Wexler R K
Mount Carmel Medical Center, Columbus, Ohio, USA.
Am Fam Physician. 1998 Feb 1;57(3):474-80.
Ankle injuries are common presenting complaints in both emergency departments and family physicians' offices. Approximately 1 million ankle injuries occur annually in the United States; most of them are sprains resulting from inversion injuries. Treatment options differ according to the grade of injury--grade I and grade II sprains usually respond to rest and immobilization, while grade III sprains require casting or, possibly, surgery. A chronic "ankle" injury should prompt evaluation for other conditions, such as talar dome lesion. Most ankle injuries can be treated adequately in the family physician's office, although some of the more serious injuries should be referred to an orthopedic specialist for further evaluation.
踝关节损伤是急诊科和家庭医生诊所常见的就诊主诉。在美国，每年约有100万例踝关节损伤；其中大多数是内翻损伤导致的扭伤。治疗方案因损伤程度而异——I级和II级扭伤通常通过休息和固定来治疗，而III级扭伤则需要石膏固定或可能需要手术。慢性“踝关节”损伤应促使对其他病症进行评估，如距骨穹窿病变。大多数踝关节损伤在家庭医生诊所即可得到充分治疗，不过一些较为严重的损伤应转诊至骨科专家处进行进一步评估。
