Long term outcomes of inversion ankle injuries
Long term outcomes of inversion ankle injuries
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DOI：
10.1136/bjsm.2004.011676
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发表时间：
2005-03-01
影响因子：
18.4
通讯作者：
Barnsley, L
中科院分区：
文献类型：
--
作者：
Anandacoomarasamy, A;Barnsley, L
背景：踝关节扭伤是常见的运动损伤，通常被认为是良性且自限性的。然而，一些研究报告称，很大一部分踝关节扭伤患者的症状持续数月甚至数年。目的：确定在运动相关的内翻踝关节扭伤后出现长期症状的到澳大利亚运动医学诊所就诊的患者比例。方法：纳入了从 1999 年 8 月至 2002 年 8 月转诊至新南威尔士州运动医学研究所的连续内翻踝关节扭伤患者。排除标准是骨折、踝关节手术或并发下肢问题。从同一时期就诊的上肢损伤患者中招募了年龄和性别相匹配的对照组。通过结构化电话访谈确定当前踝关节症状、踝关节相关残疾和当前健康状况。结果：招募并采访了 19 名患者和匹配的对照者。踝关节组的平均年龄为 20 岁（范围 13 - 28 岁）。 12 名患者 (63%) 为男性。平均随访时间为 29 个月。只有五名（26%）踝关节受伤的患者完全康复，随访时没有疼痛、肿胀、屈服或虚弱。对照组均未报告这些症状 (p< 0.0001)。使用简短的 36 份问卷 (SF36) 进行的生活质量评估显示，两组之间的一般健康分量表存在差异，有利于对照组 (p<0.05)。两组之间的其他 SF36 分量表没有显着差异。结论：大多数在运动中遭受踝关节内翻损伤并随后转诊至运动医学诊所的患者在受伤后至少两年内有持续症状。这强调了预防和早期有效治疗的重要性。
Background: Ankle sprains are common sporting injuries generally believed to be benign and self limiting. However, some studies report a significant proportion of patients with ankle sprains having persistent symptoms for months or even years.Aims: To determine the proportion of patients presenting to an Australian sports medicine clinic who had long term symptoms after a sports related inversion ankle sprain.Methods: Consecutive patients referred to the NSW Institute of Sports Medicine from August 1999 to August 2002 with inversion ankle sprain were included. Exclusion criteria were fracture, ankle surgery, or concurrent lower limb problems. A control group, matched for age and sex, was recruited from patients attending the clinic for upper limb injuries in the same time period. Current ankle symptoms, ankle related disability, and current health status were ascertained through a structured telephone interview.Results: Nineteen patients and matched controls were recruited and interviewed. The mean age in the ankle group was 20 ( range 13 - 28). Twelve patients (63%) were male. Average follow up was 29 months. Only five (26%) ankle injured patients had recovered fully, with no pain, swelling, giving way, or weakness at follow up. None of the control group reported these symptoms ( p< 0.0001). Assessments of quality of life using short form-36 questionnaires (SF36) revealed a difference in the general health subscale between the two groups, favouring the control arm ( p< 0.05). There were no significant differences in the other SF36 subscales between the two groups.Conclusion: Most patients who sustained an inversion ankle injury at sport and who were subsequently referred to a sports medicine clinic had persistent symptoms for at least two years after their injury. This reinforces the importance of prevention and early effective treatment.