Coker T P, Arnold J A, Weber D L
Am J Sports Med. 1978 Nov-Dec;6(6):326-34. doi: 10.1177/036354657800600604.
In the 1972, 1973, and 1974 football seasons at the University of Arkansas, 74 players sustained sprains of the ankle, producing a total of 152 missed practices and 6 missed games. Although only 18 injuries of the first metatarsophalangeal joint complex were seen, these later resulted in 92 missed practices and 7 missed games. This injury has been a significant problem for both the university and for most other major institutions, judging from a 70% response to 94 questionnaires sent to trainers of 94 large colleges and universities throughout the United States. It is the researchers opinion that the artificial turf surface, particularly as it ages, the shoes, and shoe fitting are all possible contributors to the incidence of the problem. Nonoperative treatment, whose hallmark is rest, is the treatment of first choice. Taping and splinting with a 0.51-mm spring steel splint with reinforcement, both pre- and postinjury, are beneficial. Injections of steroids or any other attempt to return the still painful athlete to activity are contraindicated. Late surgery, particularly in the event of capsular ruptures, as well as early repair, can be of benefit. The need to re-evaluate the shoes and playing surfaces in the light of this and other injuries is emphasized.
在阿肯色大学1972年、1973年和1974年的橄榄球赛季中，74名球员脚踝扭伤，总共导致152次训练缺课和6场比赛缺赛。虽然第一跖趾关节复合体仅有18例损伤，但这些损伤后来导致92次训练缺课和7场比赛缺赛。从对美国94所大型学院和大学的教练发出的94份调查问卷的70%的回复来看，这种损伤对该大学和大多数其他主要机构来说都是一个重大问题。研究人员认为，人造草皮表面，尤其是随着其老化，鞋子以及鞋子的贴合度都可能是导致该问题发生率的因素。非手术治疗，其特点是休息，是首选的治疗方法。在受伤前后用0.51毫米的弹簧钢夹板进行绑扎和固定，并加以加固，是有益的。禁忌注射类固醇或任何其他试图让仍疼痛的运动员恢复活动的做法。后期手术，特别是在关节囊破裂的情况下，以及早期修复，可能会有帮助。强调需要根据这种损伤和其他损伤重新评估鞋子和比赛场地。
