踝关节微不稳的诊疗进展  

Diagnosis and therapy of ankle microinstability

作　　者：徐英杰 张洪涛[1] Xu Yingjie;Zhang Hongtao(Department of Orthopedics,The First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院骨科,苏州215006

出　　处：《中华创伤骨科杂志》2024年第10期911-914,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：踝关节微不稳是由踝关节扭伤后, 距腓前韧带(ATFL)上束孤立性的损伤导致。ATFL上束损伤后会增加距骨在踝穴内的内旋, 进而导致踝关节微不稳。由于临床表现不典型, 其诊断具有挑战。本文从踝关节微不稳的临床表现、诊断、损伤类型、保守治疗和手术治疗方法进行综述, 为后续的临床诊疗提供参考。Ankle microinstability results from an isolated injury to the superior fascicle of the anterior talofibular ligament(ATFL)following an ankle sprain.Injury to the superior fasciculus of the ATFL increases internal rotation of the talus within the ankle cavity,which in turn leads to ankle microinstability.Its diagnosis is challenging due to atypical clinical presentations.This paper further analyzes the pathological mechanisms,clinical manifestations,diagnosis,injury varieties,conservative and surgical treatment methods of ankle joint microinstability to provide clinical guidance for its diagnosis and treatment.

关 键 词：踝损伤 外侧韧带 扭伤和劳损 踝关节微不稳 距腓前韧带上束 踝关节镜 

分 类 号：R684[医药卫生—骨科学]