Karlsson J
Ortopedkliniken, Sahlgrenska Universitetssjukhuset/Ostra, Göteborg.
Lakartidningen. 1998 Sep 30;95(40):4376-8.
Ligament injuries of the ankle joint are the most common sports-related injuries. In more than 90 per cent of all cases, it is a question of lateral ligament injury. The recommended acute treatment is always non-surgical, with range of motion training, followed by strengthening and co-ordination exercises. Approximately 80-90 per cent of all ligament injury patients regain normal ankle function after this form of treatment. Early active treatment can reduce time off from sports and the duration of sick leave. Residual problems, mainly pain or recurrent or chronic instability are seen in approximately 10-20 per cent of cases. In cases of chronic instability, ligament reconstruction is recommended. In patients with anterior or anterolateral ankle pain, arthroscopic resection of bone spurs or loose bodies may be beneficial.
踝关节韧带损伤是最常见的运动相关损伤。在所有病例中，超过90%是外侧韧带损伤。推荐的急性治疗总是非手术治疗，包括活动度训练，随后进行强化和协调练习。约80% - 90%的韧带损伤患者经这种治疗形式后可恢复正常踝关节功能。早期积极治疗可减少运动停工期和病假时长。约10% - 20%的病例会出现残留问题，主要是疼痛或反复或慢性不稳定。对于慢性不稳定病例，推荐进行韧带重建。对于有踝关节前侧或前外侧疼痛的患者，关节镜下切除骨赘或游离体可能有益。
