Hedges J R, Anwar R A
Ann Emerg Med. 1980 Jun;9(6):298-302. doi: 10.1016/s0196-0644(80)80062-x.
One hundred fifty-seven patients between the ages of 15 and 65 were evaluated for ankle injury. Patients without fractures were assigned to one of two treatment groups. Patients in the plaster splint group were non-weight-bearing. Patients in the early mobilization group used an elastic bandage and were permitted to begin partial weight bearing as soon as tolerated while using crutches. The talar tilt (stress) test was not found to be a useful routine radiographic study. Of the patients with follow-up, no significant benefit was obtained from the plaster splint. Aside from a previous ankle injury adversely affecting long-term ankle function, no historical or physical factor was useful in predicting either short- or long-term disability.
对15至65岁的157名踝关节损伤患者进行了评估。无骨折的患者被分配到两个治疗组之一。石膏夹板组的患者不负重。早期活动组的患者使用弹性绷带，并在耐受的情况下尽快开始部分负重并使用拐杖。距骨倾斜（应力）试验未被发现是一项有用的常规影像学检查。在接受随访的患者中，石膏夹板并未带来显著益处。除了既往踝关节损伤会对踝关节长期功能产生不利影响外，没有任何病史或体格检查因素可用于预测短期或长期残疾情况。
