-3-12

本文引用的文献

[1]
Quantitative Evaluation of Ankle Instability Using a Capacitance-Type Strain Sensor.

Foot Ankle Int. 2021-8

[2]
Reliability and Validity of an Innovative Device for ACL Testing: The Mobil-Aider™.

J Sport Rehabil. 2020-2-1

[3]
Clinical Tests Have Limited Predictive Value for Chronic Ankle Instability When Conducted in the Acute Phase of a First-Time Lateral Ankle Sprain Injury.

Arch Phys Med Rehabil. 2017-12-21

[4]
Biomechanical analysis of ankle ligamentous sprain injury cases from televised basketball games: Understanding when, how and why ligament failure occurs.

J Sci Med Sport. 2017-12

[5]
Narrowing the normal range for lateral ankle ligament stability with stress radiography.

J Foot Ankle Surg. 2014

[6]
New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound.

Knee Surg Sports Traumatol Arthrosc. 2013-9-26

[7]
Quantitative evaluation of the viscoelastic properties of the ankle joint complex in patients suffering from ankle sprain by the anterior drawer test.

Knee Surg Sports Traumatol Arthrosc. 2013-3-8

[8]
Differences in lateral ankle laxity measured via stress ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and healthy individuals.

J Orthop Sports Phys Ther. 2012-3-23

[9]
Comparison of ankle arthrometry to stress ultrasound imaging in the assessment of ankle laxity in healthy adults.

Int J Sports Phys Ther. 2011-12

[10]
Knee and ankle position, anterior drawer laxity, and stiffness of the ankle complex.

J Athl Train. 2008

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