Meyer S A, Callaghan J J, Albright J P, Crowley E T, Powell J W
Department of Orthopaedic Surgery, University of Iowa College of Medicine, Iowa City 52242-1088.
Am J Sports Med. 1994 May-Jun;22(3):392-401. doi: 10.1177/036354659402200316.
We studied midfoot sprains in collegiate football players to define and document incidence, mechanisms, injury patterns, and disabilities. Twenty-three athletes with 24 injuries from 1987 through 1991, with a mean followup of 30.8 months, were identified for the study. The injuries occurred in 4% of the football players per year with offensive linemen incurring 29.2% of the injuries. The location of maximal tenderness on physical examination was an important prognostic indicator such that injuries with medial and global midfoot tenderness to palpation had the longest time loss from participation and time until full healing. Lateral midfoot sprains required short periods of disability, and players were able to return to participation with the use of an orthosis. Nineteen athletes with 20 injuries responded to a questionnaire. Four players reported residual functional problems. Only 1 of these players had to modify his recreational activities because of pain. The other players remained very active with only mild complaints of pain after high-demand activities. Midfoot sprains were associated with acute disability that required prolonged restriction from competition, but for most players the long-term residual problems were minor.
我们对大学橄榄球运动员的中足扭伤进行了研究，以确定并记录其发病率、损伤机制、损伤模式及功能障碍情况。研究纳入了1987年至1991年间23名运动员的24次损伤，平均随访时间为30.8个月。每年橄榄球运动员中4%会发生此类损伤，其中进攻线球员的损伤占29.2%。体格检查时最大压痛部位是一个重要的预后指标，触诊时中足内侧和整体压痛的损伤导致运动员停赛时间最长，完全愈合所需时间也最长。中足外侧扭伤导致的功能障碍时间较短，运动员使用矫形器后即可重返赛场。19名运动员的20次损伤情况通过问卷调查获得。4名运动员报告有残余功能问题。其中只有1名运动员因疼痛而不得不调整其娱乐活动。其他运动员仍然非常活跃，只是在高强度活动后仅有轻微疼痛主诉。中足扭伤会导致急性功能障碍，需要长时间禁赛，但对大多数运动员来说，长期的残余问题较小。
