运动员及演员踝外侧韧带断裂

文章介绍了踝外侧韧带断裂的检查方法,对距腓前与跟腓韧带全断裂者需手术治疗,术后能恢复训练。

COMPLETE RUPTURE OF LATERAL LIGAMENTS OF THE ANKLE AMONG ATHLETES AND PERFORMERS

Twenty-nine patients, male 21, female 8, aged 17-29 years, with complete rupture, of lateral ligaments of the ankle were operated on from 1977 to April 1983. Most of them (14) were dancers and basketball players.The lateral ligaments maintaining stability of lateral aspect of the ankle joint are the anterior talofibular, posterior talofibular and the calcaneofibular, of which the calcaneofibular is the most important one.It has been proved by operation and autopsy that the anterior talofibular ligament is similar to anterior cruciate ligament of the knee and the calcaneofibular to the collateral ligament of the knee.The majority of the injuries of the ankle were supination.Besides lateral ankle ligaments, the deltoid ligament, talocalcanean ligament, the accessory tarsal scaphoid and os trigonum can also be injured.Symptoms of the injury are lateral malleolus swelling, pain and limping. Reliable tests of diagnosis are as follows:(1) Inversion test; (2) Anterior drawer test; and (3) X-Ray.According to the symptoms and examinations mentioned above, the accprdamce rate of diagnosis and operation was 100%.When both anterior talofibular and calcaneofibular ligaments were ruptured at the same time, the treatment of choice was suturing. Then, after 6 weeks' plaster immobilization, the patients were allowed to walk weight bearing.Good results were obtained in 27 cases out of the 29 (92%). Patients returned to normal training program 3 months after operation.