Long-term follow-up of inversion trauma of the ankle

Springer Science and Business Media LLC - Tập 114 - Trang 92-96 - 1995
R. A. W. Verhagen1,2, G. de Keizer1, C. N. van Dijk2
1Department of Surgery, Maria Hospital, LA Tilburg, The Netherlands
2Department of Orthopaedic Surgery, Academic Medical Centre, Amsterdam-ZO, The Netherlands

Tóm tắt

In our institution lateral ankle ligament injuries are classified into three grades according to the extent of instability found on physical examination and/or stress X-rays. Grade I and II lesions are taped, while treatment of grade III lesions consists of operative reconstruction of the ruptured ligaments. In 1989 we published the results of 1012 patients after 9 months' follow-up. About 30% had residual complaints. The nature and frequency of the complaints were equally divided among the three groups. To examine the long-term follow-up results, we conducted a retrospective study with the same group of patients after 6.5 years. Although ankle ligament injuries are still considered rather innocent lesions, we conclude that even after 6.5 years patients can still have residual complaints (pain, fear of giving-way, actual instability, swelling), which interfere with daily living and/or sport activities. The result deteriorated with time. This was especially prominent in the grade II group, where the percentage of poor and fair results doubled. The overall percentage of residual complaints was 39%. We conclude that there is no such thing as “a simple sprain”.

Tài liệu tham khảo

Andersen K, Albers C et al. (1987) Conservative treatment of severe ankle sprains. Acta Orthop Scand 58:697–698

Beek P van (1985) Evaluation of ankle injuries using the Cybex II Dynamometer. Acta Orthop Scand 56:516

Bosien WR, Staples OS et al. (1955) Residual disability following acute ankle sprains. J Bone Joint Surg [Am] 37:1237–1243

Brand RL, Black HM et al. (1977) The natural history of inadequately treated ankle sprain. Am J Sports Med 5:248–249

Brink PRG, Vette J de et al. (1985) Treatment of 176 ankle ligament ruptures by taping; results after 2–3 years. Acta Orthop Scand 56:515

Broström L (1966) Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand 132:537–550

Cetti R (1982) Conservative treatment of injury to the fibular ligaments of the ankle. Br J Sports Med 16:47–52

Ent FWC van der (1984) Lateral ankle ligament injury. (Thesis, University of Rotterdam) Elinkwijk, Utrecht

Evans GA, Hardcastle P et al. (1984) Acute rupture of the lateral ligament of the ankle, to suture or not to suture? J Bone Joint Surg [Br] 66:209–212

Freeman MAR (1965) Treatment of ruptures of the lateral ligament of the ankle. J Bone Joint Surg [Br] 47:661–668

Grönmark T (1980) Rupture of the lateral ligaments of the ankle: a controlled clinical trial. Injury 11:215–218

Hansen H, Damholt V et al. (1979) Clinical and social status following injury to the lateral ligaments of the ankle. Acta Orthop Scand 50:699–704

Hedges JR (1980) Management of ankle sprains. Ann Emerg Med 9:296–302

Holzach P, Strässle H et al. (1984) Die ambulante Operation frischer Aussenbandverletzungen am Sprunggelenk. Unfallheilkunde 87:374–379

Homminga GN (1986) Long term inversion stability of the ankle after rupture of the lateral ligaments. Neth J Surg 38:103–105

Hoogenband CR van den, Moppes FI van (1987) Die Behandlung der lateralen Ligamentrupturen des oberen Sprunggelenkes mit der Coumans-Bandage und direkter Mobilisation. Eine prospective Vergleichsstudie. Hefte Unfallheilkunde 189:1030–1034

Kannus P, Renström P (1991) Treatment for acute tears of the lateral ligaments of the ankle. J Bone Joint Surg [Am] 73:305–312

Klein J, Schreckenberger C et al. (1988) Operative oder konservative Behandlung der frischen Aussenbandruptur am oberen Sprunggelenk. Unfallchirurg 91:154–160

Korkala O, Rusanen M et al. (1986) Treatment of lateral ligament injuries of the ankle. A prospective clinical study. Acta Orthop Scand 57:579

Linde F, Hvass I et al. (1986) Early mobilising treatment in lateral ankle sprains. Course and risk factors for chronic painful or function-limiting ankle. Scand J Rehabil Med 18: 17–21

Linhart WE, Hollwarth ME et al. (1990) Results of conservative treatment of ligament lesions of children's ankle joint. A prospective study. Z Kinderchir 45:298–300

Lohrer H (1990) Mittelfristige Ergebnisse operativ versorgter lateraler Kapselbandrupturen am oberen Sprunggelenk — ein Vergleich immobilisierender und funktioneller Nachbehandlung. Orthop Praxis 10:675–679

Maehlum S, Daljord OA (1984) Acute sports injuries in Oslo — a one-year study. Br J Sports Med 18:181–185

Möller-Larsen F, Wethelund JO et al. (1988) Comparison of three different treatments for ruptured lateral ankle ligaments. Acta Orthop Scand 59:564–566

Niedermann B, Andersen A et al. (1981) Rupture of the lateral ligaments of the ankle: operation or plaster cast? Acta Orthop Scand 52:579–587

Niethard FU (1974) Die Stabilität des Sprunggelenkes nach Ruptur des lateralen Bandapparates. Arch Orthop Unfallchir 80:53–61

Prins JG (1978) Diagnosis and treatment of injury to the lateral ligaments of the ankle. Acta Chir Scand Suppl 486

Ruth CJ (1961) The surgical treatment of injuries of the fibular collateral ligaments of the ankle. J Bone Joint Surg [Am] 43:229–239

Sandelin J (1988) Acute sport injuries. A clinical and epidemiological study. (Dissertation, University of Helsinki) Yliopistopaino, Helsinki, pp 1–66

Schaap GR, Keizer G de et al. (1989) Inversion trauma of the ankle. Arch Orthop Trauma Surg 108:273–275

Speeckaert MTC (1985) Comparison of the results of conservative with those of operative treatment of ankle ligament lesions. Acta Orthop Scand 56:514

Staples OS (1972) Result study of ruptures of lateral ligaments of the ankle. Clin Orthop 85:50–58

Tonino AJ (1973) Treatment of partial ruptures of the lateral ligament of the ankle in acute ankle sprains. Arch Chir Neerl 25:119–129

Zwipp H, Hoffman R et al. (1991) Rupture of the ankle ligaments. Int Orthop 15:245–249

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Springer Science and Business Media LLC

Tập 114

92-96

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