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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >The clinical features of ankle syndesmosis injuries: a general review.
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The clinical features of ankle syndesmosis injuries: a general review.

机译:踝关节联合症损伤的临床特征:综述。

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摘要

OBJECTIVE: To review the research conclusions relating to clinical aspects of syndesmosis, the incidence and prognosis of syndesmosis injuries, and the effectiveness of the history and clinical examination to reliably diagnose ankle syndesmosis injury. DATA SOURCES: Google Scholar search: Syndesmosis paired with incidence, prognosis, history, and examination in turn. There was no time limit for the search. Articles were selected by reading titles, abstracts, and the full article, if indicated, seeking original articles determining these clinical aspects of syndesmosis injuries. Further articles were derived from the references of the primary articles. MAIN RESULTS: The prognosis for isolated syndesmosis injuries, including the time to functional recovery, is unknown. The incidence of acute syndesmosis injury in moderate to severe ankle injuries requiring imaging is of the order of 5%. Historical features and special clinical tests of syndesmosis injury have not been proven reliable by clinical studies using evidence-based diagnostic criteria. Acute local tenderness of the anterior inferior tibiofibular ligament will indicate significant syndesmosis injury in only approximately half of nonspecific ankle injuries. CONCLUSIONS: There is limited, evidence-based, standard, published literature from which to draw conclusions regarding the validity or reliability of various clinical special tests for syndesmosis injury. Literature assessing the incidence, prognosis, and clinical features is generally not based on definitively confirmed syndesmosis injuries, which is a critical aspect of evidence-based medicine before valid conclusions can be drawn.
机译:目的:综述有关下颌联合症的临床方面,下颌联合症的发生率和预后以及可靠地诊断和诊断踝下颌联合症的历史和临床检查的研究结论。数据来源:Google学术搜索:综合征与发病率,预后,病史和检查依次配对。搜索没有时间限制。通过阅读标题,摘要和整篇文章(如果有的话)选择文章,以寻找确定这些症状的临床方面的原创文章。其他文章来自主要文章的参考文献。主要结果:孤立的联合症损伤的预后,包括功能恢复的时间,是未知的。在需要影像学检查的中度至重度踝关节损伤中,急性下突损伤的发生率约为5%。使用基于证据的诊断标准进行的临床研究尚未证明联合病损伤的历史特征和特殊的临床试验是可靠的。下胫腓前韧带的急性局部压痛仅在大约一半的非特异性踝关节损伤中显示出明显的联合病变。结论:基于证据的,标准的,已发表的文献有限,可以从中得出有关各种临床特殊检查对下颌骨损伤的有效性或可靠性的结论。评估发病率,预后和临床特征的文献通常不是基于明确证实的皮下组织损伤,这是在得出有效结论之前循证医学的关键方面。

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