高频超声诊断踝关节外侧副韧带损伤及评估沙床康复训练效果

doi:10.7517/issn.1674-0475.211129

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 665-669.DOI: 10.7517/issn.1674-0475.211129

高频超声诊断踝关节外侧副韧带损伤及评估沙床康复训练效果

刘云午¹, 郭启明², 何颖慧³, 孙烽皓¹, 李世昊¹

1. 山东理工大学体育学院, 山东淄博 255400;
2. 山东体育学院, 山东济南 250102;
3. 山东理工大学农业工程与食品科学学院, 山东淄博 255000;
4. 淄博市中心医院, 山东淄博 255000

收稿日期:2021-11-15 出版日期:2022-05-15 发布日期:2022-05-27

The Sand Bed Rehabilitation Training Effect and Lateral Collateral Ligament Injury of Ankle Evaluation Through High-frequency Ultrasound Image

LIU Yunwu¹, GUO Qiming², HE Yinghui³, SUN Fenghao¹, LI Shihao¹

1. Shandong University of Technology, Institute of Physical Education, Zibo 255400, Shandong, P. R. China;
2. Shandong Sport University, Jinan 250102, Shandong, P. R. China;
3. Shandong University of Technology, School of Agricultural Engineering and Food Science, Zibo 255000, Shandong, P. R. China;
4. Zibo Central Hospital, Zibo 255000, Shandong, P. R. China

Received:2021-11-15 Online:2022-05-15 Published:2022-05-27

摘要/Abstract

摘要： 本文探讨高频超声诊断踝关节外侧副韧带损伤及采用沙床康复训练的临床价值。选取120例踝关节外侧副韧带损伤患者作为研究对象,其中78例患者采用保守康复治疗联合沙床康复训练(保守组),42例患者采用手术联合沙床康复训练治疗(手术组)。高频超声诊断保守组患者距腓前韧带损伤程度与MRI诊断损伤程度差异无统计学意义(P>0.05);保守组有34例患者出现跟腓前韧带损伤,高频超声诊断跟腓前韧带损伤程度与MRI诊断损伤程度差异无统计学意义(P>0.05);高频超声诊断手术组患者距腓前韧带、跟腓前韧带损伤程度与手术中所见结果差异无统计学意义(P>0.05);高频超声评价痊愈组患者的踝关节功能显著优于有效组(P<0.05)。高频超声诊断踝关节外侧副韧带损伤与MRI诊断及手术术中所见结果差异不大,高频超声作为术前诊断踝关节外侧副韧带损伤病情及判断踝关节功能恢复具有一定的临床价值。

关键词: 高频超声, 诊断, 踝关节, 外侧副韧带损伤, 沙床康复训练

Abstract: This article discussed the clinical value of high-frequency ultrasound in the diagnosis of ankle lateral collateral ligament injury and the rehabilitation training of sand bed. 120 patients with ankle lateral collateral ligament injury treated were selected as the research subjects. Among them, 78 patients were treated with conservative rehabilitation therapy combined with sand bed rehabilitation training (conservative group), and 42 patients were treated with surgery combined with sand bed rehabilitation training (operation group). There was no significant difference in the degree of injury of the anterior talofibular ligament diagnosed by high-frequency ultrasound compared with MRI in the conservative group (P>0.05). There were 34 cases patients with anterior calcaneofibular ligament injury in the conservative group, and there was no significant difference in diagnosis of anterior calcaneal and fibular ligament injury between high-frequency ultrasonography and MRI (P>0.05). There was no significant difference in the degree of injury of the anterior talofibular ligament and anterior calcaneofibular ligament in the high-frequency ultrasound diagnosis665of the operation group and intraoperative findings (P> 0.05); high-frequency ultrasound evaluation of the ankle joint function of the cured group was significantly better than that of the effective group (P<0.05). There is little difference between high-frequency ultrasound in diagnosing lateral ankle collateral ligament injury and MRI diagnosis and intraoperative findings. High-frequency ultrasound has certain clinical value as a preoperative diagnosis of ankle lateral collateral ligament injury and judgment of ankle function recovery.

Key words: high-frequency ultrasound, diagnosis, ankle joint, lateral collateral ligament injury, sand bed rehabilitation training

刘云午, 郭启明, 何颖慧, 孙烽皓, 李世昊. 高频超声诊断踝关节外侧副韧带损伤及评估沙床康复训练效果[J]. 影像科学与光化学, 2022, 40(3): 665-669.

LIU Yunwu, GUO Qiming, HE Yinghui, SUN Fenghao, LI Shihao. The Sand Bed Rehabilitation Training Effect and Lateral Collateral Ligament Injury of Ankle Evaluation Through High-frequency Ultrasound Image[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 665-669.

参考文献

[1] 白琛, 唐芳. 急性踝关节扭伤关节积液与关节结构损伤关系研究[J]. 实用医院临床杂志, 2019,16(5):72-74.
[2] 符晓艳, 干亚岚, 许志强, 等. 沙床对470例卒中患者偏瘫康复治疗的应用研究[J]. 重庆医学, 2008,37(7):710-711.
[3] 刘海龙, 刘金丰, 肖梦强, 等. 急慢性踝关节韧带损伤的磁共振影像特点分析[J]. 山西医药杂志, 2016,45(23):2736-2738.
[4] 陈亮, 庄军, 巩箫音, 等. 高频超声诊断距腓前韧带损伤的临床价值[J]. 中国药物与临床, 2020,20(21):3574-3575.
[5] Van Lieshout E M M, De Boer A S, Meuffels D E, et al. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score:A study protocol for the translation and validation of the Dutch language version[J]. BMJ Open, 2017,7(2):e012884.
[6] Beitia P,Schneider A,Sublett,et al. The Effects of Pre- and Post-Rehabilitation Physical Training Protocol on Anterior Cruciate Ligament (ACL) Progress[J]. International Journal of Exercise Science:Conference Proceedings, 2019,2(11):56-56.
[7] Ali A A, Abdelwahab M B. Short-term outcome of multi-ligament knee injury among sudanese patients[J]. Open Access Macedonian Journal of Medical Sciences, 2019,7(9):1486-1493.
[8] Kim S H, Seo H J, Seo D W, et al. Analysis of risk factors for ramp lesions associated with anterior cruciate ligament injury[J]. The American Journal of Sports Medicine, 2020,48(7):1673-1681.
[9] Kahan J B, Li D, Schneble C A, et al. The pathoanatomy of posterolateral corner ligamentous disruption in multiligament knee injuries is predictive of peroneal nerve injury:Response[J]. The American Journal of Sports Medicine, 2020,48(14):3541-3548.
[10] Shekari I, Shekarchi B, Abbasian M, et al. Predictive factors associated with anterolateral ligament injury in the patients with anterior cruciate ligament tear[J]. Indian Journal of Orthopaedics, 2020,54(5):655-664.
[11] Kara O S, Donmez G, Korkusuz F, et al. Chronic medial collateral ligament sprain and medial collateral ligament bursitis of the knee in a female soccer player:A case report[J]. Turkish Journal of Sports Medicine, 2020,55(3):246-250.
[12] Wang K K, Boyce G, Peters T, et al. Efficacy of primary repair in professional athletes with chronic radial collateral ligament injuries of thumb metacarpophalangeal joint[J]. The Journal of Hand Surgery (Asian-Pacific Volume), 2019,24(2):138-143.
[13] Hayes R, Callaghan M. BET 2:Diagnostic value of ultrasound in determining lateral ligament injury of the ankle[J]. Emergency Medicine Journal, 2019,36(1):56-57.
[14] D'Souza J J. Letters to the editor:Lateral collateral ligament injury about the knee:Anatomy, evaluation, and management[J]. The Journal of the American Academy of Orthopaedic Surgeons, 2020,28(9):e386.
[15] Ramos L A, Zogbi T, De Andrade E F, et al. Treatment and outcomes of lateral collateral ligament injury associated with anterior and posterior cruciate ligament injury at 2-year follow-up[J]. Journal of Orthopaedics, 2019,16(6):489-492.
[16] 欧会芝, 陈玉梅, 刘凡, 等. 伤科黄水联合弹性固定治疗急性踝关节外侧副韧带损伤的临床观察[J]. 中国中医急症, 2020,29(5):596-898.
[17] 董辉, 刘数敬, 陆广旭, 等. MRI诊断踝关节外侧韧带损伤的Meta分析[J]. 武警医学, 2019,30(3):200-204.
[18] 陈健, 陈菲, 高勇, 等. 多排螺旋CT联合MRI在踝关节外侧韧带损伤诊断中的比较研究[J]. 中国医疗设备, 2019,34(3):64-67.

高频超声诊断踝关节外侧副韧带损伤及评估沙床康复训练效果

The Sand Bed Rehabilitation Training Effect and Lateral Collateral Ligament Injury of Ankle Evaluation Through High-frequency Ultrasound Image

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