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踝关节外侧副韧带扭伤的治疗:文献的批判性评价

Treatment of lateral collateral ligament sprains of the ankle: a critical appraisal of the literature.

作者信息

Shrier I

机构信息

Herzl Family Practice Center, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.

出版信息

Clin J Sport Med. 1995 Jul;5(3):187-95. doi: 10.1097/00042752-199507000-00009.

DOI:10.1097/00042752-199507000-00009
PMID:7670975
Abstract

Although sprains of the lateral collateral ligaments of the ankle are extremely common, controversy still exists over the proper treatment. Some authors recommend early mobilization of the ankle, others recommend cast immobilization for 1-6 weeks, and others insist that sprains should be treated with primary surgical repair. A critical appraisal of the literature supports the concepts of early mobilization with a proper rehabilitation program. The review of treatment is followed by a discussion of the potential causes of persistent pain and functional instability.

摘要

尽管踝关节外侧副韧带扭伤极为常见,但对于恰当的治疗方法仍存在争议。一些作者推荐早期活动踝关节,另一些人则建议石膏固定1至6周,还有一些人坚持认为扭伤应采用一期手术修复治疗。对文献的批判性评估支持了通过适当康复计划进行早期活动的理念。在对治疗方法进行综述之后,将讨论持续疼痛和功能不稳定的潜在原因。

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