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[外侧踝关节韧带损伤]

[Lateral ankle ligament injuries].

作者信息

Brun Ole-Christian L, Stødle Are Haukåen, Molund Marius, Hvaal Kjetil

机构信息

Ortopedisk avdeling, Lovisenberg Diakonale Sykehus.

Ortopedisk avdeling, Oslo universitetssykehus, Ullevål.

出版信息

Tidsskr Nor Laegeforen. 2023 Apr 13;143(6). doi: 10.4045/tidsskr.22.0468. Print 2023 Apr 25.

Abstract

Lateral ankle ligament injuries occur in connection with inversion traumas and are one of the most common injuries, both in the general population and among athletes. A lateral ankle ligament injury weakens the stabilising structures in the ankle and disposes the ankle joint to prolonged instability. Acute lateral ankle ligament injuries with no suspicion of fracture can be treated and followed up conservatively in the primary health service. In this clinical review article, we emphasise the importance of adequate physical training before referral to an MRI and orthopaedic surgeon for further assessment. Patients with chronic instability who fail to respond to adequate conservative treatment should be referred for surgical assessment.

摘要

外侧踝关节韧带损伤常与内翻创伤相关,是普通人群和运动员中最常见的损伤之一。外侧踝关节韧带损伤会削弱踝关节的稳定结构,使踝关节易于出现长期不稳定。无骨折怀疑的急性外侧踝关节韧带损伤可在基层医疗服务机构进行保守治疗和随访。在这篇临床综述文章中,我们强调在转诊至MRI检查和骨科医生进行进一步评估之前进行充分体育训练的重要性。对充分保守治疗无反应的慢性不稳定患者应转诊进行手术评估。

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