Kay D B
Foot Ankle. 1985 Aug;6(1):22-8. doi: 10.1177/107110078500600105.
The sprained ankle is one of the most common musculoskeletal injuries. Three treatments for severe acute sprain are advocated: immobilization, protected mobilization, and primary surgical repair. These injuries are cared for by different medical and paramedical specialties, each with varying skills and interests. In order to define the current preferred treatment, a survey was randomly distributed to 500 physicians. These data indicate that the treatment is generally conservative: cast immobilization was the preferred treatment for the moderate and severe sprain. These data also demonstrated that basic care (e.g., ice and elevation) and rehabilitation were often neglected. Significant differences were noted between the specialties of orthopaedic surgery, family practice, and emergency medicine.
脚踝扭伤是最常见的肌肉骨骼损伤之一。对于严重急性扭伤,提倡三种治疗方法:固定、保护性活动和一期手术修复。这些损伤由不同的医学和辅助医疗专业人员处理,每个专业人员的技能和关注点各不相同。为了确定当前首选的治疗方法,我们随机向500名医生发放了调查问卷。这些数据表明,治疗通常较为保守:石膏固定是中度和重度扭伤的首选治疗方法。这些数据还表明,基本护理(如冰敷和抬高患肢)以及康复治疗常常被忽视。骨科手术、家庭医疗和急诊医学等专业之间存在显著差异。