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运动员下胫腓联合损伤的场边管理:评估、处理及重返赛场

Sideline Management of Syndesmotic Injuries in the Athlete: Evaluation, Management, and Return to Play.

作者信息

Szukics Patrick F, Murray Daniel P, Robaina Jose, Potter Taylor, Vargas Luis, Chapman Cary, Yagnik Gautam

机构信息

Baptist Health South Florida, Coral Gables, Florida, USA.

出版信息

Video J Sports Med. 2025 Mar 3;5(2):26350254241291596. doi: 10.1177/26350254241291596. eCollection 2025 Mar-Apr.

DOI:10.1177/26350254241291596
PMID:40308991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949914/
Abstract

OBJECTIVE

This review aims to provide a comprehensive examination of syndesmotic ankle injuries in athletes, covering pertinent aspects from anatomy to treatment options.

METHODS

A thorough literature search was conducted to gather relevant information on syndesmotic injuries in athletes. Data regarding anatomy, epidemiology, injury mechanisms, clinical assessment, imaging modalities, conservative management, and surgical interventions were analyzed and synthesized.

RESULTS

Syndesmotic injuries, colloquially termed , pose significant challenges for medical professionals, especially in high-impact sports such as American football. Clinical evaluation, including specific tests and imaging techniques, is crucial for accurate diagnosis. Conservative management strategies involve immobilization and rehabilitation for stable injuries, while surgical intervention may be necessary for severe cases to maintain anatomic alignment. Various surgical techniques, including screw and suture button fixation, have been utilized with favorable outcomes.

DISCUSSION/CONCLUSION: A comprehensive understanding of syndesmotic injuries is essential for health care providers involved in the care of athletes. Accurate diagnosis, tailored treatment plans, and appropriate rehabilitation protocols are vital for optimizing outcomes and facilitating safe return to sport. This review serves as a valuable resource for clinicians managing syndesmotic injuries in athletes, highlighting the importance of evidence-based approaches in guiding clinical decision-making.

PATIENT CONSENT DISCLOSURE STATEMENT

The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

摘要

目的

本综述旨在全面研究运动员下胫腓联合踝关节损伤,涵盖从解剖到治疗选择的相关方面。

方法

进行了全面的文献检索,以收集有关运动员下胫腓联合损伤的相关信息。对有关解剖学、流行病学、损伤机制、临床评估、影像学检查方法、保守治疗和手术干预的数据进行了分析和综合。

结果

下胫腓联合损伤,俗称“ ”,给医学专业人员带来了重大挑战,尤其是在美式橄榄球等高冲击力运动中。临床评估,包括特定检查和影像学技术,对于准确诊断至关重要。保守治疗策略包括对稳定损伤进行固定和康复,而严重病例可能需要手术干预以维持解剖对位。已经采用了各种手术技术,包括螺钉和缝线纽扣固定,取得了良好的效果。

讨论/结论:对于参与运动员护理的医疗保健提供者来说,全面了解下胫腓联合损伤至关重要。准确的诊断、量身定制的治疗计划和适当的康复方案对于优化治疗效果和促进安全重返运动至关重要。本综述为管理运动员下胫腓联合损伤的临床医生提供了宝贵的资源,强调了循证方法在指导临床决策中的重要性。

患者同意披露声明

作者证明已获得本出版物中出现的任何患者的同意。如果个人身份可识别,作者已随本提交发表的文章附上患者的豁免声明或其他书面批准形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8414/11949914/d0d2a15433d7/10.1177_26350254241291596-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8414/11949914/d0d2a15433d7/10.1177_26350254241291596-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8414/11949914/d0d2a15433d7/10.1177_26350254241291596-img2.jpg

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本文引用的文献

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