外踝撕脱骨折诊断与治疗临床循证指南(2022版)  

An evidence-based clinical guideline for the diagnosis and treatment of lateral ankle avulsion fracture(2022 version)

作　　者：郭秦炜[1] 白露[2] 桂鉴超[3] 黄红拾[1] 华英汇 李棋[5] 李文翠[6] 施忠民[7] 陶旭 Guo Qinwei;Bai Lu;Gui Jianchao;Huang Hongshi;Hua Yinghui;Li Qi;Li Wencui;Shi Zhongmin;Tao Xu(Department of Sports Medicine,Peking University Third Hospital,Institute of Sports Medicine of Peking University,Beijing Key Laboratory of Sports Injuries,Beijing 100191,China;Department of Orthopedics,Peking University Shenzhen Hospital,Shenzhen 518036,China;Department of Sports Medicine,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing 210006,China;Department of Sports Medicine,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;Sports Medicine Center,Department of Orthopedics,West China Hospital of Sichuan University,Chengdu 610044,China;Department of Foot and Ankle,Shenzhen Second People′s Hospital,Shenzhen 518025,China;Department of Orthopedics,Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Sports Medicine Center,First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]北京大学第三医院运动医学科,北京大学运动医学研究所,运动医学关节伤病北京市重点实验室,北京100191 [2]北京大学深圳医院骨科,深圳518036 [3]南京医科大学附属南京医院运动关节科,南京210006 [4]复旦大学附属华山医院运动医学科,上海200040 [5]四川大学华西医院骨科运动医学中心,成都610044 [6]深圳市第二人民医院足踝外科,深圳518025 [7]上海交通大学附属第六人民医院骨科,上海200233 [8]陆军军医大学第一附属医院运动医学中心,重庆400038

出　　处：《中华创伤杂志》2022年第9期769-775,共7页Chinese Journal of Trauma

基　　金：国家重点研发计划(2018YFF0301100,2018YFC2001500)。

摘　　要：外踝撕脱骨折是一种较常见的运动创伤,可导致慢性踝关节外侧不稳定,严重影响关节功能。目前,外踝撕脱骨折普遍存在容易漏诊、治疗不当、疗效差异大等问题,且临床上缺乏相应的诊断与治疗规范。中国医师协会运动医学医师分会足踝专业学组组织全国运动医学和足踝外科等领域的专家,组成中国外踝撕脱骨折诊断与治疗指南制订工作组,遵循循证医学原则,本着科学性与实用性,制订了《外踝撕脱骨折诊断与治疗临床循证指南(2022版)》。本指南内容涵盖外踝撕脱骨折的影像学诊断、非手术治疗和手术治疗的适应证与方法及术后康复等,旨在为临床诊疗提供指导。Lateral ankle avulsion fracture is a common sports injury that can lead to chronic lateral ankle instability and substantial deterioration of the joint function.Currently,problems such as misdiagnosis,inappropriate treatment,disparate outcomes and lack of standardization are usually met in the diagnosis and treatment of lateral ankle avulsion fracture.The Foot and Ankle Committee of Chinese Association of Sports Medicine Physicians thus organized a working group of experts in the field of sports medicine and ankle surgery from China to develop"An evidence-based clinical guideline for the diagnosis and treatment of lateral ankle avulsion fractures(2022 version)"in accordance with the principle of evidence-based medicine and scientificity and practicability.The guideline covered the topics of imaging diagnosis,indications and methods of non-operative and operative treatment as well as postoperative rehabilitation,in order to provide guidance for the diagnosis and treatment of lateral ankle avulsion fracture.

关 键 词：踝损伤 骨折 撕脱性 外侧韧带 踝 关节不稳定性 

分 类 号：R683[医药卫生—骨科学]