每年出版 4 期
ISSN 打印: 0896-2960
ISSN 在线: 2162-6553
Indexed in
Ankle Joint Ligament Injuries: Prevention, Evaluation and Treatment
摘要
Ankle ligament injuries are common, the lateral ligaments being the most frequently injured. Acute ligament injuries should be treated non-surgically, with early mobilization and a supervised rehabilitation program. Ankle tape or semirigid braces are valuable in the early treatment of ankle ligament injuries or as a prophylactic measure. Physical rehabilitation with co-ordination training and strengthening of the peroneal muscles will, in many patients, restore function and make surgery unnecessary, even in chronic cases. In patients who develop chronic symptoms of ankle instability, surgical stabilization is often necessary. Anatomic reconstruction of the anterior talo-fibular and calcaneo-fibular ligaments, in some cases reinforced with the inferior extensor retinaculum, gives satisfactory results in most patients. Peroneal tenodeses, e.g., the Chrisman-Snook reconstruction, can be used if anatomic reconstruction fails. There is no available method that can predict which patients will develop chronic symptoms after ligament injuries. Patients with persistent ankle pain, especially those with minimal mechanical instability, can benefit from arthroscopy. Chondral and osteochondral lesions, soft-tissue hypertrophy, and localized synovitis can be treated with arthroscopic surgery.
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Haverkamp D., Purcell Chad, Matsui Kentaro, Glazebrook Mark, Current Published Evidence to Support Open Surgical Treatment of Chronic Ankle Instability, in Lateral Ankle Instability, 2021. Crossref