慢性踝关节不稳定诊断与治疗的最新进展

发布时间：2018-05-25 23:53

  本文选题：instability + 器质性病　； 参考：《实用医学杂志》2017年15期

【摘要】：正外侧踝关节扭伤(lateral ankle sprains,LASs)是最常见的运动损伤[1],约80%都能通过保守治疗康复,20%经治疗后依然发展成为慢性踝关节不稳定(chronic ankle instability,CAI)。其症状包括:顽固性的疼痛、打软腿、反复扭伤和肿胀等。CAI分为功能性不稳定(functional ankle instability,FAI)和机械性不稳定(mechanical ankle instability,MAI)。前者韧带没有明显的松弛,不稳定的原因主要是踝关节受伤后该部位神经末梢和本体感觉未恢复导致的本体感觉缺失和平衡能力降低。后者为踝关节器质性病变的CAI
[Abstract]:Lateral ankle sprain (lass) is the most common sport injury. About 80% of the patients can be treated with conservative treatment, and 20% can still develop into chronic ankle instabilities of chronic ankle instability after treatment. The symptoms included intractable pain, beating soft legs, repeated sprain and swelling. Cai was divided into functional instability and mechanical ankle instability. There was no obvious relaxation of ligaments in the former. The main reason of instability was the loss of proprioceptive sensation and the decrease of balance ability caused by the lack of nerve endings and proprioceptive sensation in the injured ankle joint. The latter is CAI of ankle organic lesions.
【作者单位】： 延安大学附属医院创伤骨科;
【分类号】：R684

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