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Return to Sport After Ankle Syndesmotic Injury: A Systematic Review

机译：脚踝Syndesmotic损伤后返回运动：系统评价

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Context: Ankle syndesmotic injuries present a significant challenge for athletes due to prolonged disability and recovery periods. The optimal management of these injuries and rates of return to sport in athletes remains unclear. Objective: The purpose of this study was to evaluate return to sport for athletes after ankle syndesmotic injuries. Data Source: The electronic databases MEDLINE, EMBASE, and PubMed were searched for relevant studies from database inception to January 15, 2017, and pertinent data were abstracted. Study Selection: Only studies reporting return-to-sport rates after ankle syndesmotic injuries were included. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Two reviewers extracted data from the included studies, which were stored in a standardized collection form (Microsoft Excel). Recorded data included demographics (eg, author, year of publication, study design), descriptive statistics (eg, patient age, percentage male, number of athletes, sample size), and outcomes (eg, time to return to sport, proportion of those who returned to sport, the self-reported questionnaire the Olerud-Molander Ankle Score). Results: A total of 10 studies and 312 patients with ankle syndesmotic injuries were included in this systematic review. The rate of return to preinjury or any injury level of sport after ankle syndesmotic injuries was 93.8% ± 1.2% and 97.6% ± 1.5%, respectively, for the corresponding 7 and 3 studies that reported this characteristic. The mean time to return to sport was 46.4 days (range, 15.4-70 days), with 55.2 ± 15.8 and 41.7 ± 9.8 days for operative and nonoperative management, respectively. Conclusion: This systematic review found a high rate of return to any as well as preinjury level of sport after ankle syndesmotic injury in both operative and nonoperative treatment groups. However, further high-level studies are required to compare operative and nonoperative treatment groups associated with return to sport after ankle syndesmotic injury.
机译：背景信息：踝Syndesmotic伤害对运动员产生了重大挑战，由于长期的残疾和恢复期。这些伤害的最佳管理和运动员返回运动率仍然不明确。目的：本研究的目的是评估踝Syndesmotic损伤后运动员的返回运动。数据来源：搜索电子数据库MEDLINE，EMBASE和PUBMED搜索数据库成立到2017年1月15日的相关研究，并提取相关数据。学习选择：只有在包括踝关节伤害伤害后报告返回运动率的研究。研究设计：系统评价。证据级别：第4级数据提取：两位审阅者从附带的研究中提取数据，该研究以标准化的收集表格（Microsoft Excel）存储。记录数据包括人口统计数据（例如，作者，出版物年份，学习设计），描述性统计（例如，患者年龄，男性百分比，运动员，样品大小）和结果（例如，时间返回运动，那些比例的时间）谁回到体育运动，自我报告的问卷解释了Olerud-Molander脚踝分数）。结果：该系统审查共纳入10项研究和312例踝Syndesmotic损伤患者。在踝关节同胞损伤后，返回到前津属或任何伤害运动水平分别为93.8％±1.2％和97.6％±1.5％，相应的7和3研究报告了这一特征。返回运动的平均时间为46.4天（范围，15.4-70天），分别为可操作和非手术管理55.2±15.8和41.7±9.8天。结论：这种系统审查发现，在踝关节在术治疗组的踝关节症状损伤后，对任何返回的返回率高以及普雷基约会水平。然而，需要进一步的高水平研究来比较与踝SyndesMbotic损伤恢复到运动相关的手术和非手术治疗组。

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