踝关节扭伤的患者指南.ppt

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1、踝关节扭伤患者指南胜利油田中心医院手外科、足踝外科姜剑魁踝关节扭伤患者指南AnkleSprain踝关节扭伤APatient’sGuidetoAnkleSprain踝关节扭伤患者指南Introduction简介An anklesprain isacommoninjuryandusuallyresultswhentheankleistwisted,orturnedin(inverted).Theterm sprain signifiesinjurytothesofttissues,usuallytheligaments,oftheankle.踝关节扭伤是生活中很常见的损伤，通常是由于踝关节内

2、翻损伤所导致。术语“扭伤”一般指的是软组织的损伤，在踝关节，通常指的是韧带损伤。Thisguidewillhelpyouunderstandhowananklesprainoccurshowdoctorsdiagnosetheconditionwhatcanbedonetotreatasprain本指南旨在帮助你了解踝关节扭伤是怎样发生的如何诊断踝关节扭伤如何治疗踝关节扭伤Anatomy解剖Whatpartoftheankleisinvolved?踝关节包括哪些结构？Anatomy解剖Whatpartoftheankleisinvolved?踝关节包括哪些结构？Ligaments are

3、toughbandsoftissuethathelpconnectbonestogether.Threeligamentsmakeupthe lateralligamentcomplex onthesideoftheanklefarthestfromtheotherankle.Theyaretheanteriortalofibularligament (ATFL),the calcaneofibularligament (CFL),andthe posteriortalofibularligament (PTFL).Thecommoninversioninjurytotheankleus

4、uallyinvolvestwoligaments,theATFLandCFL.Normally,theATFLkeepstheanklefromslidingforward,andtheCFLkeepstheanklefromrollinginwardonitsside.韧带是一种致密的带状组织，它把相邻骨关节连接在一起。踝关节外侧韧带复合体由三条韧带组成：距腓前韧带、跟腓韧带、距腓后韧带。踝关节内翻扭伤通常累及其中两条韧带：距腓前韧带和跟腓韧带。距腓前韧带防止踝关节前移，跟腓韧带防止踝关节过度内收。Aligamentismadeupofmultiplestrandsofconnect

5、ivetissue,similartoanylonrope.Asprainresultsinstretchingortearingoftheligaments.Minorsprainsonlystretchtheligament.Atearmaybeeitheracompletetearofallthestrandsoftheligamentorapartialtearofonlysomeofthestrands.Theligamentisweakenedbytheinjury;howmuchitisweakeneddependsonthedegreeofthesprain.韧带是由多股

6、束带状结缔组织组成，很像是一股尼龙绳。扭伤会导致韧带的拉伤或撕裂。轻微扭伤仅仅导致韧带的拉伤。严重扭伤会导致韧带撕裂，而韧带撕裂既可能是韧带内全部束带的断裂，也可能是部分束带的断裂。韧带损伤后，其力量会减弱，具体减弱的程度取决于扭伤的程度。Thelateralligamentsarebyfarthemostcommonlyinjuredligamentsinatypical inversioninjury oftheankle.Inaninversioninjurytheankletiltsinward,meaningthebottomofthe foot anglestowardthe

7、otherfoot.Thisforcesallthepressureofyourbodyweightontotheoutsideedgeoftheankle.Asaresult,theligamentsontheoutsideoftheanklearestretchedandpossiblytorn.踝关节外侧韧带损伤最常见于踝关节内翻损伤。何谓踝关节内翻损伤？就是发生扭伤时，扭伤的这只脚的足底朝向另外一只脚，这样全身的重量都集中于