踝关节扭伤的评价和处理 课件.ppt

Ankle Injury Differential Lateral Inversion Sprain Most common injury 85% of all ankle sprains Lateral ligaments damaged from anterior to posterior Grading Lateral Ankle Sprains 阿尔茨海默症防治相关知识埃及的金字塔有建造方法动画艾司洛尔在神经外科重症中的应用二级二班防溺水等安全教育 阿尔茨海默症防治相关知识埃及的金字塔有建造方法动画艾司洛尔在神经外科重症中的应用二级二班防溺水等安全教育 Assessment And Management Of Ankle Sprains Steven Schepens M.D. Ankle Sprains Most common athletic injury Most caused by excessive inversion Injury to lateral supporting ligament Most treated nonoperatively Risk Of Ankle Injuries By Sport Basketball---- 45% Soccer-------- 31% Volleyball--- 25% Football------ 10 - 15% Ankle Consists Of Two Joints Talar Mortise Allows for plantar flexion and dorsiflexion Subtalar Joint Allows for inversion, eversion, and internal and external rotation Ligamentous Structures Of The Ankle 1) Tibiofibular Complex 2) Medial Complex 3) Lateral Complex Ligamentous Structures Of The Ankle Tibiofibular Complex Stabilizes the ankle mortise Allows little movement between tibia and fibula Ligamentous Structures Of The Ankle Medial Complex Deltoid Ligament Limits eversion Limits lateral displacement of the talus Medial malleolus will often fracture before this ligament tears* Ligamentous Structures Of The Ankle Lateral Complex Anterior Talofibular* Calcaneaofibular Posterior Talofibular Resists internal rotation, anterior displacement, and inversion Secondary Stabilizers Muscles and Tendons Peroneous Longus Anterior Tibialis Posterior Tibialis Achilles tendon On-Field Management Goal--Identify serious injury Screen for deformities Axial traction and relocation Neurovascular assessment Weight bearing Stabilization On-Field Management “Golden Period” Best opportunity for accurate diagnosis No swelling Pain has subsided No guarding Assessment Of Ankle Sprain History How did it happen? Where does it hurt? Did the pain make you stop playing? Were you able to bear weight right away? Have you injured this or the other ankle before? Assessment Of Ankle Sprain Physic