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Evaluating and Differentiating Ankle Instability

机译:评估和区分脚踝不稳定

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Given the prevalence of lateral ankle sprains during physical activity and the high rate of reinjury and chronic ankle instability, clinicians should be cognizant of the need to expand the evaluation of ankle instability beyond the acute time point. Physical assessments of the injured ankle should be similar, regardless of whether this is the initial lateral ankle sprain or the patient has experienced multiple sprains. To this point, a thorough injury history of the affected ankle provides important information during the clinical examination. The physical examination should assess the talocrural and subtalar joints, and clinicians should be aware of efficacious diagnostic tools that provide information about the status of injured structures. As patients progress into the subacute and return-to-activity phases after injury, comprehensive assessments of lateral ankle-complex instability will identify any disease and patient-oriented outcome deficits that resemble chronic ankle instability, which should be addressed with appropriate interventions to minimize the risk of developing long-term, recurrent ankle instability.
机译:鉴于身体活动期间侧踝扭伤的患病率和急性重新测压和慢性踝关节不稳定,临床医生应该认识到需要扩大踝关节不稳定性超出锐利时间点的评估。受伤脚踝的物理评估应该是相似的,无论这是否是最初的侧踝扭伤,或者患者经历了多个扭矩。为此,受影响的踝关节的彻底伤害历史在临床检查期间提供了重要信息。体检应评估双层和子间接头,临床医生应该了解提供有关受伤结构状况的有效诊断工具。随着患者进入次急性和恢复活性阶段后,横向踝关节复杂的综合评估将识别任何疾病和患者导向的结果缺陷,类似于慢性踝关节不稳定,这应该以适当的干预措施解决,以最小化发展长期的风险,复发性踝关节不稳定。

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