Epidemiology of Ankle Sprains and Chronic Ankle Instability

Epidemiology of Ankle Sprains and Chronic Ankle Instability
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DOI:
10.4085/1062-6050-447-17
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发表时间:
2019-06-01
影响因子:
3.3
通讯作者:
Wikstrom, Erik A.
Wikstrom, Erik A.
中科院分区:
医学2区
文献类型:
--
作者:
Herzog, Mackenzie M.;Kerr, Zachary Y.;Wikstrom, Erik A.

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目的:提供急性踝关节扭伤(外侧、内侧和高/韧带联合)流行病学的现有文献的重点综述,重点是美国的发病率研究。此外,我们提供了一个简短的概述慢性踝关节不稳定(CAI),创伤后骨关节炎,损伤的预防,以帮助我们了解这些损伤的流行病学和踝关节扭伤和踝关节不稳定的运动medicine.Background的科学现状:急性踝关节扭伤是最常见的肌肉骨骼损伤之一,与高发病率之间的体力活动的个人。此外,急性踝关节扭伤有很高的复发率,这与CAI的发展有关。了解这些损伤的流行病学对于改善患者的肌肉骨骼健康和减轻下肢肌肉骨骼疾病的负担是非常重要的。描述:急性踝关节扭伤的发病率总结了一般人群,以及体力活动人群,包括有组织的体育和军事人员,重点是在美国的发病率。先前的踝关节扭伤和未来的急性踝关节扭伤之间的联系进行了描述。我们还讨论了事件踝关节扭伤和不良,长期的结果,如CAI和创伤后骨关节炎之间的关联。最后,我们总结伤害预防的成功和未来的研究和prevention.Clinical方向应用:这些信息是有用的医疗保健提供者了解急性踝关节扭伤的预期发病率,要知道踝关节扭伤和负面的短期和长期的结果之间的关联,并熟悉现有的伤害预防计划。
Objective: To provide a focused overview of the existing literature on the epidemiology of acute ankle sprains (lateral, medial, and high/syndesmotic) with an emphasis on incidence studies from the United States. In addition, we provide a brief overview of chronic ankle instability (CAI), posttraumatic osteoarthritis, and injury prevention to contribute to our understanding of the epidemiology of these injuries and the current state of the science on ankle sprains and ankle instability in sports medicine.Background: Acute ankle sprains are one of the most common musculoskeletal injuries, with a high incidence among physically active individuals. Additionally, acute ankle sprains have a high recurrence rate, which is associated with the development of CAI. Understanding the epidemiology of these injuries is important for improving patients' musculoskeletal health and reducing the burden of lower limb musculoskeletal conditions.Description: Acute ankle-sprain incidence rates are summarized among the general population, as well as among physically active populations, including organized athletics and military personnel, with a focus on incidence in the United States. The link between a prior ankle sprain and a future acute ankle sprain is described. We also discuss the association between the incident ankle sprain and adverse, long-term outcomes such as CAI and posttraumatic osteoarthritis. Finally, we summarize injury-prevention successes and future directions for research and prevention.Clinical Applications: This information is useful for health care providers to understand the expected incidence rates of acute ankle sprains, be aware of the association between ankle sprains and negative short- and long-term outcomes, and be familiar with existing injury-prevention programs.