踝关节韧带损伤课件_1.pptVIP

Dep. Sports Med * * Sports Injury PBL What happened in these Atheletes? (Ankle sprain) 踝关节韧带损伤 1.局部解剖 (local anatomy) 距骨前宽后窄 外踝长、内踝短 内翻肌力大于外翻肌力 外侧副韧带纤维长、分散而薄弱 特点 2.etiology 运动场地不平或落地不稳 准备活动不充分或训练水平不够 疲劳 3.Biomechanism 踝关节过度内翻或外翻 急性受伤史 局部疼痛\肿肿\压痛\跛行 强迫内外翻试验/前抽屉试验 4.manifestation 压痛常见于外踝前下方凹陷处（距腓前韧带） Classification Criterion 　 Grade1　 grade2　 grade3 Location　 Edema　 Weight-bearing ability ATFL, CFL, PTFL ATFL　 ATF , CFL Slight 　 Moderate Significant Full Difficult without crutches Impossible without significant pain Ligament damag