踝前撞击综合征的病因分析及治疗对策

目的]探讨踝前撞击综合征的病因、预防措施及治疗对策。方法]2000年6月～2004年12月对18例无骨折脱位的急性创伤性踝关节积血,20例踝关节前侧及前内、前外疼痛伴背屈疼痛及背屈功能障碍者的关节镜检查及治疗效果进行随访分析总结。结果]全部随访,时间6—52个月,平均28个月,无骨折脱位的急性创伤性踝关节积血组：优17例,良1例,可0例,差0例;踝前撞击综合征组：优12例,良6例,可2例,差0例。结论]踝关节创伤及退变是踝前撞击综合征的两大原因,无骨折脱位的急性创伤性踝关节积血的早期关节镜检查及治疗是预防踝前撞击综合征的积极最佳方法;关节镜下踝关节清理术是踝前撞击综合征最佳的微创治疗对策。

Cause analysis and treatment countermeasure for impingement syndrome of the anterior ankle

Objective]To investigate the cause precautionary measures and treatment countermeasure of impingement syndrome of the anterior ankle.Method]From june 2000 to December 2004,18 cases of acute raumatic extravasated blood of the ankle without fracture and disbocating,20 cases of pain in front side and front inboard and front outside with dorsiflexion ache and dysfunction,all the cases were examined and treated under the arthroscope.The effect was analyzed.Result]Follow-up lasted 6~52 months(mean 28 months).In all the 38 cases there were"excellent"outcomes in 17 cases"good"in 19 cases,"fair" in 0 case,and"poor" in 0 case in the acute traumatic extravasated blood of the ankle group.Impringement syndrome of the anterior ankle group:"excellent" in 15 cases"good" in 3 cases"fair"in 2 cases"poor"in 0 case.Conclusion]Arthrotrauma and degranding are two reasons of the impingement syndrome of the anterior ankle,the initial stage arthroscope examination and treatment of the acute traumatic extravasated blood of the ankle without fracture and disbocating is the best active method to prevent the impingement syndrome of the anterior anlke,the clearing operation under the arthroscope is the best mininmally invasive treatment countermeasure for the impingement syndrome of the anterior ankle.