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踝关节外侧韧带损伤:评估与治疗

Injuries to the lateral ligament of the ankle: assessment and treatment.

作者信息

Hutson M A, Jackson J P

出版信息

Br J Sports Med. 1982 Dec;16(4):245-9. doi: 10.1136/bjsm.16.4.245.

DOI:10.1136/bjsm.16.4.245
PMID:7159816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1858927/
Abstract

Initial assessment of severity of injury to the lateral ligament of the ankle is by clinical examination. If it is thought that there is a possibility of either lateral or anterior instability, patients are investigated radiologically by anterior and inversion stress films. If instability is demonstrated a peroneal tenogram is carried out to exclude damage to the calcaneo-fibular ligament. Treatment is by means of a cast brace if instability is present. The advantages of this are preservation of calf power and improved joint function. The early results are reported in relation to the improvement in stability and early return to sporting activity.

摘要

对踝关节外侧韧带损伤严重程度的初步评估通过临床检查进行。如果认为存在外侧或前侧不稳定的可能性,则通过前抽屉应力位片和内翻应力位片对患者进行放射学检查。如果证实存在不稳定,则进行腓骨肌腱造影以排除跟腓韧带损伤。如果存在不稳定,则采用石膏支具进行治疗。这样做的优点是保留小腿力量并改善关节功能。报告了有关稳定性改善和早期恢复体育活动的早期结果。

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本文引用的文献

1
Instability of the ankle after injury to the lateral ligament.外侧韧带损伤后踝关节的不稳定。
J Bone Joint Surg Br. 1980 May;62-B(2):196-200. doi: 10.1302/0301-620X.62B2.7364836.
2
Differential diagnosis of ruptures of the lateral ligaments of the ankle joint.踝关节外侧韧带断裂的鉴别诊断
Arch Orthop Trauma Surg (1978). 1979 Apr 30;93(4):293-301. doi: 10.1007/BF00450229.
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Anterior instability in the ankle joint following acute lateral sprain.急性外侧踝关节扭伤后踝关节前侧不稳定。
J Athl Train. 1999 Jan;34(1):15-8.
4
[Evaluation and treatment of lateral ankle sprain in the emergency department: is systematic radiography necessary?].[急诊科外侧踝关节扭伤的评估与治疗:是否需要进行系统的X线检查?]
CMAJ. 1986 Nov 1;135(9):1003-6.
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Experimental ethics in sports medicine research.运动医学研究中的实验伦理
Sports Med. 1990 Mar;9(3):143-50. doi: 10.2165/00007256-199009030-00002.
Acta Radiol Diagn (Stockh). 1977 Sep;18(5):529-39. doi: 10.1177/028418517701800504.
4
The stress-tenogram in the diagnosis of ruptures of the lateral ligament of the ankle.应力-张力图在诊断踝关节外侧韧带断裂中的应用
J Bone Joint Surg Br. 1979 Aug;61-B(3):347-51. doi: 10.1302/0301-620X.61B3.113414.