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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Sprained ankle syndrome: prevalence and analysis of 639 acute injuries.
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Sprained ankle syndrome: prevalence and analysis of 639 acute injuries.

机译：踝关节扭伤综合征：639例急性受伤的患病率和分析。

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The ankle sprain is often thought of as an injury involving only the lateral ankle ligaments. Frequently other structures are also injured. However, the literature describes only some of the associated injuries. The authors feel that a thorough analysis of each structure injured with the inversion and eversion ankle sprain along with the incidence would be invaluable in making an accurate diagnosis and providing appropriate treatment. The authors conducted a prospective study using a standardized evaluation during the initial examination of patients reporting with an ankle sprain. Over a 33-month period, 639 patients were studied at Oakwood Hospital Downriver Center Emergency Room and Occupational Medicine Clinic. Of the 639 patients, 92 had an associated avulsion or compression fracture of the foot or ankle. Of the remaining 547 patients, the anterior talofibular ligament was injured 453 times, the calcaneal fibular ligament was injured 366 times, and the posterior talofibular ligament was injured 187 times. Injuries to the ankle joint capsule were noted in 180 cases, the extensor digitorum brevis was involved in 111 cases, the sinus tarsi was involved in 88 cases, the peroneal tendons in 83 cases, the Achilles tendon in 67 cases, the calcaneal-cuboid ligament in 41 cases, and the syndesmosis was injured in 31 cases. Additionally, neuritis was seen in 80 patients presenting with a sprained ankle. Because of the varied and multiple components to the common sprained ankle, the authors feel that this condition would more appropriately be designated as the sprained ankle syndrome. The findings of this study may aid the examiner in exploring a more knowledgeable approach in evaluation, leading to an accurate diagnosis and appropriate treatment.
机译：踝关节扭伤通常被认为是仅涉及踝关节外侧韧带的损伤。通常，其他结构也受伤。然而，文献仅描述了一些相关的伤害。作者认为，对每一个因内翻和外翻踝扭伤以及发病率受伤的结构进行透彻的分析，对于做出准确的诊断和提供适当的治疗是非常宝贵的。作者在对脚踝扭伤报告的患者进行初步检查时，使用标准化评估进行了一项前瞻性研究。在33个月的时间里，在Oakwood医院Downriver中心急诊室和职业医学诊所对639名患者进行了研究。在639例患者中，有92例伴有脚或踝的撕脱或压迫性骨折。其余547例患者中，前胫腓韧带受伤453次，跟骨腓韧带受伤366次，后胫腓韧带受伤187次。踝关节囊损伤180例，短指伸肌111例，鼻窦狭窄88例，腓骨腱83例，跟腱67例，跟骨-方韧带41例中，下肢受伤31例。此外，在80例踝关节扭伤患者中发现了神经炎。由于常见的踝关节扭伤的原因是多种多样的，因此作者认为这种情况更适合称为踝关节扭伤综合征。这项研究的结果可能有助于检查者探索一种更知识丰富的评估方法，从而导致准确的诊断和适当的治疗。

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